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However, there is not yet evidence that the Hawaii Medicaid program has complied with this requirement regarding NRT nasal spray, NRT lozenge and NRT inhaler.7** Hawaiis state quit line invests $10.32 per smoker, compared with the national average of $2.28.7 Hawaii does not have a private insurance mandate provision for quitting tobacco.7 Notes and references Updated August 2021 *National and state-level prevalence numbers reflect the most recent data available