Electronic nicotine delivery systems prohibited unless approved under Drugs and Cosmetics Act, restricting sale, manufacture, import and advertising. ENDS (e-cigarettes, heat-not-burn devices, vapes, e-sheesha and the like) pose health risks and are not approved as NRTs under the Drugs and Cosmetics Act; States are advised to prohibit their sale, manufacture, distribution, import and advertisement except where expressly approved under the Act, and customs officers must refer import consignments to Assistant/Deputy Drugs Controllers and deny clearance of non-compliant goods.