To learn about SoonerCare's citizenship requirements, view our eligibility guidelines. Para obtener más información sobre los requisitos de ciudadanía de SoonerCare, consulte nuestras pautas de elegibilidad.

Smoking Cessation

PHARM-13 Statement of Medical Necessity for Quantity Limits Override.

Smoking Cessation
Drugs	Quantity Limits
Chantix (Varenicline Tartrate) Dose-Pack Tablets	53 Tablets per 28 Days
Chantix (Varenicline Tartrate) 0.5mg and 1mg Tablets	60 Tablets per 30 Days
Zyban (Bupropion HCL) 150mg SA Tablets	100 Tablets per 50 Days

Last Modified on Nov 10, 2020