Does my Blue Access WV PPO Gold 1700 HSA cover nicotine?
my Blue Access WV PPO Gold 1700 HSA
31274-31274WV0580002-0 · ACA · ACA Marketplace
nicotine
nicotineunder my Blue Access WV PPO Gold 1700 HSA
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
- Tier
- Preventive drugs
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (17)
- {14 (24 HR nicotine 0.292 MG/HR Transdermal System) / 14 (24 HR nicotine 0.583 MG/HR Transdermal System) / 28 (24 HR nicotine 0.875 MG/HR Transdermal System) } Pack
- 24 HR nicotine 0.292 MG/HR Transdermal System
- 24 HR nicotine 0.292 MG/HR Transdermal System [Nicoderm C-Q]
- 24 HR nicotine 0.583 MG/HR Transdermal System
- 24 HR nicotine 0.583 MG/HR Transdermal System [Nicoderm C-Q]
- 24 HR nicotine 0.875 MG/HR Transdermal System
- 24 HR nicotine 0.875 MG/HR Transdermal System [Nicoderm C-Q]
- nicotine 0.5 MG/ACTUAT Metered Dose Nasal Spray [Nicotrol]
- nicotine 2 MG Chewing Gum
- nicotine 2 MG Chewing Gum [Nicorette]
- nicotine 2 MG Oral Lozenge
- nicotine 2 MG Oral Lozenge [Nicorette]
- nicotine 4 MG Chewing Gum
- nicotine 4 MG Chewing Gum [Nicorette]
- nicotine 4 MG Inhalation Solution [Nicotrol]
- nicotine 4 MG Oral Lozenge
- nicotine 4 MG Oral Lozenge [Nicorette]