Eligible Smoking Cessation Products

Nicotine Replacement Therapy Products

 
Brand Name Product Type Strength Pack Size Natural Product Number (NPN)
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 80044515
Nicoderm® Step 2 patch 14 mg 7 80044503
Nicoderm® Step 3 patch 7 mg 7 80044518
Nicorette® inhaler 10 mg2 42 2241742

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

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). 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 add the note "no substitutions" in the written prescription.