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Growing from a much smaller base, noncombustible products, including heated tobacco, vaping products, and nicotine pouches, have continued to take share from combustible products over the past three years.The major nicotine ecosystem players dominate the overall market, although manufacturers of noncombustible products, both new entrants and established players, have gained share.Smokeless tobacco is a tobacco product that is used by means other than smoking

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Additionally, based on our calculation of cost performance category scores for the CY 2022 performance period/2024 MIPS payment year, we observed lower scores for the cost performance category than for the quality performance category, even though they each generally constitute 30 percent of the final score

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