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Benefits of sprays: Faster nicotine delivery than patches Useful during acute cravings Downsides of sprays: Can cause throat irritation, coughing, or burning sensation Unpleasant taste for many users Less discreet in public settings Difficult for long-term compliance Sprays would usually work for a few, but the discomfort and awkward usage often push users to look for alternatives like nicotine chewing gum

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In the CY 2023 PFS final rule, we clarified the circumstances in which CMS would exercise discretion to reopen the initial determination of an ACO's financial performance for good cause to correct errors in the determination of MIPS Quality performance category scores that affect the determination of whether an ACO is eligible for shared savings, the amount of shared savings due to the ACO, or the amount of shared losses owed by the ACO (see 87 FR 69868 through 69869)

Customers don't need to add a separate paper purchase to complete a roll-your-own setup