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Unlike earlier transitions to vapor products, this shift is driven by the discreet nature of oral pouches and their high adoption velocity among existing adult nicotine users, prompting manufacturers to rapidly scale production capacity to prevent stockouts

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This event is one of the latest projects of the Washington State Department of Healths They Think They Know You campaign, an initiative launched in 2023 to bring attention to the fact that Blacks and African Americans are disproportionately targeted with menthol tobacco products

In performing this audit, we relied on encounter data and managed care plans quarterly report data we obtained from DHCS

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