Free or reduced cost smoking cessation medication

If your clients are having a hard time paying for medications that can help them quit smoking, there are programs that may be able to help.
Michigan ENROLLS is a free program that will help callers find out if they qualify for
health care coverage through the Michigan Department of Community Health. There
are many types of health care programs available to assist families, single adults,
children, seniors and the disabled. Benefits vary based on income and other factors.
Most Medicaid programs (except some ABW/County Health Plans) cover the nicotine
patch and nicotine gum. For more information, call 1-888-367-6557 or see their web

The Michigan Medicare Medicaid Assistance Program is a free program to help people
understand Medicare/Medicaid eligibility, enrollment, coverage, claims and appeals.
They can also help callers to enroll in Medicare savings programs and can help find
resources for prescription drug assistance. For assistance call 1-800-803-7174 or see
their web site at
Michigan Tobacco Quitline
The Michigan Tobacco Quitline offers free one-on-one telephone sessions to those
trying to quit smoking. Any Michigan resident without access to a quitline through their
insurance company may use this line. Uninsured callers who pass a brief medical
screening may be eligible for free nicotine patches. Call 1-800-480-7848 for more
Partnership for Prescription Assistance
This program will work with the caller and determine which pharmaceutical programs
the caller is eligible for. Call 1-.
Connection to Care
This Pfizer program can help people obtain low cost or free Chantix, Nicotrol Inhaler
and/or Nicotrol Nasal Spray. The caller will need to fill out a short application form and
obtain their physician’s signature before returning the form to Pfizer. Medications will be
shipped to the physician’s office for the patient to pick up. Call 1-866-776-3700 or see
Bridges to Access
This is a program of GlaxoSmithKline and can help people obtain Zyban or Buproprion
SR. Applicants will need to fill out a short form and get a signature from their health
care provider. Applications must be submitted by a health care provider/advocate.
Upon approval, free or discounted medications can be picked up at a local pharmacy.
for more information.
Together RX
This is a savings program available to people without prescription insurance. Call 1-
to see eligibility
guidelines and to apply.
Your Area Agency on Aging
These organizations assist people aged 60 or older. They can provide information and
assist Michigan residents in accessing services. To find your local office, call the Area
Agencies on Aging Association of Michigan at 1-517-886-1305 or see their web site at


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Kutteh new patient h&p form

KUTTEH KE FERTILITY ASSOCIATES OF MEMPHIS, PLLC 80 Humphreys Center, Suite 307 Memphis, TN 38120-2363 Tel: (901) 747-BABY (901) 747-2229 Fax: (901)747-4446 Initial Female Evaluation Who referred you to our care?__________________________ Who is your OB/Gyn? _____________________________FAX________________ WHAT IS THE MAIN PURPOSE OF TODAY’S VISIT (Circle as many as apply) PHYS

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