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"These products contain similar packaging designs, flavorings, and product names as other tobacco products, and are frequently sold in the same retailer locations," Kari Rinker, state government relations director for the American Heart Association, told legislators

For example, some state and local governments have made tobacco-free pharmacies a reality: 45 locations in California, over 200 locations in Massachusetts, 4 locations in New York, and 1 location in Minnesota as well as the states of Massachusetts and New York all have passed policies that prohibit the sale of tobacco in any pharmacy

[14] A 2025 BMJ Open study of a 2019 door-to-door survey of people aged 18-24 found weighted current-use prevalence of 10.1% for cigarettes, 5.1% for HTPs and 1.8% for e-cigarettes, with 68.2% of current HTP users also using cigarettes