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However, there is not enough evidence that the South Dakota Medicaid program has complied with this requirement regarding NRT gum, NRT patch, NRT nasal spray, NRT lozenge, and NRT inhaler.7** South Dakotas state quit line invests $18.32 per smoker, compared to the national median of $2.37.7 South Dakota does not have a private insurance mandate provision for cessation.7 Notes and references Notes and references Updated June 2023 **The seven recommended cessation medications are NRT gum, NRT patch, NRT nasal spray, NRT inhaler, NRT lozenge, Varenicline (Chantix) and Bupropion (Zyban)

[34] One study's authors warned against the potential harm of excessive regulation and advised health professionals to consider advising smokers who are reluctant to quit by other methods to switch to e-cigarettes as a safer alternative to smoking