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We finalized at 414.1365(d)(3)(i)(A) that, except as provided in paragraph (d)(3)(i)(A)( 1 ), each selected population health measure that does not have a benchmark or meet the case minimum requirement is excluded from the MVP Participant's total measure achievement points and total available measure achievement points

From a toxicological perspective, although nicotine pouches are not risk free, chemical analyses consistently show that they contain significantly lower levels of harmful constituents than both traditional cigarettes and classical snus, which in itself already contains fewer toxins than combusted tobacco (48, 51)