1. Use and Reach of NRT through the Maine Tobacco HelpLine Susan Swartz, MD Tim Cowan, MSPH Ken Lewis Joan Klayman, LCSW Center for Tobacco Independence

2. FUND for Healthy Maine Master Settlement Revenue 90% Health-related programs –home services, substance abuse, oral health, Rx for Elderly, school health Surviving budget deficits

3. Partnership for Tobacco Free Maine Treatment Initiative Maine Tobacco HelpLine NRT Voucher Program Professional Education and Training

4. HelpLine Callers 90% of callers are tobacco users 90% speak to a Specialist 30.4% have no insurance 21.6% are Medicaid recipients

5. Medication Voucher Program Uninsured or no medication benefit Willing to have proactive calls NRT patch & gum - 8 wks (4 wks ea.) Access through HelpLine Expanded to community clinics

6. Paperless Medication Delivery Caller chooses any pharmacy Electronically submitted to pharmacy benefit management company 95% pick up the medication 47% obtain a second month of Rx

7. HelpLine Callers & Services Provided August 22, 2001- December 31, 2004 NRT > 3% of smokers

8. Reach of Maine Tobacco HelpLine Reach of Maine Tobacco HelpLine Callers vs. Maine Smokers

9. Reach of Maine Tobacco HelpLine Reach of Maine Tobacco HelpLine Callers vs. Maine Smokers (2003-2004) Smokers in Maine* HelpLine Callers 18 - 24 years20%11% 25 - 44 years42%43% 41 - 64 years29%40% 65 + years 9% 6% Women46%58% Less than High School15%13% High School45%47% More than High School40%39% * Maine Adult Tobacco Survey 2003-2004

10. Utilization of Free Nicotine Therapy Smokers Eligible for Free NRT Smokers Given NRT

11. NRT Use Among Voucher-Eligible Callers Provided Counseling, by Age & Gender Age Group

12. NRT Use Among Voucher-Eligible Callers Provided Counseling, by Insurance

13. Six-month Quit Rates by HelpLine Services Delivered

16. Direct Services Cost-Benefit Counseling $114 NRT “quit episode” $125 Counseling plus NRT$230 Cost per Quitter$626 - $1,091 * * Higher number uses intent-to-treat quit rates at 6 months