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MVP New York Smoking Cessation Program

MVP Keeping You Healthy - Smoking Cessation Benefit

Instructions on how to access the benefit:

  1. Congratulate yourself for the decision to quit smoking.
  2. For employer groups that have the MVP pharmacy benefits, MVP will cover generic Zyban® (bupropion)or Chantix as well as over-the-counter nicotine replacement products. * Smoking cessation medications have been proven to increase your chances for long-term quitting by forty to fifty percent.
  3. Call your primary care physician and ask to talk with him or her about quitting smoking. Let your physician know that you would like to take the generic form of Zyban® (bupropion)or Chantix or a nicotine replacement product or both.
  4. You can look up bupropion and Chantix in the MVP Online Health Library. Click here.
  5. If you want to use a nicotine replacement product, choose between the generic patches, gum or lozenge. You can use bupropion or Chantix and a nicotine replacement product at the same time.
  6. In addition to writing prescriptions, your doctor will need to fill out a pre-authorization form for this program. The preauthorization form gives approval for one month of the prescriptions. Before the end of the first month, you must call your physician's office to let him or her know that you are still motivated to quit. Your doctor may then authorize a subsequent two-month approval.
  7. Joining a smoking cessation class is helpful when you are giving up smoking. Call the New York Smokers Quit Line to find a class near you. The New York Smoker's Quit Line also provides helpful over-the-phone counseling. The number is 1-866-NY-QUITS or 1-866-697-8487.
  8. Decide on a quit date to give up smoking, and give yourself plenty of time to obtain prescriptions before that date. Don't wait for the last minute. If your doctor wants to see you, you will need time to get an appointment. Also, the pre-authorization must come into MVP and be processed before you can pick up the prescription at the pharmacy. Your doctor and you will receive an authorization letter when the pre-authorization has been processed.
  9. When you receive the letter, you may take the prescription to your pharmacy. You are responsible for the copays for the generic version of bupropion and the nicotine replacement you selected.
  10. Quitting smoking is one of the best things you will ever do for yourself.

    *The maximum benefit is for two 3-month authorizations per calendar year. No more than 60 generic bupropion or Chantix tablets and 28 nicotine patches or 168 pieces of gum or lozenges will be allowed per month. Your doctor can find the pre-authorization form on the Providers Home page of the MVP Web site.

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