The Nicotine Replacement Therapy (NRT) Standing Order National Provider Identifier (NPI) has been Updated

Aug 11, 2023

The NRT standing order can be accessed on the MaineCare website Providers Resources page, under Pharmacy. Please use NPI 1407110893 as the prescriber NPI on the claim. This NPI is only to be used for MaineCare members and submission of the MaineCare voucher.    

Please see the list of Maine Tobacco Voucher Billing types below:     

Maine Tobacco Voucher Billing  

CP (Community Practice) voucher  

BIN = 008316   

PCN = TOBACCO   

MC (MaineCare) voucher  

BIN = 005526  

PCN = MEPOP  

SCC (Submission Clarification Code) = 99  

TTP (Tobacco Treatment Program) voucher  

BIN = 008316   

PCN = TOBACCO     

All vouchers are limited to the following non-prescription medications:   

• Nicotine Transdermal Patch   

• Nicotine Prolacrilex Gum   

• Nicotine Lozenge (usual and customary dosing – restricted to those eligible tobacco users for whom other forms of NRT are contraindicated)     

For assistance, please contact the Change Healthcare Pharmacy Help Desk at 1-888-420-9711.