Tobacco-Free Pharmacies

In 2008, San Francisco became the first U.S. city to adopt a tobacco-free pharmacy law. Boston and Needham, Massachusetts, followed suit in 2009.

These cities are leading the way in recognizing that cigarettes and pharmacies don't mix. In San Francisco, Walgreens and tobacco giant Philip Morris filed restraining order requests against the law to prevent the implementation of the city's tobacco-free pharmacy law. Courts denied both requests and allowed the law to go into effect as scheduled. Walgreens even claimed in a recent action alert that it needs to sell tobacco products in order to counsel people to quit smoking.

When is the last time you heard a drug store checkout clerk counsel someone to buy cessation products rather than cigarettes?

Cities like San Francisco and Boston are doing the right thing by seeking to reduce healthcare costs and disease burdens through better prevention policies and programs.

For more information, read ANR's press release, Why Cigarettes and Pharmacies Don't Mix: Prescription for Change and also check out the resource materials linked at the bottom of this page.

More Information - Resources
More Information - News

During the March 2010 annual meeting of the American Pharmacists Association (APhA), the following statements regarding sales of tobacco in pharmacies were adopted by the APhA of Delegates and became the official policy of the association. The APhA Board and leadership planned to meet in the next few months to discuss and adopt implementation strategies for these new policies.

APhA has over 60,000 members and is the largest association representing the pharmacy field.

Discontinuation of the sale of tobacco products in pharmacies and facilities that include pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.

  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.

  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.

  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.

  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.

  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Canadians, Americans, Britons support tobacco crackdowns
Toronto Sun - 8 August 18, 2010

The Angus Reid Public Opinion poll found that most respondents supported the laws that ban smoking indoors, in a vehicle that has a child present and in ...

Next target for tobacco ban: Grocery stores
San Francisco Examiner - Joshua Sabatini - August 4, 2010

The City recently adopted legislation expanding the no-smoking areas throughout San Francisco, an effort to reduce the number of tobacco-selling permits has ...

Everett board bans sale of tobacco in drugstores
Boston Globe - John Laidler - June 10, 2010

Starting next week, smokers will find it a little less convenient to pick up a pack of cigarettes in Everett.

Hoping to deliver another blow against smoking, the Board of Health on May 24 voted unanimously to ban the sale of tobacco products in pharmacies. The ban, which takes effect next Tuesday, also applies to business establishments that include pharmacies, according to Heidi Porter, Everett’s public health director.

“Pharmacies and drugstores that sell tobacco products are essentially approving of the purchase and use of tobacco. And we think that sends a mixed message to consumers who are going to these pharmacies really for health care services,’’ Porter said, of what prompted the ban. “The bottom line is that these pharmacies are health care establishments.’...

Walgreen Suit Over San Francisco Tobacco Ban Revived (Update1)
(Updates with history of sales ban in second paragraph.)
Business Week/Bloomberg, 2010-06-08
Karen Gullo

Walgreen Co., the largest U.S. drugstore chain, can proceed with a lawsuit challenging San Francisco's first-in-the-nation law banning sales of tobacco products in some pharmacies, a California appeals court ruled.

The ordinance, passed in 2008, says drugstores that sell health-care products convey tacit approval of smoking by selling cigarettes. While it barred tobacco sales at Walgreens, it didn't apply to grocery and warehouse stores that also contain pharmacies like those operated by Safeway Inc. and Costco Wholesale Corp. Walgreen claims the rule is unconstitutional and anticompetitive.

Today's ruling reversed a judge's decision to dismiss Walgreen's case. A state appeals court in San Francisco said there's no rational basis to believe that the message conveyed to consumers by tobacco sales at Walgreens is any different from such sales at supermarkets or big-box stores that have pharmacies. Walgreen can challenge whether the rule is an equal protection violation, the court said. ...

WALGREEN CO. v. CITY AND COUNTY OF SAN FRANCISCO
Leagle.com - June 9, 2010

What must be decided here is whether the legitimate objectives of discouraging smoking and avoiding the suggestion that a health care purveyor approves of ...

Calif. Justices Wonder: Is Walgreens a Grocery Store?
Law.com, 2010-03-11
Kate Moser The Recorder

In a challenge to a San Francisco law that bans tobacco sales at drug stores, three California appeal court justices on Wednesday looked like they wanted to avoid ruling on Walgreens' constitutional argument that the city is violating equal protection rights.

Instead, the First District Court of Appeal panel appeared more interested in whether a drug store that sells food is really a grocery store that would be exempt.

The local ordinance, which took effect in 2008, bans tobacco sales in San Francisco at drug stores but not at supermarkets or stores like Costco. The city has contended that the sale of tobacco by health-promoting businesses sends a mixed message about cigarettes. ...

Local doctor asks Board of Health to ban sale of cigarettes in Walpole pharmacies
Wicked Local (MA), 2010-02-25
Keith Ferguson Walpole Times

Calling the sale of tobacco products in pharmacies contradictory, Board of Health members will look into banning the sale of cigarettes in Walpole stores that also sell prescription medication.

Walpole resident Dr. Joseph Dorsey presented the topic to the board at their meeting Tuesday night, arguing it didn't make sense that pharmacies, which sell products to improve people's health, would peddle tobacco products.

The board has scheduled a public hearing at their next meeting to discuss changing town regulations to forbid stores with pharmacies from selling tobacco products. Health Director Robin Chapell said businesses would have to choose between selling cigarettes or prescriptions.

Boston, Needham, Newton and Uxbridge have passed similar measures statewide. ...

Stop-smoking effort to kick off Saturday
Contra Costa Times - December 17, 2009

... offer educational materials on the dangers of smoking. Also, the Pharmacists Planning Service is pushing a ban on sale of cigarettes in all pharmacies. ...

Newton aldermen snuff out tobacco in pharmacies
Newton TAB - John Hilliard - November 17, 2009

Newton — The Board of Aldermen approved a ban forbidding pharmacies from selling tobacco products in the city by a wide margin Monday night. The measure passed without discussion.

In an 18-3 vote, members approved the ban, which supporters said was intended to prevent those in the public health business from selling cigarettes and other tobacco items.

Aldermen Bill Brandel, Amy Sangiolo and Jay Harney cast the only nay votes against the ban. ...

Push to restrict tobacco sales to drugstores
San Francisco Chronicle, 2009-11-06
Victoria Colliver, Chronicle Staff Writer

Now San Francisco entrepreneur Stuart Skorman, founder of the now defunct holistic-oriented drugstore chain Elephant Pharmacy, wants to make pharmacies the only places that sell tobacco products.

Skorman, who on Thursday launched a nonprofit organization called HealthyPharmacies.org to promote his idea, believes that restricting cigarette sales to pharmacies would not only control the distribution and visibility of the product, but also give pharmacists the opportunity to counsel customers about quitting.

The idea would also prevent kids from going down to the corner store to buy cigarettes from a clerk who may not check identification, he said.
"Keeping tobacco away from 12-year-olds saves lives and billions of dollars from the health care system," he said.

Skorman advocates testing the concept in some cities and then comparing the impact on smoking with those that have banned the sale of tobacco products in drugstores. He said he's in discussions with city officials interested in the idea, but declined to name the cities.

"If limiting distribution and limiting the visibility of this dangerous product reduces smoking in communities, we believe pharmacists would be more than happy to be part of the program," he said.

The problem? Most pharmacists and health experts interviewed for this story found the idea downright unhealthy. ...

San Francisco, Berkeley Missed Public Health Opportunity by Moving Tobacco
PR Newswire, 2009-11-05
SOURCE HealthyPharmacies.org

San Francisco and Berkeley missed an opportunity to help smokers quit when the cities moved all tobacco sales out of pharmacies, according to a new Bay Area health initiative. Instead of having smokers buy cigarettes in convenience stores and at other retailers, smokers should buy cigarettes only at pharmacy counters, says Stuart Skorman, founder of Elephant Pharmacy.

Launching HealthyPharmacies.org, Skorman is focused on making pharmacies centers of health and wellness at the community level. "They can't just sell medicines to people who are sick. They must educate consumers and give them tools to lead healthier lives."

Keeping cigarettes behind the pharmacy counter would do just that, Skorman says. When a smoker asks for a pack of cigarettes, pharmacy staff would have the opening to offer nicotine replacement, such as the patch or gum, or point smokers in the direction of counseling and other tools. The approach wouldn't require a prescription for tobacco but would offer smokers tools to help them quit. ...

Newton takes public comment on extinguishing pharmacy tobacco sales
Wicked Local (MA), 2009-11-03
Dan Atkinson/Staff Writer

Residents can butt in at an aldermen meeting on Wednesday, Nov. 4 about a proposal to ban tobacco from being sold at CVS and other city pharmacies.

"We wanted to give a chance for the public to weigh in on an important issue," said Alderman Ted Hess-Mahan, one of the proposal's sponsors.
The public comment will be at 7:45 p.m. at City Hall on Wednesday. The Programs and Services Committee will host it in Room 222.

The ban would be similar to ones in Boston, Uxbridge and Needham ...

Study shows how smoking really burns Saskatchewan
Regina Leader-Post - Murray Mandryk - October 28, 2009

Saskatchewan, Canada: ...Besides banning smoking in cars with kids under 14 years and banning smoking on outdoor bar and restaurant patios, the government is also contemplating stopping the sale of cigarettes in pharmacies, including pharmacies located in big-box stores. However, such big-box stores might be able to sell tobacco in areas with separate entrances. ...

Court upholds verdict against tobacco firms
San Francisco Chronicle, 2009-10-15
Bob Egelko, Chronicle Staff Writer

... In another development, San Francisco's ban on tobacco sales in drugstores survived a legal challenge from Philip Morris. City Attorney Dennis Herrera's office said the tobacco company had dropped its appeal of a ruling upholding the year-old ordinance.

The Ninth U.S. Circuit Court of Appeals in San Francisco upheld the ban last month, rejecting Philip Morris' argument that the city was effectively prohibiting tobacco advertising at drugstores in violation of freedom of speech. The court said the ordinance restricted only tobacco sales, not advertising.

A state appeals court in San Francisco is considering a separate suit by Walgreens, which says the ordinance discriminates against drugstores by allowing supermarkets and big-box retail stores with pharmacies to sell tobacco. ...

Philip Morris Drops Lawsuit Against San Francisco
KRXI-TV Fox 11 (Reno, NV), 2009-10-15

The nation's largest tobacco company agreed Thursday to drop its legal challenge to San Francisco's ban on tobacco sales in pharmacies.
Lawyers for the Richmond, Va. -based Philip Morris USA Inc. filed a stipulation of dismissal in federal court in Oakland, agreeing to end a lawsuit that claimed the San Francisco law violated its free speech rights.
The action comes after a federal appeals court in San Francisco upheld the law on Sept. 9, affirming a decision in which U.S. District Judge Claudia Wilken of Oakland last year refused to issue a preliminary injunction.

Philip Morris spokesman Jack Marshall said he could not comment except to say that if Wilken signs the stipulation, "Obviously, the case will be dismissed."

The judge's approval is expected because the stipulation was signed by lawyers for both Philip Morris and the city.

City Attorney Dennis Herrera hailed the end of the case, saying, "San Francisco's local officials have the right and the duty to protect public health, and in this case they have a compelling rationale."

"Consumers -- and especially young people -- should reasonably expect pharmacies to serve their health needs, not to enable our leading cause of preventable death," Herrera said. . . .

Chief Circuit Judge Alex Kozinski wrote in September that while advertising is a form of free speech, "Selling cigarettes isn't."

Proposal would send Newton pharmacy tobacco sales up in smoke
Newton TAB - Dan Atkinson - October 8, 2009

... on a proposed ban of tobacco products in pharmacies. The ban would be similar to ones in San Francisco, Boston and Needham. At a meeting Wednesday night, ...

Letters: Politicians behaving badly
San Francisco Chronicle, 2009-09-11
DEEPAK SRIVASTAVA, M.D. American Heart Association San Francisco

Wednesday's federal appeals court ruling upholding San Francisco's ban on tobacco sales at pharmacies rightly dismissed Philip Morris' specious argument that this sensible ordinance interferes with the corporation's right to communicate with its customers. The Web, magazine ads, event sponsorship - their messages are hardly scarce.

Pharmacies should be centers of wellness, not illness. They should not sell products that, when used as intended, are quite likely to kill the user.
Let's hope that other cities and counties will quickly take action and follow San Francisco's lead. ...

S.F. ban on tobacco in drugstores survives
San Francisco Chronicle, 2009-09-10
Bob Egelko, Chronicle Staff Writer

San Francisco can enforce its ban on tobacco sales in drugstores, a federal appeals court ruled Wednesday, rejecting a free-speech argument by tobacco giant Philip Morris.

The ordinance, the first of its kind in the nation, took effect in October. It prohibits sales of cigarettes and other tobacco products at San Francisco's nearly 60 drugstores.

Philip Morris said the ban effectively forced the company to pull its advertising out of the stores, interfering with its constitutional right to communicate with customers. But the Ninth U.S. Circuit Court of Appeals in San Francisco said the city hasn't restricted freedom of expression.

The city "limits where cigarettes may be sold; it doesn't prevent (Philip Morris) from advertising," the court said in a 3-0 ruling upholding a judge's denial of an injunction against the ordinance.

Even if the measure affects advertising in drugstores, the court added, it does not suppress any ideas or the company's ability to discuss its product. ...

Tobacco ban smolders on
San Francisco (CA) Examiner, 2009-09-10

The City can continue to ban tobacco sales in pharmacies, after Mayor Gavin Newsom's proposal cleared another legal hurdle Wednesday from the nation's largest cigarette manufacturer.

San Francisco became the first city in the nation to ban tobacco sales in pharmacies almost a year ago. The law exempts supermarkets and big-box stores, such as Costco, that contain pharmacies. . . .

"I am pleased that the court rejected Philip Morris' attempt to use the First Amendment as a profit-making tool," City Attorney Dennis Herrera said in a statement.

Jack Marshall, a spokesman for Philip Morris, said the company is reviewing its options.

"While we're disappointed with today's decision, we continue to believe that the purpose and the effect of the ordinance is to suppress communications directed to adult smokers in violation of our constitutional rights," he said. "The ban also unfairly deprives adult consumers of the opportunity to buy tobacco products from legitimate, licensed retail businesses." ...

Framingham considers banning cigarette sales in pharmacies
MetroWest Daily News - Framingham,MA,USA, August 19, 2009

FRAMINGHAM ­ The Board of Health will consider placing a townwide ban on cigarette sales inside Framingham pharmacies.

Board Chairman Mike Hugo expects to discuss the idea at the board's meeting later this month.

"A pharmacy is supposed to be a place where you sell healthy things," said Hugo. "And quite frankly we've had a problem with pharmacies selling cigarettes to minors."
Hugo expects the discussion to be "a two-meeting process," and noted that the Board of Health has the power to unilaterally institute such a ban.

"We don't need a bylaw," he said.

If Framingham were to enact such a ban, it would be the fourth Massachusetts community, behind Boston, Needham, and Uxbridge, to do so, according to the Framingham-based Tobacco Free Mass. …

… The Walgreens suit is still pending, said Bronson Frick, associate director for Nonsmokers' Rights. "We expect a lot more cities to follow suit," said Frick ...

S.F.'s Tobacco Sales Ban Hits Ninth Circuit
Law.com, 2009-08-13

Two attorneys who had both clerked in the Ninth Circuit U.S. Court of Appeals went head to head there Wednesday in a case that pits Philip Morris against the city of San Francisco.

The case concerns the city's 2008 ban on the sale of tobacco in city pharmacies. Philip Morris counsel Daniel Collins, of Munger, Tolles & Olson, argued that the city law violates the company's right to advertise its product.

In December, U.S. District Judge Claudia Wilken ruled that the ordinance did not violate Philip Morris' First Amendment right.

During Wednesday's brief hearing, Ninth Circuit Chief Judge Alex Kozinski poked at Philip Morris' argument, saying that following that logic would mean that any time the government bans the sale of anything, it would become a First Amendment issue. ...

Judges don't buy theory in S.F. tobacco-ban case
San Francisco Chronicle, 2009-08-13
Bob Egelko, Chronicle Staff Writer

A federal appeals court appeared to be inclined Wednesday to let San Francisco continue to enforce its ban on tobacco sales in drugstores.

A lawyer for Philip Morris argued to a panel of the Ninth U.S. Circuit Court of Appeals in San Francisco that the ordinance, which took effect in October 2008, forced the tobacco company to pull its advertising out of drugstores, interfering with its constitutional right to communicate with its customers.

"Retailers will not agree to accept (display ads) for products they can't sell," attorney Daniel Collins said. Even if a store was willing to continue tobacco advertising, he said, "it annoys their customers, tantalizes them," to see ads for products they can't buy.

As a consequence, Collins argued, Philip Morris has to pay more to exercise its First Amendment right to advertise its products, because of what he described as the city's hostility to the ads' message.

But Judge Procter Hug, part of the three-member court panel, pointed out that the ordinance banned only tobacco sales, and the company had removed the ads on its own. Chief Judge Alex Kozinski noted that advertisers always have to decide how much they're willing to pay to pitch their wares. . . .

"The problem with your argument is that any time the government bans the sale of anything, it becomes a First Amendment issue," Kozinski told Collins. ...

San Francisco: Smoking Ads Are Not Free Speech
City clashes with Phillip [sic] Morris over pharmacy ban
NBC Bay Area - July 29, 2009

Lawyers for the city of San Francisco told a federal judge Thursday that the city's ban on cigarette sales by pharmacies has nothing to do with free speech.

Attorneys for the city made the argument in a brief filed with U.S. District Judge Claudia Wilken of Oakland to oppose a bid by Philip Morris USA Inc. for a preliminary injunction blocking the ban.

Philip Morris, the nation's largest tobacco company, claims the ban violates its First Amendment right of free speech by putting an end to cigarette advertising and displays in the pharmacy stores.

But city lawyers wrote in their brief, "The sale of a product is conduct, not speech."

They said Philip Morris is still free to pay pharmacies to display tobacco advertisements. ...

MOTTA: Perspective: Needham decision to ban cigarette sales in pharmacies sets an example
Wicked Local (MA), 2009-07-21
Mario Motta, M.D., Guest Commentary

In voting to ban the sale of tobacco products at pharmacies and other health-care facilities within the town, the Needham Board of Health has taken a giant step for public health. I congratulate the members for a courageous action that will enhance the health of people of all ages.
The medical evidence on tobacco use is clear. . . .

This issue is of such importance that the Medical Society is strongly supporting two bills now before the legislature: House Bill 2054 and Senate Bill 813. These bills would restrict the sale of tobacco products at locations where health professionals are employed and assure that no licensed health professionals in Massachusetts are employed in their profession where tobacco products are sold. . . .

The Needham Board of Health's action and the proposed state legislation will not end the sale of tobacco products by themselves. But together they send a crucial message to our patients young and old: that physicians and health professionals recognize the dangers of tobacco and are willing to act in what they believe to be the best interests of their personal and public health. The board's action will help to save lives, reduce illness, and contain health-care costs in the commonwealth. ...

Needham bans cigarette sales in pharmacies
Needham Times - Steven Ryan - July 14, 2009

Needham — Needham pharmacies will soon not be able to sell cigarettes after the Board of Health voted July 14 to approve the ban.

The Board of Health voted 2-0 in favor of the ban, with one member absent. The ban will go into effect on Oct. 1. This comes five months after Boston banned cigarettes from pharmacies. The new regulations also include language preventing the sale of noncigarette tobacco products, including “blunt wraps,” to minors.

The ban affects three of the four pharmacies in town: the two CVS pharmacies, with one in Needham Heights and another in the downtown; and Walgreens, across from Town Hall. The Bird’s Hill Pharmacy on Great Plain Avenue hasn’t sold cigarettes in years. ...

NY bill would restrict drug store cigarette sales
(Long Island, NY) Newsday, 2009-04-20
MICHAEL GORMLEY * Associated Press Writer

New York could be the first state to ban the sale of cigarettes in drug stores as well as in supermarkets and big-box stores like Wal-Mart that have pharmacies.

Measures similar to the bill gaining ground in New York have already been enacted in cities such as San Francisco and Boston, in towns and in parts of Canada. But the bill in Albany would be the first statewide ban, according to Assemblyman Sam Hoyt, a Buffalo Democrat and co-sponsor of the bill.

Supporters and opponents say the ban would likely lead to further measures to stop the sale of tobacco products. ...

Legal Consortium files amicus brief in first impression tobacco ...
William Mitchell College of Law – March 31, 2009

William Mitchell’s Tobacco Control Legal Consortium and its California affiliate, the Tobacco Assistance Legal Center, filed an amicus brief at the Ninth Circuit Court of Appeals on March 24 defending San Francisco’s pioneering ban on pharmacy sales of tobacco products against a First Amendment challenge by Philip Morris. This will be the first appellate decision on the validity of pharmacy sales bans of tobacco products and likely will set precedent for the country.

The San Francisco ordinance has survived an initial round of challenges after both Philip Morris and Walgreens requested injunctions to stop enforcement of the ban on selling tobacco products in pharmacies. Both challenges were rejected and the law went into effect Oct. 1, stripping tobacco products from the city’s approximately 60 drug stores. Philip Morris, the nation’s largest tobacco company, immediately appealed the order. The appeal before the Ninth Circuit could take months to resolve.

The Legal Consortium’s brief was written by Linda Lye, an experienced appellate attorney at Altshuler Berzon in San Francisco, and was joined by 19 parties, including national medical, public health, and pharmaceutical organizations, such as the American Medical Association, the National Association of County and City Health Officials, the National Association of Local Boards of Health, the American Legacy Foundation, Americans for Nonsmokers Rights, and the Pharmacists Planning Service, Inc., as well as California health organizations, leading groups from Massachusetts concerned about Boston’s new pharmacy ban, and several professors at the University of California at San Francisco, School of Pharmacy. ...

Pharmacies complying with new law that bans tobacco sales
Boston (MA) Globe, 2009-02-16

Boston inspectors who visited 73 pharmacies during the first week of stringent new tobacco control regulations could not find a single pack of cigarettes on store shelves, the city's health department reported.

Last Monday, Boston became the second major US city - San Francisco was the first - to ban tobacco sales at drugstores. .

Boston Bans Cigarette Sales In Drug Stores
WBBM, February 9, 2009

(CBS) Boston will become the nation’s second city to ban the sale of cigarettes by pharmacies on Monday, as new rules approved by the city’s public health commission take effect.

The regulations passed by the commission two months ago also ban colleges from selling tobacco products on campus and will force smoking bars to shut their doors within a decade, reports CBS News correspondent Randall Pinkston.

“In 10 years, all smoking bars in Boston should be gone,” Dr. Barbara Ferrer, the commission’s executive director, tells CBS News.

There are only 11 left, and the city vows not to license any more. Health officials are especially perturbed at the emergence of half a dozen of hookah bars, which cater to college students and young adults.

“Once you get started, quitting is very hard,” Hallet says. “We still have a half a million deaths a year in the country every year that are attributable to the use of tobacco.”

Judge dismisses Walgreens suit over S.F. tobacco ban in drugstores
San Francisco Chronicle, December 20, 2008

San Francisco's ban on tobacco sales in drugstores cleared another legal hurdle today when a judge dismissed a suit by Walgreens, which complained about the law's exemption for supermarkets and big-box retail stores that have pharmacies.

Judge Peter Busch of San Francisco Superior Court said city supervisors who passed the ordinance were entitled to conclude that selling cigarettes in drugstores, where customers go to improve their health, sends the wrong message to young people about the acceptability of smoking. That was a reasonable basis for prohibiting sales in stores such as Walgreens while allowing them in other stores that have pharmacies, he said.

Boston bans cigarette sales in drug stores but delays cigar bar closings
Boston Globe, 2008-12-11
Stephen Smith, Globe Staff

Cigar bars and other swank salons devoted to smoking won a significant though temporary reprieve from Boston health regulators today, who decided that the establishments will face extinction in 10 years instead of the five-year grace period originally proposed as part of sweeping new tobacco control rules.

The regulations, approved unanimously by the Boston Public Health Commission, also ban cigarette sales at drugstores and on college campuses in the city and eliminate smoking on the patios of restaurants and bars with outside service. Those restrictions will go into effect in 60 days.

The restrictions give Boston among the most stringent antismoking laws in the United States and place it at the vanguard of widening campaigns to reduce cigarette smoking, especially among young people and the poor.

While major pharmacy chains and tobacco companies quietly fought the rules, the most fervent opposition emerged from the owners and patrons of cigar bars and hookah lounges, where customers take long drags on flavored tobacco from a communal water pipe.

Judge upholds ban on drugstore tobacco sales
San Francisco Chronicle, December 6, 2008

San Francisco's ban on tobacco sales in drugstores doesn't violate a cigarette company's constitutional right to advertise its products, a federal judge ruled Friday in rejecting Philip Morris' attempt to halt enforcement of the ordinance.

The company said it would appeal.

The ordinance "prohibits conduct, tobacco sales, not speech about tobacco," said U.S. District Judge Claudia Wilken of Oakland. Her ruling spelled out her reasons for her decision at a Nov. 6 hearing to deny an injunction against the ban, which took effect Oct. 1.

The ordinance, the first of its kind in the nation, prohibits sales of cigarettes and other tobacco products at the city's nearly 60 drugstores. It exempts supermarkets and big-box retail stores that also have pharmacies, the basis of a separate suit by Walgreens claiming unconstitutional discrimination. A San Francisco Superior Court judge denied Walgreens' request for an injunction Sept. 30.