To the Editor Drs Brennan and Schroeder1 are not the first to suggest that selling cigarettes in US pharmacies normalizes smoking by sending the message that smoking “cannot be all that unhealthy” if health-related facilities are selling them. However, paradoxically, an alternative approach to reducing access to tobacco and denormalizing smoking could be to legally limit tobacco sales only to pharmacies (and ban the sales of tobacco products from all other retail outlets). There are several potential advantages of such an approach.