R 151746Z NOV 07 ZUI ASN-A00319000013
FM COMDT COGARD WASHINGTON DC//CG-11//
TO ALCOAST
BT
UNCLAS //N06010//
ALCOAST 532/O7
COMDTNOTE 6010
SUBJ: FREE NICOTINE REPLACEMENT THERAPY MEDICATION THROUGH MAYO
CLINIC TOBACCO QUITLINE
A. COAST GUARD HEALTH PROMOTION MANUAL, COMDTINST M6200.1 (SERIES)
B. COAST GUARD AVIATION MEDICAL MANUAL, COMDTINST M6410.3 (SERIES)
1. IN SUPPORT OF THE GREAT AMERICAN SMOKEOUT, THE HEALTH AND SAFETY
DIRECTORATE IS PLEASED TO ANNOUNCE THE AVAILABILITY OF NICOTINE
REPLACEMENT THERAPY (NRT) MEDICATIONS THROUGH THE MAYO CLINIC
TOBACCO QUITLINE (MCTQ). ACTIVE DUTY MEMBERS (AD) RESERVISTS AND CG
CIVILIAN PERSONNEL WHO ENROLL IN THE TELEPHONIC
TOBACCO CESSATION PROGRAM WILL BE ELIGIBLE TO RECEIVE ONE ON ONE
COUNSELING WITH A MAYO CLINIC EXPERT AND NRT MEDICATION, WHEN
CLINICALLY INDICATED, AT NO COST TO THE ENROLLEE.
2. RESEARCH HAS ESTABLISHED THAT TREATING TOBACCO DEPENDENCE WITH A
COMBINATION OF COUNSELING AND TOBACCO CESSATION MEDICATIONS
INCREASES A PERSONS CHANCES FOR A SUCCESSFUL QUIT. NRT MEDICATIONS
NOW AVAILABLE THROUGH THE MAYO CLINIC TOBACCO QUITLINE INCLUDE:
 A. NICOTINE PATCH
 B. NICOTINE GUM
 C. NICOTINE LOZENGE
3. TO RECEIVE NO COST NRT MEDICATIONS, PARTICIPANTS MUST ENROLL IN
THE MAYO CLINIC TOBACCO QUITLINE BY CALLING TOLL-FREE 1-888-642-
5566.
 A. ALL TELEPHONIC COUNSELING SESSIONS ARE CONFIDENTIAL, ALLOWING
CALLERS TO QUIT WITH DIGNITY AND PRIVACY.
 B. THE QUITLINE IS ACCESSIBLE THROUGHOUT THE UNITED STATES, MONDAY
THROUGH FRIDAY, 0800-2300 EST, SATURDAY, 0900-1800 EST AND SUNDAY,
1100-1700 EST.
4. 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
 D. PROVIDING ONGOING SUPPORT
5. IF THE QUITLINE COUNSELOR RECOMMENDS A TREATMENT PLAN TO INCLUDE
THE USE OF NRT MEDICATIONS, CORRECT USAGE WILL BE DISCUSSED IN
DETAIL. ENROLLEES 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.
6. IN SOME INSTANCES, THE QUITLINE COUNSELOR MAY RECOMMEND
MEDICATIONS OTHER THAN NRT. THESE MEDICATIONS MAY BE AVAILABLE BY
PRESCRIPTION THROUGH YOUR HEALTH CARE PROVIDER AND HAVE PROVEN
EFFECTIVE IN TREATING NICOTINE DEPENDENCE.
7. AD MEMBERS SHOULD PROVIDE DOCUMENTATION FROM THE MCTQ TO THEIR
CG OR CIVILIAN PRIMARY CARE MANAGER (PCM) OR DOD MILITARY TREATMENT
FACILITY (MTF), WHO CAN REVIEW THE RECOMMENDATION AND PRESCRIBE THE
MOST APPROPRIATE MEDICATION(S).
 A. AD MEMBERS ENROLLED AT A CG CLINIC SHALL HAVE THEIR
PRESCRIPTION FILLED AT THE FACILITY WHERE PRESCRIBED.
 B. IF THE PCM ELECTS TO PRESCRIBE A PRESCRIPTION SMOKING CESSATION
PRODUCT SUCH AS ZYBAN OR CHANTIX, WHICH ARE NOT COVERED BY THE
TRICARE PRESCRIPTION BENEFIT, THE AD MEMBER CAN PURCHASE THEM AT
THE USUAL AND CUSTOMARY CHARGES FROM A LOCAL CIVILIAN PHARMACY AND
MAY OBTAIN FULL COST REIMBURSEMENT.
 C. IAW REFERENCE (A), IF THE AD MEMBER DESIRES REIMBURSEMENT BY
THE CG, THEN THE AD MEMBER SHOULD CONTACT THEIR INDEPENDENT DUTY
HEALTH SERVICES (IDHS) TECHNICIAN PRIOR TO PURCHASING THESE
MEDICATION(S). THE IDHS TECHNICIAN WILL THEN SUPPORT THE AD MEMBER
IN SUBMITTING A MAINTENANCE AND LOGISTICS COMMAND-K (MLC(K)) PRE-
AUTHORIZATION FORM. THIS FORM MUST BE FORWARDED THROUGH THEIR
RESPECTIVE MLC(K) TO OBTAIN PRE-AUTHORIZATION REIMBURSEMENT
APPROVAL. IF THE PRE-AUTHORIZATION IS APPROVED, THE AD MEMBER MAY
PURCHASE THE PRESCRIPTION SMOKING CESSATION PRODUCT AND THEN SUBMIT
A COMPLETED SF-1164 (CLAIM FOR REIMBURSEMENT FOR EXPENDITURES ON
OFFICIAL BUSINESS) ALONG WITH THEIR CIVILIAN PHARMACY RECEIPT TO
THEIR RESPECTIVE MLC(K) FOR FULL REIMBURSEMENT.
 D. COAST GUARD UNITS MAY ALSO REQUEST FURTHER GUIDANCE AND ADVICE
FROM THEIR COAST GUARD AREA PHARMACY OFFICER REGARDING ALTERNATE
METHODS OF PROCUREMENT.
 E. FOR AD MEMBERS NOT ASSOCIATED WITH AN IDHS TECHNICIAN, AD
MEMBER SHOULD CONTACT THEIR RESPECTIVE MLC(K) TO RECEIVE PRE-
AUTHORIZATION REIMBURSEMENT APPROVAL.
8. MAYO CLINIC TOBACCO QUITLINE STAFF ARE ALSO AVAILABLE TO PROVIDE
GENERAL INFORMATION ON TOBACCO USE AND GUIDANCE ON HOW TO SUPPORT A
FRIEND OR FAMILY MEMBER PLANNING TO QUIT.
9. MEMBERS ARE REMINDED OF THEIR RESPONSIBILITY TO INFORM THEIR
PRIMARY CARE PHYSICIAN OF MEDICATIONS BEING TAKEN, INCLUDING OVER-
THE-COUNTER TOBACCO CESSATION MEDICATIONS. A COUNSELING ENCOUNTER
SUMMARY (CES) WILL BE SENT TO ALL ENROLLEES TO ASSIST THEM IN
PROVIDING ACCURATE INFORMATION TO THEIR HEALTH CARE PROVIDER ON THE
MEDICATION AND DOSING RECEIVED FROM THE MAYO CLINIC TOBACCO
QUITLINE.
10. ALL AVIATION PERSONNEL WILL BE REQUIRED TO RECEIVE WRITTEN
PERMISSION ON THE CES FROM THE FLIGHT SURGEON, AVIATION MEDICAL
OFFICER OR AVIATION PHYSICIAN ASSISTANT BEFORE NRT MEDICATION OR
PRESCRIPTION ALTERNATIVE IS PROVIDED AS DIRECTED IN CHAPTER 12 OF
REFERENCE (B).
11. THIS COAST GUARD OFFICE OF WORK-LIFE HEALTH PROMOTION PROGRAM
INITIATIVE SUPPORTS A HEALTHY COAST GUARD WORKFORCE ABLE TO FULFILL
MISSION REQUIREMENTS AND LIVE HEALTHY, BALANCED, SATISFYING LIVES.
12. 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
 B. ISC BOSTON, YVETTE LILLGE, 617-223-3244
 C. ISC CLEVELAND, RHEA DANIELS, 216-902-6354
 D. ISC HONOLULU, JESSICA DUNG, 808-842-2088
 E. ISC KETCHIKAN, NANCY HENRY, 907-463-2126
 F. ISC KODIAK, JODY CARMAN, 907-487-5525 X273
 G. ISC MIAMI, MELISSA ROSS, 305-278-6664
 H. ISC NEW ORLEANS, MICHELLE MURRAY, 504-253-6371 OR BRAD WELCH,
504-253-6370
 I. ISC PORTSMOUTH, JEANETT TORRENS 757-686-4031 OR SARAH FROBERG,
757-686-4093
 J. ISC SAN PEDRO, JOHN CLAY, 310-732-7581
 K. ISC SEATTLE, BARBARA HERRY, 206-217-6614
 L. ISC ST. LOUIS, DEAN GINGERICH, 314-539-3900 X2347
 M. HEADQUARTERS SUPPORT COMMAND, STEPHEN TIMBAL, 202-372-4085
 N. TRACEN CAPE MAY, ROBERT STANLEY, 609-898-6886
13. FOR QUESTIONS CONCERNING CG TOBACCO POLICIES, REFER TO
REFERENCE (A) OR CONTACT AIMEE LABRECQUE AT (202) 475-5153 OR LT
JULIA DOWNS AT 202-475-5146.
14. INTERNET RELEASE AUTHORIZED.
15. RADM MARK J. TEDESCO, DIRECTOR OF HEALTH AND SAFETY, SENDS
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