Medicaid Coverage
Bupropion (Zyban) : Yes
Group Counseling : Yes
Nicotine Patch : Yes
Nicotine Lozenge : Yes
Nicotine Inhaler : Yes
Varenicline (Chantix) : Yes
Individual Counseling : Yes
Phone Counseling/Quitline : Yes
Nicotine Nasal Spray : Yes
Nicotine Gum : Yes
The Ohio Medicaid program covers:
All seven medications are covered. Individual, group and phone counseling are covered. Counseling requirement varies by plan. There are annual limits (CareSource has limit of 12 counseling sessions per year, and Paramount Advantage allows 2 cessation attempts per year). All plans have quantity limits for at least some of the covered pharmacotherapy.
For more information, please call the Ohio Medicaid Office at 800-324-8680, or visit their website at http://medicaid.ohio.gov/
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.
State Employee Health Plan Coverage
All plans offer Take Charge, Live Well though APS Health Care, which covers:
Bupropion (Zyban) : Yes
Nicotine Patch : Yes
Nicotine Lozenge : Yes
Varenicline (Chantix) : Yes
Group Counseling : Yes
Individual Counseling : Yes
Phone Counseling/Quitline : Yes
No Tobacco Surcharge : Yes
Nicotine Gum : Yes
Nicotine Nasal Spray : Yes
Nicotine Inhaler : Yes
All seven medications and all three forms of counseling are covered. There are annual and duration limits. Counseling is required if the patient wishes to waive copayments.
For more information, please call the Ohio Department of Administrative Services at 614-466-8857 or 800-409-1205, or visit their website at http://www.das.ohio.gov/Divisions/Human-Resources/Benefits-Administration/Medical
Medicaid Expansion
Coverage:
Nicotine Patch : Yes
Nicotine Nasal Spray : Yes
Nicotine Lozenge : Yes
Nicotine Inhaler : Yes
Varenicline (Chantix) : Yes
Bupropion (Zyban) : Yes
Individual Counseling : Yes
Phone Counseling/Quitline : Yes
NOTE: A value of NONE indicates that the state has not expanded its Medicaid program.
Page last updated: January 11, 2024
