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In at least 29 countries, 10% or more of the population uses smokeless tobacco

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states, incentivizing smuggling and illicit activity.[11] After New York, the highest rate of smuggling occurs in California (44.8 percent of consumption smuggled), New Mexico (45.5 percent), Washington (41.5 percent), and Minnesota (34.8 percent)

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CMS believes that these would be the minimum data elements required to match claims and remove 340B units from Part D drug inflation rebate calculations