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Marketing Strategies: Companies sometimes use unusual pack counts (e.g., 21 or 23 cigarettes) to create perceived added value or differentiate pricing points

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In Massachusetts, smoking is estimated to cost more than $4 billion in direct health care costs and claims the lives of 9,300 adults annually

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Sweeping settlements with state attorneys general totaling $246 billion placed marketing restrictions on the industry and, by driving up the price of cigarettes, accelerated a decline in smoking rates