ALCOAST 091/08 COMDTNOTE 6010 SUBJ: FREE NICOTINE REPLACEMENT THERAPY MEDICATION FOR DEPENDENTS THROUGH MAYO CLINIC TOBACCO QUITLINE A. COAST GUARD HEALTH PROMOTION MANUAL, COMDTINST M6200.1 (SERIES) B. COMDT COGARD WASHINGTON DC 1517462 NOV 07/ALCOAST 532/07 1. IN SUPPORT OF NATIONAL HEALTHY HEART MONTH THE HEALTH AND SAFETY DIRECTORATE IS PLEASED TO EXTEND THE AVAILABILITY OF NICOTINE REPLACEMENT THERAPY (NRT) MEDICATIONS THROUGH THE MAYO CLINIC TOBACCO QUITLINE (MCTQ) TO DEPENDENTS OF ACTIVE DUTY (AD) MEMBERS AT NO COST TO THE ENROLLEE. SPOUSES AND DEPENDENT CHILDREN OF ELIGIBLE AGE WHO ENROLL IN THE TELEPHONIC TOBACCO CESSATION PROGRAM WILL BE ELIGIBLE TO RECEIVE ONE ON ONE COUNSELING SESSIONS WITH A MAYO CLINIC EXPERT AND NRT MEDICATION, WHEN CLINICALLY INDICATED, AT NO COST TO THE ENROLLEE. 2. TO RECEIVE NO COST NRT MEDICATIONS PARTICIPANTS MUST ENROLL IN THE MCTQ BY CALLING TOLL-FREE 1-888-642-5566. A. ALL TELEPHONIC COUNSELING SESSIONS ARE CONFIDENTIAL ALLOWING CALLERS TO QUIT WITH DIGNITY AND PRIVACY. B. MCTQ IS ACCESSIBLE THROUGHOUT THE UNITED STATES, MONDAY THROUGH FRIDAY, 0800-2300 EST, SATURDAY, 0900-1800 EST AND SUNDAY, 1100- 1700 EST. C. ENROLLEES MUST BE AT LEAST 18 YEARS OF AGE TO RECEIVE NRT THROUGH THIS BENEFIT. 3. TOBACCO CESSATION COUNSELING IS PROVIDED BY MAYO CLINIC STAFF WITH SPECIALIZED SKILLS IN TREATING NICOTINE DEPENDENCE. COAST GUARD CALLERS TO THE MAYO CLINIC TOBACCO QUITLINE WILL SPEAK DIRECTLY TO A COUNSELOR WHO WILL HELP THEM WITH THE FOLLOWING: A. DETERMINING READINESS TO QUIT, B. DEVELOPING AN INDIVIDUAL QUIT PLAN, C. PROVIDING TREATMENT RECOMMENDATIONS, AND D. PROVIDING ONGOING SUPPORT. 4. IF THE QUITLINE COUNSELOR RECOMMENDS A TREATMENT PLAN TO INCLUDE THE USE OF NRT MEDICATIONS, CORRECT USAGE WILL BE DISCUSSED IN DETAIL. DEPENDENT ENROLLEES OF ELIGIBLE AGE MAY RECEIVE A MAXIMUM OF TWO (2) TWENTY-EIGHT (28) DAY SHIPMENTS OF NRT MEDICATIONS. ENROLLEES WILL ONLY RECEIVE THE SECOND SHIPMENT OF NRT MEDICATIONS IF THEY PARTICIPATE IN SCHEDULED FOLLOW UP CALLS. 5. IN SOME INSTANCES, NRT MAY NOT PROVE SUCCESSFUL IN HELPING TO END A NICOTINE ADDICTION. IN THESE INSTANCES, THE ENROLLEE SHOULD CONSULT THEIR HEALTH CARE PROVIDER FOR ALTERNATIVES WHICH MAY INCLUDE PRESCRIPTION MEDICATION. SUCH MEDICATIONS HAVE BEEN PROVEN EFFECTIVE IN TREATING NICOTINE DEPENDENCE BUT ALL MAY NOT BE COVERED BY THE TRICARE PRESCRIPTION BENEFIT FOR DEPENDENTS. A. IF MEDICATION IS PRESCRIBED, THE DEPENDENT CAN PURCHASE IT AT A LOCAL CIVILIAN PHARMACY AT THEIR OWN EXPENSE. B. MANY CIVILIAN INSURANCE PLANS PAY FOR MEDICATIONS USED TO TREAT NICOTINE DEPENDENCE. DEPENDENTS WHO USE A CIVILIAN INSURANCE PLAN FOR THEIR MEDICAL COVERAGE ARE ENCOURAGED TO REVIEW THEIR POLICIES FOR INCLUSION OF THIS BENEFIT BEFORE CONTACTING THE MAYO QUITLINE FOR ITS SERVICE. 6. THE COAST GUARD OFFICE OF WORK-LIFE HEALTH PROMOTION PROGRAM INITIATIVE SUPPORTS A HEALTHY COAST GUARD FAMILY. 7. QUESTIONS CONCERNING THE USE OF MAYO CLINIC TOBACCO QUITLINE CAN BE DIRECTED TO REGIONAL HEALTH PROMOTION MANAGERS (HPMS). CONTACT INFORMATION FOR REGIONAL HPMS IS LISTED BELOW: A. ISC ALAMEDA, DAN BLAETTLER, 510-437-2736, DAN.P.BLAETTLER(AT) USCG.MIL B. ISC BOSTON, YVETTE LILLGE, 617-223-3244, YVETTE.LILLGE(AT) USCG.MIL C. ISC CLEVELAND, RHEA DANIELS, 216-902-6354, RHEA.A.DANIELS(AT) USCG.MIL D. ISC HONOLULU, JESSICA DUNG, 808-842-2088, JESSICA.R.DUNG(AT) USCG.MIL E. ISC KETCHIKAN, NANCY HENRY, 907-463-2126, NANCY.S.HENRY(AT) USCG.MIL F. ISC KODIAK, JODY CARMAN, 907-487-5525, X273, JODY.L.CARMAN(AT) USCG.MIL G. ISC MIAMI, MELISSA ROSS, 305-278-6664, MELISSA.A.ROSS(AT) USCG.MIL H. ISC NEW ORLEANS, MICHELLE MURRAY, 504-253-6371, MICHELLE.L.MURRARY(AT)USCG.MIL OR BRAD WELCH, 504-253-6370, BRAD.WELCH(AT)USCG.MIL I. ISC PORTSMOUTH, JEANETT TORRENS 757-686-4031, JEANETT.L.TORRENS (AT)USCG.MIL OR SARAH FROBERG, 757-686-4093, SARAH.C.FROBERG(AT) USCG.MIL J. ISC SAN PEDRO, JOHN CLAY, 310-732-7581, JOHN.T.CLAY(AT)USCG.MIL K. ISC SEATTLE, BARBARA HERRY, 206-217-6614, BARBARA.L.HERRY(AT) USCG.MIL L. ISC ST. LOUIS, DEAN GINGERICH, 314-539-3900, X2347, L.DEAN.GINGERICH(AT)USCG.MIL M. HEADQUARTERS SUPPORT COMMAND AND TRACEN CAPE MAY, STEPHEN TIMBAL, 202-372-4085, STEPHEN.M.TIMBAL(AT)USCG.MIL 8. FOR QUESTIONS CONCERNING CG TOBACCO POLICIES, REFER TO REFERENCE (A) OR CONTACT AIMEE LABRECQUE, 202-475-5153, AIMEE.E.LABRECQUE(AT) USCG.MIL OR LT JULIA DOWNS, 202-475-5146, JULIA.A.DOWNS(AT) USCG.MIL. ADDITIONAL INFORMATION ABOUT THE NRT SERVICE IS ALSO AVAILABLE IN REFERENCE (B). 9. INTERNET RELEASE AUTHORIZED.