Daw codes 0-4
Daw code 0
No product selection indicated
schedule I
highly abused no medical use
traditional indemnity
choice of physicians with referral , 100% out of pocket ,little to no control over pt. use
medicare
insurance that cover 65+ years of age & long term with disability
AS
left ear
Daw code 1
substitution not allowed by Prescriber
schedule II
has medical use & has high potential abuse
managed indemnity
certain services require approval, patients can chose any provider, common
medicare part a
covers hospice care, skilled nursing facilities, home and hospital cost
OD
Right eye
Daw code 2
substitution allowed patient requests product
schedule III
PPO
covers in-network and out of network providers reimburse on a discounted fee for service basis, for in-network providers patients pay a smaller %
medicare part b
covers supplies & medication
OS
left eye
Daw code 3
substitution allowed pharmacists request product
schedule IV
less potential abuse than III & has medical use
HMO
covers in-network providers only, make provides assume some financial risks, restricts patients from using out of network providers
medicare part c
allows people in part a & b to obtain coverage with PPO & HMO to provide additional services for higher cost
AD
Right ear
Daw code 4
substitution allowed generic not in stock
schedule V
lowest potential abuse recognized for medical use
Tricare & Medicaid
Tricare- covers military personnel and family
Medicaid- for low income & any age with long term disability
meidcare part d
RX meds, biologicals, insulin, vaccines
SL
under the tongue