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This would also apply to how a manufacturer chooses a new supplier, i.e., it would be expected to evaluate how well the supplier has performed in the past

In 2024, 3.5% of middle school students and 7.8% of high school students roughly 1.63 million students reported current (i.e., past 30-day) e-cigarette use

IS SMOKELESS TOBACCO A SAFER ALTERNATIVE TO SMOKING CIGARETTES

however, we are maintaining reporting of this measure in the APP quality measure set, and, as such, also proposing to include it in the APP Plus quality measure set for the CY 2025 performance period/2027 MIPS payment year and subsequent performance periods

FDA offers several examples of such claims, such as "get your nicotine fix" or "provides smokers the same delight, physical and emotional feelings." 82 Fed