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Peer review Peer review information Nature Medicine thanks Esther Omaiye, Guillermo Paraje, Mahdi Sheikh and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

premium , and maintained the profitability of their products in a somewhat artificial way

doi:10.1136/tc-2023-058469 6

Current Washington Tobacco Excise Tax Rates $3.03 / pack , Washington has some of the highest state taxes on cigarettes in the United States The primary excise taxes on tobacco in Washington are on cigarettes , though many states also have taxes on other tobacco products like cigars, snuff, or e-cigarettes

In recent years, this meaning has been extended to requiring a common appearance for the tobacco products these packages contain, such as cigarettes