| Select Health |
Patch- Fully covered,
but only when provided
by Free & Clear.
No co-pay or prescription required.
|
Zyban covered
for up to 3
months.
Prescription
& co-pay required. |
CHANTIX
covered for up to 6
months.
Prescription
and co-pay
required |
Free
& Clear telephone
counseling. Fully covered.
Patients may self-refer
by calling 1-866-784-8454
|
Public
Employees
Health Program-
(PEHP)
|
Patch
and Gum-
Fully
covered when provided
by the Utah Tobacco
Quit Line. May
self-refer by calling:
1-888-567-TRUTH (8788)
No co-pay or
prescription required.
Nasal Spray-
Nicotrol Nasal Spray
covered for up to 3
months. Prescription
& co-pay required.
Inhaler- Nicotrol
Inhaler covered for
up to 3 months.
Prescription &
co-pay required.
*All
prescriptions are subject to the pharmacy deductible
|
Bupropion-
Prescription
& co-
pay required.
*All
prescriptions are subject to the pharmacy deductible |
CHANTIX-
Available for 3 months without a prior authorization
but may be dispensed up to 6 months with a prior authorization.
Prescription & co-pay required.
*All
prescriptions are subject to the pharmacy
deductible |
One-on-one telephone
support through the
Utah Tobacco Quit
Line is fully covered.
May self-refer by
calling:
1-888-567-TRUTH (8788)
Healthy Utah Benefits
Up to $100 rebate incentive for
quitting. Contact Healthy Utah
for details:
1-801-538-6261 or
1-888-222-2542 or by email:
HealthyUtah@utah.gov
|
| United Healthcare |
|
|
|
"Quit
Power" tobacco cessation
program. Check with customer
service or myuhc.com for availability. Smoking
Cessation toolkit available to all fully insured employers
for use in onsite smoking cessation program.
The toolkit includes educational
material, tobacco cessation health discount information,
a resource guide, nicotine replacement therapy chart
and a tobacco cessation
tracker.
|
