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Quit-smoking guide

Quit-smoking treatment online in Virginia and West Virginia

This guide is for adults who smoke cigarettes or other combustible tobacco and want medication support to quit. Vaping-only cessation, pregnancy, and recent heart events need different care paths.

Start online

Start a $59 online review for Quit smoking.

Quitting smoking is the single highest-impact health change most smokers can make, and medication roughly doubles the chance of success. After a safety screen, the physician builds a combination plan: a daily nicotine patch with a step-down taper, a nicotine lozenge or gum for breakthrough cravings, and — when the mood screen and a recent blood-pressure reading allow — bupropion SR started one to two weeks before your quit date. Supplies come four weeks at a time, and a short secure-message check-in is required before every refill so side effects, mood, and progress are re-checked at each step.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response windows

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Ready to set a quit date within the next few weeks
  • Cravings or failed attempts when quitting cold turkey
  • Tried a patch or gum alone before and relapsed
  • Smoking within 30 minutes of waking (a sign of stronger dependence)

May fit online care

  • Adults 18 and older
  • Adult who smokes cigarettes or other combustible tobacco
  • No heart attack, stroke or TIA, or serious heart rhythm problem in the last 12 months
  • Willing to complete a short check-in before each 4-week refill
  • For bupropion: a blood-pressure reading from the last 3 months and a clear mood screen

Look for another care setting

  • Vaping-only nicotine use (declined — quitline and primary-care support instead)
  • Pregnant, trying to conceive, or breastfeeding (quitline plus OB-guided support instead)
  • A heart attack, unstable angina, stroke or TIA, or serious arrhythmia within 12 months, or blood pressure 180/110 or higher
  • Coughing up blood, unexplained weight loss, persistent chest pain, severe shortness of breath, taking warfarin, theophylline, or clozapine, or severe kidney disease

What to have ready

  • Cigarettes per day, years smoked, and how soon after waking you smoke
  • Your target quit date and what you tried before
  • A blood-pressure reading from the last 3 months if you have one (required before bupropion)
  • Medication allergies and a complete list of current medications

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Which quit-smoking medications can be prescribed online here?

Combination nicotine replacement — a daily patch (21 mg stepping down to 14 mg then 7 mg, starting at 14 mg for lighter smokers) plus a 2 mg or 4 mg lozenge or gum for cravings — and bupropion SR 150 mg. Combination NRT and bupropion are both first-line, guideline-supported treatments. Other prescription quit medications are not offered through this lane.

How do the check-ins and refills work?

Every supply covers 4 weeks, and a short secure-message check-in is required before every refill — smoking status, side effects, a repeat 2-question mood screen, and a fresh blood-pressure number if you take bupropion. A refill request without a completed check-in is routed back to the check-in first; this is a hard rule. Your first check-in comes 1 to 2 weeks after starting.

Why does the intake ask mood questions?

Bupropion carries a warning about mood changes, and nicotine withdrawal itself can affect mood, so this lane screens mood at intake and again at every check-in. If either screening question is positive, bupropion is not prescribed and the physician builds a nicotine-replacement-only plan instead. Anyone having thoughts of self-harm should call or text 988 right away — that always comes before a quit aid.

Why do I need a blood-pressure reading for bupropion?

Bupropion can raise blood pressure, so a dated reading from the last 3 months — a home cuff, a pharmacy machine, or a clinic visit — is required before it is prescribed, and it is re-checked at every check-in. A reading of 160/100 or higher means nicotine replacement only, and 180/110 or higher needs same-day blood-pressure care before any quit medication.

Can this lane help me quit vaping?

Not on its own — national guidance (USPSTF) found the evidence for prescribing cessation medication for vaping-only use insufficient, so vaping-only requests are declined and pointed to primary care and the free quitline at 1-800-QUIT-NOW. If you both smoke and vape, the physician treats the smoking and counsels on the vaping.

How long does treatment last?

The nicotine taper typically runs 8 to 12 weeks and bupropion 7 to 12 weeks, timed so bupropion starts 1 to 2 weeks before your quit date. Bupropion beyond 12 weeks requires a physician re-evaluation, and the entire online course is capped at 6 months, after which a full re-assessment of quit status, mood, and blood pressure is required. Pairing medication with free quitline coaching (1-800-QUIT-NOW) gives the best odds.