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Competition from Alternatives: The rise of alternative smoking products, such as vaping and heated tobacco, poses a significant challenge to the pipe tobacco market

non-tobacco flavored cigarettes make up about a third of the total market, but they are particularly popular with African American smokers: over 75 percent of African American smokers consume non-tobacco flavored products

As we intend this proposal to enhance access and address adherence concerns for patients who are not able to swallow capsules or tablets and we do not believe there are access concerns with other types of formulations, we propose to limit the included compounded formulations to those products with oral and enteral routes of administration (for example, oral suspensions or solutions)

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