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Ask if the recipient is a smoker.
Encourage smoking cessation.
Discuss the effects of smoking on the infant
to include: increased risk of prematurity, low
birth weight, infant mortality, and a sicker
infant.
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Use the most effective evidence-based method suitable to your area to assist moms to stop smoking.
Encourage the use of the Alabama
Department of Public Health Quitline for counseling and ask her to discuss with her doctor the possibility of obtaining a prescription to help her stop smoking.
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QUIT SMOKING
Review smoking cessation with women who smoke.
Utilize the most appropriate evidence based methods.
Encourage to cut down and quit. Explain harmful effects to the fetus. If she states that she has quit or cut down
on the number of cigarettes that she smokes, praise her efforts.
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Coverage of Smoking Cessation ProductsEffective February 1, 2010, smoking cessation products for pregnant females will
becovered as a component of the Maternity Care Program.
1. Prior authorization through the Pharmacy Administrative Services contractor, Health
Information Designs, will be required.
2. The recipient must be enrolled and receiving counseling services through the Alabama Department of Public Health Quitline (1-800-784-8669).
3. Approval will be granted for up to three months at a time. Subsequent approvals are
contingent upon the recipient’s continued participation in counseling services through the ADPH Quitline which must be certified by the prescribing
provider or Maternity Care Coordinator as a component of the prior authorization
request.
4. Only one course of therapy will be approved per pregnancy. Providers with questions regarding prior authorization for smoking cessation products may contact Health Information Designs at 1-800-748-0130.
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Pharmacy Prior Authorization Form 470 must be completed and submitted to HID
The Physician providing the prenatal care must attest to the fact that the recipient is meeting the requirements which includes participation with counseling through the Quitline.
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