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In 2014, only Vermont raised its excise tax on cigarettes (by just 13 cents per pack), and the federal excise tax has not been raised since 2009

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A recent systematic review with GRADE assessment found that smoking cessation and, in more limited evidence, switching to exclusive e-cigarette use were associated with early improvements in pulse wave velocity, augmentation index, and flow-mediated dilation, changes that are biologically compatible with improved arterial compliance and reduced vascular tone, and thus may contribute to lower blood pressure, although overall certainty was low (moderate only for RCT evidence on flow-mediated dilation) [25]

When methadone is used for chronic pain in a patient with no active SUD, use Z79.891 + chronic pain code