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APCM services are largely designed to be person-centered and focused on the individual patient, such that the elements that are provided depend on medical necessity and individual patient need

(The District of Columbia has the highest tax at $4.50).6-8 All other tobacco products are taxed at 10% of the manufacturers invoice price.6,7 Clean indoor air ordinances Smoking is prohibited in schools (public schools only) and childcare facilities.7 Smoking restrictions are required in government workplaces, private workplaces, restaurants, retail stores and recreational/cultural facilities.7 There are no smoking restrictions for bars and casinos/gaming establishments.7 No smoke-free restrictions exist for e-cigarette use.9 Youth access laws The minimum age to purchase tobacco products in Missouri is 21

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