Vaccines and Tobacco Cessation

U-M prescription drug plan members may receive notification about participating in a voluntary prescription drug program.

Vaccines Covered in Pharmacies and Doctor’s Offices

U-M’s benefits plans cover approved vaccinations under your pharmacy through the U-M Prescription Drug Plan and through your U-M health plan.

Approved vaccines require no co-pay on your part. Coverage is a prevention benefit in all U-M health plans.

When receiving your shot at a pharmacy, there is no cost when you provide either your medical ID card or your drug plan ID card. To avoid confusion, don’t use both cards at the same time.

The following pharmacy-administered vaccines are covered:

  • COVID 

  • Hepatitis A and B

  • HPV

  • Influenza

  • Measles, mumps and rubella

  • Meningococcal

  • Polio

  • Pneumococcal

  • Shingles

  • Tetanus, diphtheria and whooping cough

  • Varicella

  • RSV 

Some of these immunizations require more than one dose to be most effective. Coverage also can be limited because of age and time of vaccination. View these guidelines from the Centers for Disease Control and Prevention before getting an immunization.

MHealthy Tobacco Consultation Service and Affordable Care Act - $0 Copay for Tobacco Cessation

Prescription-only and generic over-the-counter (OTC) smoking cessation medications are covered at zero ($0) copay for eligible members of the U-M Prescription Drug Plan. This coverage complies with the preventive care services provisions required under the Affordable Care Act. To receive the zero ($0) copay benefit, members need either a doctor's prescription or an MHealthy Tobacco Consultation Service (TCS) authorization letter prescribing the smoking cessation medication. Products include generic nicotine patches, generic nicotine gums, and generic nicotine lozenges. Brand name OTC nicotine replacement products will not be covered. Patients interested in prescription quit aids such as Chantix will need a prescription from their physician.  Further detail is available in the letter from Prime Therapeutics.

Please note that participation with TCS is not required to obtain smoking cessation medications at $0 copay under the U-M drug plan. However, behavioral support can provide important help to quit tobacco. For behavioral support, employees (and their spouses or OQAs) can choose from a variety of program options including individual, internet-based or telephonic tobacco treatment sessions through TCS. 

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