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The nine labels originally set to appear on store shelves last year would've represented the biggest change in cigarette packs in the U.S

TAXATION The Childrens Health Insurance Program Reauthorization Act (CHIPRA) of 2009 increased federal excise taxes on little cigars from $0.04 to $1.01 per pack of 20 bringing the federal tax rate on little cigars on par with cigarettes

[ 30 ] The rates of sales to underage youth in these types of stores was significantly higher than in other types of stores

Inhalation Toxicology 18 , 255294, (2006)

Nicotine remains in the blood longer for smokeless tobacco users, increasing the potential for addiction