Fact Sheet

Tobacco use: Oklahoma 2026

Topic

Smoking by Region

Subtopic

State Facts

Cigarette use: Oklahoma 2026*

In 2024, 14.1% of adults smoked. Nationally, the adult cigarette smoking prevalence was 11.6%.
In 2018-2019, 23.0% of adults who smoked in Oklahoma smoked menthol cigarettes. Nationally, 32.3% of adult smokers used menthol cigarettes during this period.
In 2023, 4.3% of high school students in Oklahoma smoked cigarettes on at least one day in the past 30 days. Nationally, the cigarette smoking prevalence among high school students was 3.5%.

Other tobacco product use: Oklahoma*

In 2024, 10.8% of adults in Oklahoma used e-cigarettes. Nationally, the adult e-cigarette use prevalence was 8.0%.
In 2024, 5.8% of adults in Oklahoma used smokeless tobacco every day or some days. Nationally, the adult smokeless tobacco use prevalence was 2.0%.
In 2023, 21.8% of high school students in Oklahoma used electronic vapor products on at least one day in the past 30 days. Nationally, the e-cigarette use prevalence among high school students was 16.8%.
In 2023, 3.8% of high school students in Oklahoma used chewing tobacco, snuff, or dip on at least one day in the past 30 days. Nationally, the smokeless tobacco use prevalence among high school students was 2.3%.
In 2023, 6.2% of high school students in Oklahoma smoked cigars, cigarillos, or little cigars on at least one day in the past 30 days. Nationally, the cigar use prevalence among high school students was 4.5%.

Economics of tobacco use and tobacco control

Oklahoma received $401.7 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2026.
Of this, the state allocated $38.5 million in state funds to tobacco prevention in fiscal year 2026, representing 91.0% of the Centers for Disease Control and Prevention's annual spending target.
Smoking-caused health care costs: $1.88 billion per year.
Smoking-caused losses in productivity: $4.6 billion per year.

Oklahoma tobacco laws

Tobacco taxes

Oklahoma is ranked 21st in the U.S. for its cigarette tax of $2.03 per pack (enacted July 2017), compared to the national average of $2.05. New York has the highest tax at $5.35, and Missouri has the lowest at 17 cents.
Chewing tobacco, smokeless tobacco, and snuff are taxed at 60% of the factory list price. Smoking tobacco is taxed at 80% of the factory list price. Little cigars (weighing no more than three pounds per thousand) are taxed at 10.15 cents per cigar, and cigars (weighing more than three pounds per thousand) are taxed at 10 to 12 cents per cigar.

Clean indoor air ordinances

Smoking is prohibited in schools, childcare facilities, and retail stores.
Smoking restrictions are required in government workplaces (and smoking is prohibited on state government property), private workplaces, restaurants, bars, and casinos or gaming establishments. Tribal establishments are exempt.
The use of e-cigarettes is prohibited in or on school property, in school vehicles, and at school-sponsored events.
The use of e-cigarettes is prohibited on properties owned, leased, or contracted for use by the state, in those parts of the Capitol Building assigned to the House, and in body piercing and tattooing establishments.
E-cigarettes are not included in the state's indoor air laws, except in K-12 schools and on school grounds, and are not included in the state's definition of tobacco products.

E-cigarette registry laws

Effective Oct. 1, 2023, only products from e-liquid manufacturers and alternative nicotine product manufacturers that are listed in Oklahoma's state directory and have provided certification of approval through the PMTA process may be sold in the state.

Licensing laws

Retailers and wholesalers are required to obtain a license to sell tobacco products.
A license is not required to sell e-cigarette products.

Youth access laws

In December 2019, the United States adopted a law raising the federal minimum age of sale for all tobacco products to 21, effective immediately.
Establishments are required to post signs stating that the sale of tobacco products to people under 21 is prohibited.
It is unlawful to sell tobacco products in a manner that allows public access without assistance from the person displaying the product, an employee, or the store owner.
People under 21 are prohibited from buying bidis, e-cigarettes, or other nicotine or vapor products.
The distribution of free nicotine or vapor products to people under 21, or on any public street, sidewalk, or park within 300 feet of a facility primarily used by minors, such as playgrounds or schools, is prohibited.
Vending machine sales of nicotine or vapor products are restricted to locations inaccessible to people under 21, and self-service displays of nicotine or vapor products are restricted to adult-only facilities.

Quitting statistics and benefits

The CDC estimates that 51.4% of daily adult smokers in Oklahoma quit smoking for one or more days in 2019.
In 2014, the Affordable Care Act required Medicaid programs to cover all tobacco cessation medications.
Oklahoma's state quitline invests $13.58 per smoker, compared to the national median of $2.62.
Oklahoma does not have a private insurance mandate provision for tobacco cessation.

Notes and references

The datasets for both adult and youth prevalence were used to make direct comparisons at the state and national levels. National prevalence reported here may differ from what is reported in national fact sheets. The numbers here also reflect the most recent data available. Dates of available data may differ across state fact sheets.

The seven recommended cessation medications are nicotine gum, nicotine patch, nicotine nasal spray, nicotine inhaler, nicotine lozenge, varenicline (Chantix), and bupropion (Zyban).

Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service; May 2008.

Sources

CDC. (2024). Behavioral Risk Factor Surveillance System.
CDC. (2024). State Menthol Fact Sheets.
CDC. (2023). High School Youth Risk Behavior Surveillance System.
Campaign for Tobacco-Free Kids. (2026). Broken Promises to Our Children: A State-by-State Look at the 1998 State Tobacco Settlement 24 Years Later.
Campaign for Tobacco-Free Kids. (2024). The Toll of Tobacco in the United States.
American Lung Association. (2026). State Legislated Actions on Tobacco Issues (SLATI).
American Lung Association. (2026). State of Tobacco Control.
Campaign for Tobacco-Free Kids. (2024). State Cigarette Excise Tax Rates & Rankings.
Public Health Law Center. (June 15, 2024). U.S. E-Cigarette Regulations: 50-State Review.
Public Health Law Center. State E-Cigarette Registry Bill Map.
FDA. (2024). Tobacco 21.
CDC. (2024). Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System.