Establishments are required to post signs stating that sales to minors are prohibited.6,8 Only sales clerks can access tobacco products prior to their sale.6,8 Minors are prohibited from buying e-cigarettes.6,8 The sale or distribution of tobacco substitutes or coupons for tobacco substitutes to persons under age 21 is prohibited.9 Marketing or advertising tobacco substitutes on online or mobile applications directed to children is prohibited.9 Delivery sales of tobacco substitutes require a copy of valid government identification and an attestation from the purchaser stating the identification is true and the consumer understands the minimum legal sales age, delivery to the address on the identification, and is paid for with a credit or debit card issued in the consumers name
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middle and high school students reported current use of nicotine pouches, suggesting that youth usage remains low