State Tobacco Cessation Coverage

Medicaid Coverage

The Louisiana Medicaid Program covers:

NRT Gum
NRT Patch
NRT Nasal Spray
NRT Inhaler
NRT Lozenge
Varenicline (Chantix)

Bupropion (Zyban)
Group Counseling
Individual Counseling

Co-payments of $.50 to 3.00 are required for medications. Pharmacies are not allowed to give refills of NRT products; the patient must get a new prescription from their doctor each time they need more medication.

For more information, please call the Louisiana Medicaid office at 225-342-9500, or visit their website at http://www.dhh.louisiana.gov/offices/?ID=92

View Medicaid Coverage Details

State Employee Health Plan Coverage

Group Benefits does not provide any cessation treatment coverage:

NRT Gum
NRT Patch
NRT Nasal Spray
NRT Inhaler
NRT Lozenge
Varenicline (Chantix)

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

Cessation treatments are specifically excluded from coverage in all health plans.

For more information, please call the Louisiana Division of Administration at 225-342-7000 or 800-354-9548, or visit their website at http://doa.louisiana.gov/employ_healthbenefit.htm

View State Employee Health Plan Coverage Details

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

The Louisiana Tobacco Quitline is open 6AM to 11PM (M-F), 8AM to 9PM (SAT-SUN) (Central Standard Time). You can reach the Louisiana Tobacco Quitline by calling 1-800-QUIT-NOW.

American Lung Association Resources

The American Lung Association's Freedom From Smoking® program is available at select sites throughout the state of Louisiana. 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, please call 504-828-5864 or visit us at http://www.louisianalung.org

Medicaid Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
NRT Patch	Yes	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
NRT Nasal Spray	Yes	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
NRT Lozenge	No	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
NRT Inhaler	Yes	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
Varenicline (Chantix)	Yes	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
Bupropion (Zyban)	Yes	Louisiana Medicaid Management Information System, "List of Drug Payable on Drug File", August 1, 2009.
Group Counseling	No	Communication with Louisiana Tobacco Control Program
Individual Counseling	No	Communication with Louisiana Tobacco Control Program

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	No
Lifetime limit on quit attempts	No
Annual limit on quit attempts	No
Prior authorization required	No
Co-payments required	Yes	Louisiana Medicaid Program Provider Manual, Chapter 37, "Pharmacy Benefits Management Services"
Stepped-care therapy	No
Counseling Required for Medications	Yes	Louisiana Medicaid Program Provider Manual, Chapter 37, "Pharmacy Benefits Management Services"
Dollar Limit	No
Other	Yes	Louisiana Medicaid Program Provider Manual, Chapter 37, "Pharmacy Benefits Management Services"

State Employee Health Plan Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	No	Multiple sources. See Additional Sources below.
NRT Patch	No	Multiple sources. See Additional Sources below.
NRT Nasal Spray	No	Multiple sources. See Additional Sources below.
NRT Lozenge	No	Multiple sources. See Additional Sources below.
NRT Inhaler	No	Multiple sources. See Additional Sources below.
Varenicline (Chantix)	No	Multiple sources. See Additional Sources below.
Bupropion (Zyban)	No	Multiple sources. See Additional Sources below.
Group Counseling	No	Multiple sources. See Additional Sources below.
Individual Counseling	No	Multiple sources. See Additional Sources below.
Phone Counseling	No	Multiple sources. See Additional Sources below.
Online Counseling	No	Multiple sources. See Additional Sources below.
Quit Kit	No	Multiple sources. See Additional Sources below.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	n/a
Lifetime limit on quit attempts	n/a
Annual limit on quit attempts	n/a
Prior authorization required	n/a
Co-payments required	n/a
Stepped-care therapy	n/a
Counseling Required for Medications	n/a
Dollar Limit	n/a

Additional Data Sources
United Healthcare, Summary of Benefits
State of Louisiana, Division of Administration, Health Insurance and Benefits for State Employees
Humana Insurance Company, Summary Plan Description
United Healthcare, Preferred Provider Organization Plan Document

Private Insurance Coverage Details

Type	Value	Data Source
Cessation mandate on the books	No
Mandate applies to all insurance carriers	n/a
Mandate applies to all populations	n/a
State mandates wellness program including smoking cessation	No
Other stipulations	n/a

Type	Value	Data Source
NRT Gum	n/a
NRT Patch	n/a
NRT Nasal Spray	n/a
NRT Lozenge	n/a
NRT Inhaler	n/a
Varenicline (Chantix)	n/a
Bupropion (Zyban)	n/a
Group Counseling	n/a
Individual Counseling	n/a

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