Cost & Coverage

Cost & Payment for Meds

To find the best prices and most convenient pharmacies for your patients, visit goodrx.com and type in the drug’s name.

You’ll even find online coupons and discounts for extra savings.

Insurance Coverage

There are a number of ways that you, as a healthcare provider, can assist your patients to quit using tobacco. And insurance can help, too. The Affordable Care Act provides helpful benefits for patients who want to quit.

Veterans

Smoking and tobacco use remain some of the Veteran Affairs’ (VA) biggest public health challenges as many veterans began using tobacco while they were in the military. To help veterans quit, the VA offers:

• Screening for tobacco use during primary care visits
• Individual counseling
• Prescriptions for nicotine replacement therapy (patch, gum or other medications)
• Participation in evidence-based smoking cessation programs
• Veterans can contact the nearest VA healthcare facility to schedule an appointment. Call toll-free, 1-877-222-8387.

Click here for a list of clinics where veterans can receive services in Utah.

1-855-QUIT-VET is a national, proactive, toll-free counseling quitline. 1-855-QUIT-VET is available at no cost to all Veterans receiving their health care through VA.

SmokefreeVET is a Veteran-focused text messaging program provides up to eight weeks of supportive and encouraging texts to Veterans attempting to quit smoking. Text messages are available in both English and Spanish.

Veterans can sign up for the program in English by texting the word VET to 47848 from their mobile phone or by visiting smokefree.gov/VET. For Spanish, they can text VETesp to 47848 or visit smokefree.gov/VETespanol.

1-855-QUIT-VET and SmokefreeVET are collaborations between VA and the National Cancer Institute.

Veterans can also receive intensive personal coaching to help them quit through the Utah Tobacco Quit Line (1.800.QUIT.NOW). Counseling and nicotine replacement therapy (patch or gum) are available to veterans, and services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

Medicare

Individuals aged 65 years and older as well as some disabled individuals are eligible to be covered by Medicare. Cessation medications that are required for Medicare to provide include nicotine nasal spray, nicotine inhaler, bupropion and varenicline. Part D plans may opt to cover other medications. Medicare-insured individuals also can receive up to four sessions of individual counseling and up to two quit attempts per year. There is no cost-sharing for patients not showing symptoms of a tobacco-caused disease.

Medicare patients may also receive intensive cessation coaching through the Utah Tobacco Quit Line (1.800.QUIT.NOW). Counseling and nicotine replacement therapy (patch or gum) are available and the services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

Medicaid and Primary Care Network (PCN)

Cessation Counseling and Support

All Medicaid and PCN enrollees are eligible for intensive tobacco cessation counseling through the Utah Tobacco Quit Line (1.800.QUIT.NOW). Intensive counseling includes up to five sessions lasting 20 minutes each. In addition, up to eight weeks of nicotine replacement therapy (patch or gum) is available to those enrolled in the program. These services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

Cessation Medications

To view the medication benefits for Medicaid and PCN clients, go to Utah Medicaid Benefits.

Utilizing Medicaid

All Medicaid clients are eligible for a variety of free services through the Tobacco Quit Line. For those who are ready to quit, intensive cessation counseling and nicotine replacement (patch or gum) are available. For more information, call 1.800.QUIT.NOW.

Utilizing the Primary Care Network

In Utah, the Primary Care Network is part of the Department of Health. PCN clients tend to have higher smoking rates than average, so the Tobacco Prevention and Control Program (TPCP) partners with the PCN to offer quitting services to their clients. The program offers services through the Utah Tobacco Quit Line and includes coverage of tobacco cessation medications, as well as additional help for pregnant women. To learn more, contact TPCP at 1-877-220-3466.

Private

To determine what benefits are offered by Utah health insurance companies, please see below:

Aetna

For more information, patients can call the number on the back of their card.

Cigna

For more information, patients can call 1-800-244-6224.

Humana

For more information, patients can call the number on their card.

National Health Insurance Company

For more information, patients can call the number on their card.

PEHP

For more information, patients can call 1-800-765-7347.

Medications:*

• Patch
• Gum
• Lozenge
• Nasal Spray
• Inhaler
• Bupropion
• Varenicline

*Counseling required for medications

Counseling:

• Phone counseling through PEHP Quit Line
• Individual counseling

Regence BlueCross BlueShield

For more information, patients can call 1-866-QUIT-4-LIFE.

SelectHealth

For more information, patients can call the number on their card.

University of Utah Health Plans

For more information, patients can call 801-587-6480.

Other

For more information, patients can call the number on their card.

This web page is for informational purposes only. The accuracy, reliability or completeness of any of the information cannot be guaranteed. If you wish to obtain information about your benefits, contact your health plan directly.

Insured patients may receive one phone call and two weeks of nicotine replacement therapy through the Utah Tobacco Quit Line (1.800.QUIT.NOW).

Uninsured

Uninsured patients may receive intensive cessation counseling through the Utah Tobacco Quit Line (1.800.QUIT.NOW). Intensive personal coaching up to five sessions lasting 20 minutes each. In addition, up to eight weeks of nicotine replacement therapy (patch or gum) is available to those enrolled in this intensive counseling program and services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

ASSOCIATION FOR UTAH COMMUNITY HEALTH (AUCH)

Uninsured community health center clients can receive up to 12 weeks of Zyban or 24 weeks of Chantix per year, free of charge, through participating Associations for Utah Community Health (AUCH). Patients receiving cessation medications through the program are referred to the Utah Tobacco Quit Line for counseling.

Click here for a list of community health centers.