Medicaid Coverage

AHCCSC (Arizona Health Care Cost Containment System) covers:

  • yesNRT Gum
  • yesNRT Patch
  • yesNRT Nasal Spray
  • yesNRT Lozenge
  • yesNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • variesIndividual Counseling
  • yesQuitline

Prior authorization for medications is required for patients under 18 years of age, if a brand name is prescribed when a generic is available, or if dose is over FDA recommendation. Medications may be received for a maximum of 12 weeks at a time. Two quit attempts per year are covered. Counseling limited to 4 sessions for pregnant women.

For more information, please call the AHCCSC office at 602-417-4000 or visit their website at http://www.ahcccs.state.az.us/site/

The coverage information above applies to traditional Medicaid. Coverage information for the Medicaid expansion population is still to be determined.

Health Insurance Marketplace Coverage

All plans in the Health Insurance Marketplace are required to cover tobacco cessation treatment. Specific coverage varies by plan. Check with your insurance plan to find out what is covered.

State Employee Health Plan Coverage

Arizona Benefit Options, through the MedImpact and ASHline covers:

  • yesNRT Gum
  • yesNRT Patch
  • yesNRT Nasal Spray
  • yesNRT Lozenge
  • yesNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • noIndividual Counseling
  • yesPhone Counseling
  • yesOnline Counseling
  • yesNo Tobacco Surcharge

Medications are provided at no cost to the member. Phone counseling and coordinated care is provided through the Healthful Living Tobacco Free Program. Enrollment for this program is open January through March. This counseling is not required to receive medications.

To enroll in the Healthful Living Tobacco Free Program, please visit http://www.benefitoptions.az.gov/wellness/tabaccofree.asp. For more information, please call the Benefit Services Division at 602-542-5008, or visit their website at http://www.benefitoptions.az.gov/

Private Insurance Coverage

This state does not require private health insurance plans to cover cessation treatments. Cessation coverage in private health insurance plans varies by employer and/or plan. Smokers with this type of health insurance should contact their insurance plan for information on cessation benefits.

This state does not mandate cessation coverage for private insurance plans.

Quitline

Contact Information: 1-800-556-6222; http://www.ashline.org/

Hours: 7 AM - 8 PM Monday-Thursday; 7 AM - 6 PM Friday; 10 AM - 4 PM Saturday; closed Sunday

Eligibility to recieve counseling: Resident of Arizona; for medication: Over 18 years of age, no recent heart problems.

Medications provided:

  • yesNRT Gum
  • yesNRT Patch
  • noNRT Nasal Spray
  • yesNRT Lozenge
  • noNRT Inhaler
  • noVarenicline (Chantix)
  • noBupropion (Zyban)

(Source: North American Quitline Consortium, www.naquitline.org)

American Lung Association Resources

The American Lung Association's Freedom From Smoking® program is available in limited locations throughout the state of Arizona. Not On Tobacco will be offered in select locations beginning in Spring 2009. Additional resources include Freedom From Smoking® Online, a program available 24/7 at http://www.ffsonline.org and the American Lung Association's Lung HelpLine (800-LUNG-USA). For more information about program locations and schedules, call 602-258-7505 or 520-323-1812, or visit us online at http://www.lungarizona.org.