Eligible Smoking Cessation Products

Nicotine Replacement Therapy Products

 
Brand Name Product Type Strength Pack Size Current Natural Product Number (NPN) New NPN(s) effective June 10, 2019
Nicorette ® gum1 2 mg 105 80069513  
Nicorette ® gum1 4 mg 105 80069471  
Nicorette ® lozenge 2 mg 88 2247347  
Nicorette ® lozenge 4 mg 88 2247348  
Nicoderm ® Step 1 patch 21 mg 7 2093146 80044515*
Nicoderm ® Step 2 patch 14 mg 7 2093138 80044503*
Nicoderm ® Step 3 patch 7 mg 7 2093111 80044518*
Nicorette ® inhaler 10 mg2 42 2241742  

Nicorette gum flavour: Ultra Fresh Mint only.
4 mg delivered.

*Note: Both current and new Nicoderm NPNs are covered until September 30, 2019. Effective October 1, 2019, PharmaCare will only cover the new Nicoderm NPNs.

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® version as a smoking cessation medication; Wellbutrin®, Wellbutrin XL®, and generic bupropion are not covered as smoking cessation drugs.
PharmaCare only fully covers generic versions of varenicline (i.e., Apo-Varenicline). Brand name Champix® is 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 add the note "no substitutions" in the written prescription.