State Tobacco Cessation Coverage

Medicaid Coverage

EqualityCare covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling

Course of treatment for NRT patch is limited to 42 days. Course of treatment for other medications is limited to 84 days. One quit attempt per year is covered. Prior authorization is required if member wants to exceed duration limits. Co-payments of $1-3 are required.

For more information, please call the Wyoming EqualityCare Office at 307-772-8402 or 800-251-1268, or visit their website at http://wyequalitycare.acs-inc.com/contact.html

View Medicaid Coverage Details

State Employee Health Plan Coverage

Employees' Group Insurance covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

Coverage for prescription cessation medications is only available to members of the Option IV plan. Members are responsible for 20% of the costs after deductible.

For more information, please call the Wyoming Department of Administration & Information, Human Resources Division at 800-891-9241 or 307-777-6835, or visit their website at http://personnel.state.wy.us/EGI/Index.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 Wyoming Quitline is open 5AM-10PM (M-TH), 5AM-7PM (FRI), 7AM-5PM (SAT-SUN) (Mountain Time). You can reach the Wyoming Quitline by calling 1-800-QUIT-NOW.

American Lung Association Resources

The American Lung Association of Wyoming provides smoking cessation services statewide. Additional options 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 our programs, call 406-442-6556, or visit us at http://www.lungusa2.org/northernrockies/index.html

Medicaid Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
NRT Patch	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
NRT Nasal Spray	No	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
NRT Lozenge	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
NRT Inhaler	No	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Varenicline (Chantix)	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Bupropion (Zyban)	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Group Counseling	No
Individual Counseling	Yes	EqualityCare, Procedure Code Search

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Lifetime limit on quit attempts	No
Annual limit on quit attempts	Yes	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Prior authorization required	No	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Co-payments required	Yes	EqualityCare News, Pharmacy Bulletin, September 24, 2004, "Change in Client Co-Pay Amounts"
Stepped-care therapy	No
Counseling Required for Medications	No	Wyoming Drug Utilization Review, April 2007, "Overview of Tobacco Cessation"
Dollar Limit	No
Other

State Employee Health Plan Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
NRT Patch	Varies	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
NRT Nasal Spray	Varies	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
NRT Lozenge	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
NRT Inhaler	Varies	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Varenicline (Chantix)	Varies	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Bupropion (Zyban)	Varies	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Group Counseling	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Individual Counseling	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Phone Counseling	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Online Counseling	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Quit Kit	No	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet

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	Wyoming State Employees' & Officials' Group Plan, Active Employees 2009, Benefits Plan Booklet
Stepped-care therapy	No
Counseling Required for Medications	No
Dollar Limit	No

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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