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[11] The US Contraband Cigarette Trafficking Act of 1978, a law that makes cigarette smuggling a felony punishable by up to 5 years in federal prison, is a means to prosecute smugglers who avoid paying duties on cigarettes

And health experts are worried about the consequences

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(iv) If you determine that there is not a legitimate medical explanation for the adulterated and/or substituted test result, you must take the following steps: (A) Report the test to the DER and the employee as a verified refusal to test

B.s 2010 study, Pharmacokinetics of Cocaine and Metabolites in Human Oral Fluid and Correlation with Plasma Concentrations following Controlled Administration, Cocaine appeared in oral fluid within 0.08-0.32 hours after administration and remained detectable for up to 24.1 hours at the lower limit of quantification (2.5 g/L)