Following the 2As & R approach, health providers who ASK about tobacco use, ADVISE patients to quit and REFER the patients to resources, are a powerful source of motivation for patients. Referring often goes hand-in-hand with recommending nicotine replacement therapy and prescribing quit medications like Zyban® (Bupropion), which are low-cost or free in Vermont.

Use the 2As & R method as an efficient brief intervention with every patient who uses tobacco or e-cigarettes.

For more details on this method, watch QuitNow New Hampshire’s Module on 2As & R. (13:30)

2As & R: Ask, Advise, Refer
Download 2As & R info cards (PDF)  for you and your practice.
Ask your coding and billing team to review these counseling codes to get reimbursed for using this method.

E-cigarettes and Other ENDS

Electronic nicotine delivery systems (ENDS) are not regulated by the U.S. Food and Drug Administration and not approved by the FDA as a cessation aid.

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