Medicaid Coverage

The Oregon Health Plan covers:

  • yesNicotine Gum
  • yesNicotine Patch
  • yesNicotine Nasal Spray
  • yesNicotine Lozenge
  • yesNicotine Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • yesGroup Counseling
  • yesIndividual Counseling
  • yesQuitline

All seven medications, individual, and group counseling are covered by all plans. Phone counseling varies by plan. Prior authorization is required for the NRT nasal spray and inhaler. Duration limits and annual limits include 4 counseling sessions/quit attempt and 2 quit attempts/year.

For more information, please call the Oregon Health Plan Office at 503-945-5772, or visit their website at

Note: the Affordable Care Act requires all Medicaid programs cover all tobacco cessation medications beginning January 1, 2014. If a medication is marked here as not being covered, there is not yet evidence that Medicaid has complied with this requirement. Patients should call their Medicaid program and ask how to receive these medications.

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

The Public Employees Benefit Board covers:

  • yesNicotine Gum
  • yesNicotine Patch
  • variesNicotine Nasal Spray
  • variesNicotine Lozenge
  • variesNicotine Inhaler
  • variesVarenicline (Chantix)
  • variesBupropion (Zyban)
  • yesGroup Counseling
  • yesIndividual Counseling
  • yesPhone Counseling
  • noNo Tobacco Surcharge

The NRT gum, NRT patch, phone and individual counseling. The NRT lozenge, NRT nasal spray, NRT inhaler, bupropion and varenilcine and group counseling vary by plan. Some plans require prior authorization and co-pays to access treatments

For more information, please call the Oregon Public Employees' Benefit Board at 503-373-1102 or 800-788-0520, or visit their website at

Private Insurance Coverage

Beginning January 1, 2010, insurance plans are required to cover a physician-recommended tobacco cessation program for all members 15-years old or older. Plans are required to provide at least $500 of coverage for such programs, and they are to include educational and medical treatment components.


Contact Information: 1-800-QUIT-NOW;

Hours: 4:00 AM - 12:00 AM Monday-Saturday; 4:00 AM - 5:00 AM Sunday

Eligibility to recieve counseling: Multiple calls only: uninsured; insured (Medicaid - Oregon Health Plan "Open Card" and CAREAssist). Single call only: insured (private insurance). For medication: age 18+, no medical contraindications.

Medications provided:

  • yesNicotine Gum
  • yesNicotine Patch
  • noNicotine Nasal Spray
  • noNicotine Lozenge
  • noNicotine Inhaler
  • noVarenicline (Chantix)
  • noBupropion (Zyban)

(Source: North American Quitline Consortium,

American Lung Association Resources

The American Lung Association in Oregon offers Freedom From Smoking classes in some areas of the state. Some Oregon high schools also offer N-O-T On Tobacco, the teen tobacco cessation program. For more information, please contact or 866-661-5864.