What is the required action if a prescriber signs "DAW" for a non-Medicaid patient who requests generic substitution?

When a prescriber indicates "DAW" (Dispense As Written) on a prescription for a non-Medicaid patient who requests a generic substitution, the appropriate action is for the patient to contact the prescriber.

The "DAW" designation means that the prescriber intends for the brand-name medication to be dispensed specifically, and this must be respected unless the prescriber decides to alter the instructions. In this case, the patient has expressed a desire for a generic option, which introduces the possibility of a discussion about the benefits and our options regarding cost and effectiveness. However, due to the prescriber's "DAW" instruction, this request cannot be honored without the prescriber's approval.

To facilitate a potential change in the prescription, it's best for the patient to reach out to the prescriber to discuss the possibility of using a generic alternative. The prescriber may reconsider the prescription based on the patient's request, which would allow the pharmacist to then dispense a generic product if authorized. This process emphasizes the importance of communication between the prescriber and the patient, especially when there are conflicting preferences regarding medication options.