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In contrast, among PRAMS jurisdictions with the highest levels of prenatal smoking (Maine, West Virginia, and Wyoming), cigarette excise taxes were $2 per pack

Modified Risk Tobacco Products The modified risk tobacco product (MRTP) pathway is outlined in the 2009 Family Smoking prevention and Tobacco Control Act [and] allows companies to submit applications for the FDA to evaluate whether a tobacco product may be sold or distributed for use to reduce harm or the risk of tobacco-related disease associated with commercially marketed tobacco products. The FDA maintains that the products authorized to be marketed with this claim are neither safe nor FDA-approved

Meanwhile, law enforcement agencies point out that organized crime groups and even terrorist organizations are earning big profits from the illicit trade in tobacco products

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