| Name | Value |
|---|---|
| SERVICE REASON CODE | LD |
| BRIEF DESCRIPTION | Low Dose |
| CODE TYPE ABBREVIATION | REA |
| FULL DESCRIPTION | Code indicating that the submitted drug doses fall below the standard dosing range. |
| CHANGE REQUEST REASON TEXT | The prescribed dosage is below typical minimum. Please advise: To fill as is, send denial to this request with note stating reason fill is acceptable. To fill within manufacturer guidelines, approve recommendation below. |