Glossary of The Pharmacy Technician Chapter 14
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- The Maximum Allowable Cost is usually (greater than or less than) the Usual and Customary (U&C) price.
- less than
- What is meant by Maximum Allowable Cost or MAC?
- the maximum price per tablet (or other dispensing unit) an insurer or PBM will pay for a given product
- What is meant by U&C or UCR?
- the maximum amount of payment for a given prescription, determined by the insurer to be a usual and customary (and reasonable) price
- What does the DAW code 0 indicate?
- No DAW
- What does the DAW code 1 indicate?
- DAW handwritten on the prescription by the prescriber
- What does the DAW code 2 indicate?
- Patient requested brand
- What does the DAW code 3 indicate?
- Pharmacist selected brand
- What does the DAW code 4 indicate?
- Generic not in stock
- What does the DAW code 5 indicate?
- Brand name dispensed but priced as generic
- What does the DAW code 6 indicate?
- What does the DAW code 7 indicate?
- Substitution not allowed; brand mandated by law
- What does the DAW code 8 indicate?
- Generic not available
- What does it mean when "Refills Not Covered" is the reason for a rejected claim?
- The patient has a mail order pharmacy for maintenance medications.
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