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Nationally, the rate was 32.7%.2 Economics of tobacco use and tobacco control North Carolina cigarette tax North Carolina received $447.4 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2021.4 Of this, the state allocated $1.9 million in state funds to tobacco prevention in fiscal year 2021, 1.9% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.81 billion per year.4 Smoking-caused losses in productivity: $4.24 billion per year.5 North Carolina tobacco laws North Carolina smoking laws Tobacco taxes North Carolina is ranked 48th in the U.S