PACE & E-PRESCRIBING
The number of prescribers and pharmacies utilizing
e-prescribing continues to increase throughout
Recognizing that thousands of
The use of e-prescribing is to be in accordance with Chapter 27 of the Pennsylvania Code, §27.201 Electronically transmitted prescriptions.
However, to avoid PACE E-prescription auditing issues, providers are reminded that:
§ Prescription Origin Code 1 / DAW 1 -- Written prescriptions which contain “Brand Medically Necessary” in the prescriber’s own handwriting.
§ Prescription Origin Code 3 / DAW 1 -- Electronic or E-prescriptions in which the prescriber specifically directs the brand to be dispensed instead of the generic.
§ Prescription Origin Code 4 / DAW 1 -- Faxed (facsimile) of an original written prescription containing “Brand Medically Necessary” in the prescriber’s own handwriting.
Reminder: Medical Exceptions are not permitted to be granted after the fact.
· Prescription Origin Code 0--Claims submitted with a 0 will deny.
· Prescription Origin Code 2--Telephone prescriptions directing that the brand is
“Medically Necessary” are not accepted for PACE medical exceptions for A-rated brands.
The prescriber will be contacted by the Program to document the clinical reason for the “Brand Medically Necessary” designation. Prescribers failing to respond or those supplying insufficient or unacceptable documentation will not have the Medical Exception authorization extended.
Questions may be directed to Provider Services at: