Eligible Smoking Cessation Products

Nicotine replacement therapy products

 
Brand Name Product Type Strength Pack Size Natural Product Number (NPN) Temporary NPN
Nicorette® gum1 2 mg 105 80069513  
Nicorette® gum1 4 mg 105 80069471  
Nicorette® lozenge2 2 mg 80 2247347  
Nicorette® lozenge2 4 mg 80 2247348 80053100
Nicoderm® Step 1 patch 21 mg 7 80044515  
Nicoderm® Step 2 patch 14 mg 7 80044503  
Nicoderm® Step 3 patch 7 mg 7 80044518  

Nicorette gum flavour: Ultra Fresh Mint only.
Nicorette lozenge flavour: Mint only.

Smoking cessation prescription drugs

 
Generic Name Brand Name Dosage Type Strength DIN
bupropion3  Zyban® tablet ER 150 mg 2238441
varenicline Champix®4 tablet 0.5 mg 2291177
varenicline Champix®4 tablet 1 mg 2291185
varenicline Champix®4 tablet DS PK 0.5 mg and 1 mg 2298309
varenicline Apo-Varenicline tablet 0.5 mg 2419882
varenicline Apo-Varenicline tablet 1 mg 2419890
varenicline Apo-Varenicline tablet DS PK 0.5 mg and 1 mg 2435675
varenicline Teva-Varenicline tablet DS PK 0.5 mg and 1 mg 2426781

PharmaCare covers only the Zyban® brand of bupropion. Wellbutrin®, Wellbutrin XL®, and generic bupropion are not covered as smoking cessation prescription drugs.
PharmaCare fully covers generic versions of varenicline (i.e., Apo-Varenicline, Teva-Varenicline). The brand name Champix® is only covered as a partial benefit.

Physicians: To ensure that PharmaNet correctly adjudicates smoking cessation claims for Zyban®, please use the brand name, include the indication, and note "no substitutions" in the written prescription.

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