Smoking Cessation Program

Medicaid members who wish to receive smoking cessation medications covered by Iowa Medicaid must be fax referred to "QUITLINE, IA" and enroll in ongoing counseling in order to be eligible to receive covered medications.

FAX REFERRAL NUMBER FOR "QUITLINE, IA" ... 1-866-688-7577

QUESTIONS? PLEASE CALL "QUITLINE, IA" ....... 1-800-784-8669.

ESSENTIAL FORMS

  1. Nicotine-Replacement-Therapy-PA-Form-NPI-July11_2_.pdf

  2. Smoking-Cessation-PA-Form-NPI-July-11.pdf
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