Leveraging Community Pharmacists to Optimize Smoking Cessation Services for Rural Smokers in Appalachia

Study participants will be rural cigarette smokers from Virginia, Tennessee, Kentucky and North Carolina who visit one of the participating study pharmacies. Pharmacies will be located in rural geographic areas of the Central and South Central subregions of Appalachia that include Virginia, Tennessee, Kentucky and North Carolina, as defined by the USDA Rural-Urban Continuum Codes (RUCC) 4-9, Rural-Urban Commuting Area (RUCA) codes 4-10, or Frontier and Remote (FAR) areas level 4. No exclusionary criteria are based on race, gender, or age. Inclusion Criteria include: * must be 18 years of age and older * must be able to read, speak, and understand English * must report smoking at least 5 cigarettes per day for the past 6 months (regardless of non-cigarette tobacco product use) * must be willing to set a quit date within the next 30 days * must own a cell phone * must be willing and able to use NRT in the form of patch or lozenge * Not be pregnant or planning to be pregnant in the next 6 months. Exclusion Criteria include: * are pregnant women (self-reported), breastfeeding, planning to become pregnant during the next 6 months * have a medical contraindication to NRT (e.g., past 30 days, heart attack or stroke; past 6 months, serious or worsening angina, very rapid or irregular heartbeat requiring medication)