CVS Caremark Corp.'s imminent exit from the cigarette and tobacco business — an unprecedented move for a major pharmacy company — is being cheered by many medical professionals and lawmakers as a triumph of corporate responsibility over the bottom line. 
 
 But industry experts say the strategy shift is less an altruistic endeavor than a savvy marketing ploy from a drugstore giant trying to promote itself as a retail health hub in an age of increasingly self-serve healthcare. 
 
 "It's smart business on CVS' part," said Carl Tobias, a law professor at the University of Richmond in Virginia, a state steeped in tobacco history. 
 
 The drugstore chain — the largest in the country by sales with $123 billion in revenue in 2012 — said Wednesday that it will be tobacco free by Oct. 1. CVS has more than 7,600 stores, making it second in retail locations only to Walgreens. 
 
 The move comes soon after the 50th anniversary of a landmark report from the surgeon general linking smoking to illnesses such as lung cancer and heart disease. Pharmacies have faced years of criticism from health advocates for juxtaposing tobacco items with medical products. 
 
 Former smoker President Obama applauded CVS, saying the company "sets a powerful example" and that its decision "will have a profoundly positive impact on the health of our country." He added that the strategy shift will aid his administration's efforts to reduce tobacco-related deaths and illnesses while also bringing down healthcare costs. 
 
 CVS said that it is sacrificing $2 billion in annual revenue in its endeavor, which it said also includes a "robust national smoking cessation program" to begin this spring. But the Woonsocket, R.I., chain also has much to gain. 
 
 Amid a shortage of primary care doctors and legislation that expands access to healthcare coverage, CVS and many of its competitors are investing in more in-store urgent care clinics. They're also featuring pharmacists who can offer medical counseling and extending outreach efforts to clinicians and medical centers. 
 
 More Americans are seeking self-service options at local retailers providing a growing suite of services and products made cheaper and simpler by improving technology, said Columbia Business School professor Rita McGrath. 
 
 "In today's fast-moving, competitive market, retailers are taking their resources from declining categories like cigarettes, where there's a lot of cost associated with securing the products and checking people's ages, and putting them into growth areas that involve health and services," she said. 
 
 Retail establishments such as CVS, Walgreens and Rite Aid operate more than 1,600 health centers, according to an article Wednesday in the Journal of the American Medical Assn. The piece was written by Dr. Troyen A. Brennan, CVS's chief medical officer, and Dr. Steven A. Schroeder, who runs the Smoking Cessation Leadership Center at UC San Francisco. 
 
 "Making cigarettes available in pharmacies in essence 'renormalizes' the product by sending the subtle message that it cannot be all that unhealthy if it is available for purchase where medicines are sold," they wrote. 
 
 Investors were uncertain, sending CVS Caremark's stock down 1%, or 67 cents, to $65.44 a share Wednesday. Meanwhile, Walgreen Co. rose 3.4%, or $1.90, to $57.85, and Rite Aid Corp. increased 2%, or 11 cents, to $5.45. 
 
 But by renouncing cigarettes, CVS could end up engendering loyalty among customers, some experts said. 
 
 Elena Maa, a Los Feliz mother of four, said she'll patronize the chain even more now that cigarettes are on their way out. 
 
 "Smoking isn't good for us or the kids," said Maa, who was shopping at an East Hollywood CVS with her 3-year-old son, Jake. Maa, 44, said Jake's mild asthma is exacerbated by secondhand smoke. 
 
 In 2008, San Francisco banned tobacco products in pharmacies, becoming the first U.S. city to do so. Boston and Needham, Mass., followed the next year with similar laws. Less than 5% of cigarette revenue came from pharmacies in 2009, according to the Center for Global Tobacco Control. 
 
 Walgreens resisted the San Francisco ban and issued an alert arguing that removing cigarettes from drugstores would "force smokers to liquor stores, tobacco shops, gas stations and other retailers that don't carry smoking cessation products and don't have pharmacists available for advice on quitting." 
 
 On Wednesday, Walgreens spokesman Michael Polzin said the company would "continue to evaluate the choice of products our customers want, while also helping to educate them and providing smoking cessation products and alternatives that help to reduce the demand for tobacco products." 
 
 Walgreens said it is working with GlaxoSmithKline Consumer Healthcare to run a free online program called Sponsorship to Quit, targeting smokers who want to stop. 

 CVS decision comes amid renewed anti-smoking efforts. 
 
 Dr. Otis Brawley, chief medical officer at American Cancer Society. (Photo: Michael A. Schwarz) Story Highlights CVS' decision to stop selling cigarettes could help smokers quit and avoid relapsing, experts say 
 
 Forcing smokers to drive even two extra blocks decreases their likelihood of buying tobacco 
 
 Restricting cigarette purchasers is especially effective for preventing teen smoking, experts say 
 
 The decision by CVS to stop selling cigarettes could help to cut smoking rates substantially, especially because the move comes at a time of increased pressure on the tobacco industry from a number of fronts, health experts say. 
 
 "It is a big deal — one of those death knell events the tobacco industry has feared for some time," says Thomas Glynn, director of cancer science and trends at the American Cancer Society. 
 
 Research shows that making cigarettes even slightly less accessible has a measurable effect on smoking, especially for kids, who have fewer ways to get tobacco, says Otis Brawley, the Cancer Society's chief medical officer. 
 
 "It's an act of corporate courage," says Brawley, who says the Cancer Society has pressured pharmacies to ban cigarettes for several years. 
 
 Studies show that being forced to travel just two extra blocks can deter someone from buying cigarettes, Brawley says. Brawley notes that retailers have known for decades about the importance of positioning products near cash registers, to increase "impulse" buys. 
 
 Canada has reduced cigarette sales simply by requiring retailers to store them under the counter, where they're invisible to customers, says Richard Hurt, director of Mayo Clinic's Nicotine Dependence Center. He notes that tobacco companies pay convenience stores a lot of money to position cigarette ads prominently near the register. "The tobacco industry has known for decades that if they can place their products in customers' faces, they have more attractiveness," Hurt says. 
 
 Brawley says he hopes CVS' decision will pressure pharmacies such as Walgreens, which donates a lot of money to the Cancer Society, to also stop selling tobacco. 
 
 "If the cigarettes are right in front of you, if they're convenient, you are more likely to buy them," Brawley says. "This is especially true of people who are struggling to quit." 
 
 The CVS announcement comes amid a number of renewed efforts to combat smoking, including some timed to coincide with the 50th anniversary of the first Surgeon General report on smoking. 
 
 • The Food and Drug Administration on Tuesday announced a $115 million anti-smoking campaign. On Monday, the Centers for Disease Control and Prevention began its third round of anti-smoking ads. Over the past two years, the CDC has spent $162 million on the ads, called "Tips from Former Smokers," which have been credited with helping 100,000 Americans quit smoking. This summer, the American Legacy Foundation will launch the latest version of its "truth" campaign, which has been credited with preventing 450,000 kids from becoming smokers from 2000 to 2004. 
 
 • A Surgeon General report on smoking last month estimated that tobacco kills 480,000 Americans a year, for a total of 20 million Americans in the past 50 years. In addition, 5.6 million children will die of smoking-related illness unless the country takes immediate action. 
 
 • Tobacco companies last month reached an agreement with the Justice Department on publishing corrective statements that say the companies lied about the dangers of smoking. The long-awaited advertising campaign was ordered in 2006 by U.S. District Court Judge Gladys Kessler, who found tobacco companies guilty of violating civil racketeering laws and lying to the public about the dangers of smoking and their marketing to children. Because tobacco companies are still appealing part of that ruling, and Kessler has to sign off on the ads' final language, it could take another year or two before the ads actually appear, says Matthew Myers, president of the Campaign for Tobacco-Free Kids. 
 
 • Lawmakers in Kentucky, which has the nation's highest adult smoking rate, at 28%, are considering legislation this week to make workplaces smoke-free. "Momentum is strong" to pass the bill, which has the support of Kentucky's governor, says Bronson Frick, spokesman for Americans for Nonsmokers' Rights. Twenty-six states and Washington, D.C., now ban smoking in indoor public places. 
 
 Some question how much impact CVS' decision will have. 
 
 Jerome Reisman, a senior partner at Reisman Peirez Reisman & Capobianco, a law firm in Garden City, N.Y., predicts the tobacco ban will have a "small financial impact on retail sales." Euromonitor International, which tracks industry trends, reports that pharmacies sold fewer than 4% of all cigarettes sold in 2012. 
 
 David Howard, a spokesman for R.J. Reynolds Tobacco, says: "We value the long-term relationship we had with CVS and respect their commercial decision. We will work with them as they transition out of the tobacco category in the coming months." 
 
 (Photo: Jeff Franko) 
 
 Thomas Frieden, director of the Centers for Disease Control and Prevention and a longtime anti-smoking advocate, notes that the tobacco industry still spends $8.5 billion on marketing each year. "They remain a very formidable enemy," Frieden says. "They are really trying to squeeze every last dollar out of the people they kill." 
 
 But Frieden also says the "days of the tobacco industry are numbered." He notes that a majority of Americans who have ever smoked (about 50 million) have already quit. Most of the country's 42 million current smokers want to quit, he says. 
 
 "There's growing momentum to resume the rapid downward course of smoking and thus the upward course of health," Frieden says. 
 
 Steven Schroeder, a professor at the University of California-San Francisco, says the country could do far more to combat smoking. Only two states, for example, meet the CDC's goals on spending for anti-smoking efforts, such as educational campaigns. "We're a long way from the endgame," Schroeder says. "But we are a lot closer." 
 
 Ending the tobacco epidemic takes "political will," says Stanton Glantz, a professor at the University of California-San Francisco. 
 
 The White House "has the power to fix the tobacco problem in a few years, if they would just get off their behinds." 
 
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– With hundreds of thousands of retailers in the US selling cigarettes, will CVS' landmark decision to end tobacco sales have any effect on smoking rates? Experts say it could have a major impact, both by putting more pressure on the tobacco industry and making it a little harder for people to get their smokes, USA Today finds. Studies have shown that having to travel just two extra blocks can make the difference between buying and not buying cigarettes, and tobacco firms have long sought to boost "impulse" buys by having their products near cash registers, says Otis Brawley, the American Cancer Society's chief medical officer. "If the cigarettes are right in front of you, if they're convenient, you are more likely to buy them," he says. "This is especially true of people who are struggling to quit." But other pharmacy chains like Walgreens might not hurry to follow CVS' lead, the Los Angeles Times reports. The chain, which argues that banning tobacco sales would send smokers to outlets like liquor stores "that don't carry smoking cessation products and don't have pharmacists available for advice on quitting," said yesterday that it will "continue to evaluate the choice of products our customers want" while continuing to provide those smoking cessation goods. The Consumerist sees the statement as "actually trying to shill for some sort of smoking cessation program ... because there is much more money to be gained by selling people both the product they are addicted to and a program that may help them quit."