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While traditional dipping tobacco is known to cause dental disease, the risks from nicotine pouches remain unclear

Specifically, we are proposing to codify that in cases where negative or zero ASP data is reported for some, but not all, NDCs of a multiple source drug, we would calculate the payment limit using the positive ASP data reported for the drug, except for the existing carryover policy for multiple source drugs that we would apply when missing data results in a significant change in the ASP payment limit

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A recent increase in poisonings is due to liquid nicotine, a product in e-cigarettes (vapes)