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Combining a "long-acting" NRT like the nicotine patch with "short-acting" NRTs such as gum, lozenges, nasal sprays, or inhalers can address both the consistent need for nicotine (via the patch) and immediate cravings (via faster-acting forms)

You can easily switch between PWR, NOR and ECO, and I could notice the difference between all three modes while still getting good performance from each setting

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The HCES 2023-24 fixed this in two ways

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Nicotine replacement therapy (NRT) products dispensed as part of a cessation program may be billed separately under applicable HCPCS codes depending on the practice setting and payer