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Consistent with CDCs approach to prevention (CDC, 2015), States that have low percentages of adults who smoke cigarettes tend to have relatively high excise tax rates (Figure 3)

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The cigar or tobacco wholesaler will also likely be required to pay tax on the products it distributes and be subject to audit and a slew of other regulatory issues

An evidence review conducted by JBI examined trials comparing nicotine-containing e-cigarettes versus NRT for biochemically validated smoking cessation

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10 Quitting statistics and benefits Quitting vaping and smoking in North Carolina The CDC estimates 49.3% of daily adult smokers in North Carolina quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** North Carolinas state quit line invests $1.39 per smoker, compared to the national average of $2.28.7 North Carolina does not have a private insurance mandate provision for cessation.7 Notes and references Updated August 2021 *National and state-level prevalence numbers reflect the most recent data available