Prior Authorization Requirements and Medicaid Enrollees’ Use of Tobacco Cessation Medications, Colorado, 2023

Despite tobacco cessation medications being a first-line treatment for quitting smoking, a majority of Medicaid programs require health care providers to obtain prior authorization before prescribing them. We examined the impact of Colorado's Medicaid program removing its prior authorization requirement for these drugs on their use and estimated the additional number of Coloradoans who used these therapies in 2023 because of the policy change. The findings indicate that these requirements decrease low-income people's use of these medications. (<i>Am J Public Health</i>. 2025;115(1):42-46. https://doi.org/10.2105/AJPH.2024.307868).

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Journal
American Journal of Public Health
Published
2024-10-24
DOI
https://doi.org/10.2105/ajph.2024.307868
Primary Topic
Smoking Behavior and Cessation
Type
article
Field-Weighted Citation Impact
0.00

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article

Prior Authorization Requirements and Medicaid Enrollees’ Use of Tobacco Cessation Medications, Colorado, 2023

Marcus Dillender, Robin J. Mermelstein
American Journal of Public Health
Smoking Behavior and Cessation
article

Prior Authorization Requirements and Medicaid Enrollees’ Use of Tobacco Cessation Medications, Colorado, 2023

Marcus Dillender, Robin J. Mermelstein
article en

Abstract

Despite tobacco cessation medications being a first-line treatment for quitting smoking, a majority of Medicaid programs require health care providers to obtain prior authorization before prescribing them. We examined the impact of Colorado's Medicaid program removing its prior authorization requirement for these drugs on their use and estimated the additional number of Coloradoans who used these therapies in 2023 because of the policy change. The findings indicate that these requirements decrease low-income people's use of these medications. (<i>Am J Public Health</i>. 2025;115(1):42-46. https://doi.org/10.2105/AJPH.2024.307868).

American Journal of Public HealthVol. 115(1)
University of Illinois Chicago (US), Vanderbilt Health (US)
Vanderbilt University, National Cancer Institute
Good health and well-being
Openalex Percentile: Top 74%
Smoking Behavior and Cessation
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