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(C) Primary care service codes include any CPT code identified by CMS that directly replaces a CPT code specified in paragraph (c)(1)(ix)(A) of this section or a HCPCS code specified in paragraph (c)(1)(ix)(B) of this section, when the assignment window or expanded window for assignment (as defined in 425.20) for a benchmark or performance year includes any day on or after the effective date of the replacement code for payment purposes under FFS Medicare

It not only still tastes like an English blend but has a rather unique flavor that combines with and compliments the Latakia well rather than ruining it's smooth smokeiness

10.1093/jac/dkw426 46 CohenG.BellancaC

here in Merica we tend to think of pouches as being strictly "OTC" or "drugstore" blends, though its not always the case that these are intrinsically inferior blends