Smokeless tobacco

Smokeless tobacco is not a healthier alternative to smoking. Links exist to its use and several cancers – not to mention leathery patches in the mouth, stained teeth, and bad breath. Users can take advantage of the Great American Spit Out Feb. 20 to begin their path to a tobacco-free lifestyle.

Smokeless tobacco use by service members is much higher than in the U.S. adult population. This fact concerns the military medical community. Users say it helps with alertness, and allows them to stay connected with peers. But evidence links products like snuff, dip, and chewing tobacco to cancer and poor oral health. Such products also contain nicotine and are addictive.

To the Military Health System, using tobacco in any form poses a threat to readiness and the overall health of the force. Smokeless tobacco contains more than 30 chemicals that cause cancer. It’s not a safe alternative to other forms of tobacco, like cigarettes.

“We know that nicotine helps with alertness. But smokeless tobacco products also have negative effects on dental, readiness, and long-term health,” said U.S. Public Health Service Capt. Kimberly Elenberg, director of the Defense Health Agency’s Total Force Fitness office.

DOD’s tobacco education campaign, YouCanQuit2, urges tobacco users to assess their readiness to take action and make a plan to quit.

YouCanQuit2 provides many resources to service members and beneficiaries on their journey to becoming tobacco free.

“We’re providing them with education, and also support for quitting tobacco if they so choose,” Elenberg said. “This includes a 24/7 Live Chat for questions, support, and encouragement, as well as an interactive savings calculator.”

YouCanQuit2 can help people quit in several ways. There are tips for writing a quit plan, and for managing cravings and stress. There’s information on prescription and over-the-counter products to help people quit. There are even ideas to prevent weight gain. Plus, care providers can order and print out campaign materials.

YouCanQuit2 has Instagram, Facebook, and Twitter channels. All provide ideas on ways to quit.

TRICARE offers many benefits aimed at quitting smokeless tobacco use. TRICARE-authorized providers can counsel beneficiaries age 18 and older who live in the United States or District of Columbia. Medicare recipients are not eligible.

Research shows that using a program and a product together increases chances of quitting for good. As a result, coverage of tobacco cessation products is provided through military pharmacies or the TRICARE pharmacy home delivery program. These products include Chantix, Zyban, and nicotine replacement therapy, such as nasal sprays, inhalers, patches, gum, and lozenges. There’s no cost, although brands vary by pharmacy and generics may be provided. A prescription is needed for all products from a TRICARE-authorized provider, even if the product can be bought over the counter. The minimum age is 18 and Medicare recipients are not eligible. None of these products are covered at retail pharmacies.

Coverage of products and counseling for service members and beneficiaries stationed overseas is provided for those enrolled in TRICARE.


A managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.

TRICARE Prime Overseas.

The government has other help available. Mobile apps found at make support as close as the smartphone. also provides DipfreeTXT, a texting program for those who want to quit.

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