Smoking Cessation

Category Limit: 6 Units per Quarter

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922-99913

Nicotine lozenges 2mg - 72 ct.

$54.25

922-99916

Nicotine lozenges 4mg - 72 ct.

$56.00

922-99918

Nicotine patch step 1 - 21mg - 7 ct.

$29.00

922-99917

Nicotine patch step 2 - 14mg - 7 ct.

$34.00

922-99919

Nicotine patch step 3 - 7mg - 7 ct.

$29.00

922-10407

Nicotine patches step 1 - 21mg 14 ct.

$39.00

922-10414

Nicotine patches step 1 - 21mg 28 ct.

$79.00

922-10423

Nicotine patches step 2 - 14mg 14 ct.

$39.00

922-10437

Nicotine patches step 3 - 7mg 14 ct.

$39.00

This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.

View Highmark Wholecare’s Nondiscrimination notice here.

Fieldtex is a separate company that administers the OTC, Home Safety, and Air Quality Equipment benefits for Highmark Wholecare.

Smoking Cessation

Nicotine gum 2mg - 40 ct.

Nicotine gum 4mg - 40 ct.

Nicotine lozenges 2mg - 72 ct.

Nicotine lozenges 4mg - 72 ct.

Nicotine patch step 1 - 21mg - 7 ct.

Nicotine patch step 2 - 14mg - 7 ct.

Nicotine patch step 3 - 7mg - 7 ct.

Nicotine patches step 1 - 21mg 14 ct.

Nicotine patches step 1 - 21mg 28 ct.

Nicotine patches step 2 - 14mg 14 ct.

Nicotine patches step 3 - 7mg 14 ct.