• Prescriber’s AHPRA registration number

• Business / Practice name;
• Email address;
• Physical address

• Select ‘Medicine‘

• Search for and select ‘Nicotine‘

• Select ‘Solid/liquid‘

If filing on behalf of prescriber:

• Smoking cessation or management of nicotine dependence in patients aged 16 and over (M164)

If filing on supply of S3 vapes:

• Smoking cessation or management of nicotine dependence in patients 18 and over, concentration 20mg/mL or less (M165)

Select one of the following:

• Nicotine vaping product; or
• Zero-nicotine vaping product; or
• Combination of the above

If filing on behalf of prescriber:

• Quantity of vaping product prescribed + Number of repeats

If filing on supply of S3 vapes:

• Quantity of S3 vapes supplied

• Date of dispensing

• Patient initials;
• Gender; and
• Date of birth

Either:

• ‘Smoking cessation’ (for dependent smoker); or
• ‘Management of nicotine dependence’ (for dependent vaper)

If filing on behalf of prescriber, ask patient if alternative options were discussed.

• If so, select ‘Yes’

If filing on supply of S3 vapes:

• Select ‘Yes’

• Select ‘No‘

• Select ‘Yes‘

• Retain a copy of the SAS-C notification receipt for your records
• The SAS-C notification number appears on the top right-hand side of the receipt
• If filing on behalf of prescriber, forward a copy of the SAS-C notification receipt to the prescribing practitioner