Medicaid Coverage

The West Virginia Medicaid program covers:

  • Nicotine Gum
  • Nicotine Patch
  • Nicotine Nasal Spray
  • Nicotine Lozenge
  • Nicotine Inhaler
  • Varenicline (Chantix)
  • Bupropion (Zyban)
  • Group Counseling
  • Individual Counseling
  • Quitline

Coverage varies by plan. Prior authorization is required for all medications. Co-payments of $0.50-$3 are required. Quit attempts are limited to one per year, though pregnant women may attempt more. Coverage is limited to 12 weeks per attempt and other medications must be used before the nicotine replacement therapy inhaler.

For more information, please call the West Virginia Bureau for Medical Services at 304-558-6006, 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 Insurance Agency covers:

  • yesNicotine Gum
  • yesNicotine Patch
  • yesNicotine Nasal Spray
  • yesNicotine Lozenge
  • yesNicotine Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • yesIndividual Counseling
  • noPhone Counseling
  • noNo Tobacco Surcharge

Members are covered for 3 quit attempts per lifetime. Members may receive individual counseling from a physician up to two times per year. Co-payments are not required for NRT patch. $5 copayments are required for the NRT gum and bupropion. $15 copayments are required for the NRT lozenge. $50 copayments are required for varenicline, NRT nasal spray, and NRT inhaler. State employees who use tobacco are charged $25/month in extra health insurance premiums for individual coverage and $50/month for family coverage.

For more information, please call the West Virginia Public Employees Insurance Agency at 304-353-7820 or 888-440-7342, or visit their website at

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.


Contact Information: 1-877-966-8784;

Hours: 8 AM - 8 PM Monday-Friday; 8:00 AM - 5 PM Saturday & Sunday

Eligibility to recieve counseling: West Virginia resident; for medication: West Virginia resident.

Medications provided:

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

(Source: North American Quitline Consortium,

American Lung Association Resources

The American Lung Association's Freedom From Smoking® program is widely available in community locations throughout West Virginia. Not On Tobacco is offered in select high schools. Additional options include Freedom From Smoking® Online, a program available 24/7 at and the American Lung Association's Lung HelpLine (800-LUNG-USA). For more information about program locations and schedules, call 1-800-LUNGUSA, or visit