A Guide to State Dispense as Written Laws Disclaimer: The AAN has adopted position statements expressing concern with generic substitutions (see M. J. Berg, et al., Generic substitution in the treatment of epilepsy, Neurology 2008;71:525 530). Accordingly, the AAN seeks to assist members who wish to prescribe specific medication for their patients (i.e., not approve the substitution of generic medication without their consent). A Guide to State Dispense as Written Laws is a useful tool for this purpose. It was developed by Abbott Laboratories, Inc. and provided to the AAN, without charge, in early 2008. The AAN has not verified the accuracy of the guide, so the user should independently determine that the guide accurately describes the requirements of the user s state. der to ensure *The information provided is based on current State Pharmacy Board Laws or policies.
Alabama sign on Dispense as Written line 2
Alaska handwrite Brand Medically Necessary or words of similar meaning 3
Arizona handwrite Dispense as Written, DAW, Do Not Substitute, Medically Necessary, or words of similar meaning 4
Arkansas handwrite Do Not Substitute For Medicaid patients: submission of MedWatch form is required 5
California handwrite initials in Do Not Substitute box or handwrite Do Not Substitute or words of similar meaning 6
Colorado handwrite initials in Dispense as Written box or handwrite Dispense as Written 7
Connecticut handwrite Brand Medically Necessary For Medicaid patients: also specify the basis on which the brand name drug is medically necessary 8
Delaware handwrite Brand Necessary or Brand Medically Necessary 9
District of Columbia handwrite Dispense as Written, DAW or words of similar meaning 10
Florida handwrite Medically Necessary For Medicaid patients: handwrite Brand Medically Necessary 11
Georgia handwrite Brand Necessary For Medicaid patients: GA Watch Form must be faxed to SXC Health Solutions for prior approval if ABrated product is currently available 12
Hawaii handwrite Brand Medically Necessary or words of similar meaning 13
Idaho check box next to Brand Only 14
Illinois check box next to the words May Not Substitute or sign on May Not Substitute line 15
Indiana sign on Dispense as Written line For Medicaid/Medicare patients: also handwrite Brand Medically Necessary 16
Iowa handwrite Dispense as Written or similar wording, to indicate that no drug product selection shall be made 17
Kansas handwrite Dispense as Written or sign on the Dispense as Written line 18
Kentucky handwrite Do Not Substitute 19
Louisiana check Dispense as Written box For Medicaid patients, also handwrite Brand Medically Necessary or Brand Necessary 20
Maine put check in box or, if using a prescription form with no box, handwrite Dispense as Written, DAW, Brand, Brand Necessary, or Brand Medically Necessary 21
Maryland handwrite Brand Medically Necessary, Dispense as Written, or words of similar meaning 22
Massachusetts handwrite No Substitution 23
Michigan handwrite Dispense as Written or DAW or initial DAW in box 24
Minnesota handwrite Dispense as Written or DAW For Medicaid patients: handwrite DAW - Brand Medically Necessary 25
Mississippi sign on Dispense as Written line If using a form that does not contain two signature lines, handwrite Dispense as Written For Medicaid patients; also handwrite: Brand Name Medically Necessary, Dispense as Written, or Do Not Substitute 26
Missouri sign on Dispense as Written line 27
Montana handwrite Brand Medically Necessary 28
Nebraska handwrite No Drug Product Selection, NDPS, Dispense as Written, Brand Medically Necessary or words of similar meaning 29
Nevada handwrite Dispense as Written 30
New Hampshire handwrite Medically Necessary 31
New Jersey initials in Do Not Substitute box For Medicaid patients: also handwrite Brand Medically Necessary 32
New Mexico handwrite No Substitution or No Sub 33
New York handwrite DAW in box above Dispense as Written For Medicaid patients: check DAW box and also handwrite Brand Medically Necessary 34
North Carolina sign on Dispense as Written line or, if using a form without two signature lines, handwrite Dispense as Written For Medicaid patients: handwrite Medically Necessary 35
North Dakota handwrite Brand Necessary. Reminder legend must appear on prescription forms For Medicaid patients: handwrite Dispense as Written 36
Ohio handwrite Dispense as Written or DAW 37
Oklahoma handwrite Dispense as Written or DAW 38
Oregon handwrite No Substitution or NS 39
Pennsylvania handwrite Brand Necessary or Brand Medically Necessary 40
Puerto Rico handwrite Do Not Interchange 41
Rhode Island handwrite Brand Name Necessary 42
South Carolina sign on Dispense as Written line For Medicaid patients, MD must handwrite Brand Medically Necessary or Brand Necessary 43
South Dakota handwrite Brand Necessary or words of similar meaning 44
Tennessee handwrite Dispense as Written, DAW or words of similar meaning 45
Texas handwrite Brand Necessary or Brand Medically Necessary 46
Utah handwrite Dispense as Written or sign on Dispense as Written line For Medicaid patients, handwrite Brand Name Necessary 47
Vermont handwrite Brand Necessary or No Substitution 48
Virginia handwrite Brand Medically Necessary 49
Washington sign on Dispense as Written line 50
West Virginia handwrite Brand Medically Necessary 51
Wisconsin handwrite No Substitution, NS, or words of similar meaning For Medicaid patients: handwrite Brand Medically Necessary 52
Wyoming handwrite Do Not Substitute or words of similar meaning 53