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Nationally, the rate was 5.7%.2 Economics of tobacco use and tobacco control Missouri cigarette tax Missouri received $255.8 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2021.4 Of this, the state allocated $171,885 in state funds to tobacco prevention in fiscal year 2021, 0.2% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.03 billion per year.4 Smoking-caused losses in productivity: $3.04 billion per year.5 Missouri tobacco laws Missouri smoking laws Tobacco taxes Missouri is ranked 51st in the U.S