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The opinion also did not address that the HIPAA wellness regulations themselves include examples of a permissible wellness program involving a tobacco surcharge

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Clinical studies show vapers reach lower blood-nicotine concentrations per draw than smokers

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Particularly for the sake of the next generation, pharmacists must consider whether we accept the harm reduction approach being taken by PHE or commit to a continuing focus on nicotine prevention and cessation without recommending e-cigarettes as an approach