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Only sales clerks are allowed access to tobacco products prior to sale, unless the tobacco products are located within the line of sight or under the control of a cashier or other employee and unless it is a retail stores which derives 75% or more of sales revenue from tobacco products.6 Local tobacco Laws Philadelphia restricts the number of tobacco retailers to one per 1,000 people in each planning district and prohibits new tobacco retailers within 500 feet of a school.10 Quitting statistics and benefits Quitting statistics in Pennsylvania The CDC estimates 49.8% of daily adult smokers in Pennsylvania quit smoking for one or more days in 2017.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** Pennsylvanias state quit line invests $1.47 per smoker, compared to the national average of $2.21.7 Pennsylvania does not have a private insurance mandate provision for cessation.7 Notes and references Updated April 2019 *National and state-level prevalence numbers reflect the most recent data available

Therefore, tirzepatides weight management benefits would probably still be significant even if it were used in conjunction with conventional cessation aids