WADA - At-a-Glance Therapeutic Use Exemptions

Therapeutic Use Exemptions At-a-Glance Version1 March 2021What? Athletes may have an illness or medical condition that requires a particular medication. If this medication contains a banned substance (one that appears on the Prohibited List), they may need to apply for a Therapeutic Use Exemption (TUE). This gives the athlete an exemption to take the medication, while competing in sport. Why? TUEs ensure that athletes can obtain treatment for a legitimate medical condition - even if that treatment includes a prohibited substance or method. While protecting clean athletes an enabling competition on a level playing field, the TUE process avoids the risk or sanctions. Who? Any athlete who may be subject to testing (doping control) must obtain a TUE if they are taking a prohibited substance or using a prohibited method. All information shared in a TUE application remains strictly confidential. When? A TUE application should be submitted as soon as possible. For substances banned in-competition only, athletes should apply for a TUE at least 30 days before their next competition, unless it is an emergency or exceptional situation. In such cases, a TUE may be applied for retroactively. Therapeutic Use Exemptions2The TUE Process The athlete should check the website of the relevant Anti-Doping Organization (ADO) to get a TUE application form. Not sure which organization the athlete should go to for a TUE form? • National-level athletes: contact the National Anti-Doping Organization (NADO) • International-level athletes: contact the International Federation (IF) • At a Major Games: contact the Major Event Organizer (MEO) The athlete's physician fills out the TUE application form. Then the athlete sends it to their ADO.

Once a TUE is requested, a panel of experts (a TUE Committee) selected by the ADO reviews the TUE application and will grant a TUE if it meets the following criteria: a. The prohibited substance or method is needed to treat a diagnosed medical condition. b. The substance does not enhance performance, it just brings the athlete back to normal health. c. There are no reasonable, permitted, alternative treatments available. d. The need to use the substance or method is not due to the prior use of the substance or method without a valid TUE. The ADO advises if a TUE has been approvedso the athlete has an exemption to use the requested medication, while continuing to participate in sport. If a TUE is denied (the TUE has not been approved) the athlete will be informed of the reasons. Athletes have the right to appeal the decision. Contact the ADO to find out how to do so. 3Important Facts and Highlights from WADA’s AthMarch uide2021 2 3 4 1 3HEADQUARTERS 800 Place Victoria, Suite 1700, P.O. Box 120, Montreal, QC, H4Z 1B7, Canada • Tel.: +1.514.904.9232 •

Fax: +1.514.904.8650

AFRICA

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Tel.: +27.21.483.9790 • Fax: +27.21.483.9791

ASIA/OCEANIA

C/O Japan Institute of Sports Sciences, 3-15-1 Nishigaoka, Kita-Ku, Tokyo, 115-0056, Japan •

Tel.: +81.3.5963.4321 • Fax: +81.3.5963.4320

EUROPE Maison du Sport International, Avenue de Rhodanie 54, 1007 Lausanne, Switzerland • Tel.: +41.21.343.43.40 •

Fax: +41.21.343.43.41

LATIN AMERICA

World Trade Center Montevideo, Tower II, Unit 712, Calle Luis A De Herrera 1248, Montevideo, Uruguay •

Tel.: +598.2.623.5206 • Fax: +598.2.623.5207

TUEs - final word Reminders for athletes: Declare the medication on their Doping Control Form. Specify that a TUE has been granted. Keep a copy of their TUE with them. And remember, WADA does not grant TUEs. WADA’s regulatory documents are available on the Agency’s website. The material that WADA provides on its ADEL platform is intended for educational and informational purposes only. Any content or language used within the ADEL material would not supersede the provisions of the World Anti-Doping Code and/or the International Standards. ADEL and its education courses and information resources are managed by WADA and published by WADA in English as a minimum. In any case of any discrepancies between the English version or any version sponsored by an Anti-Doping Organization, the English version shall prevail. wada-ama.org info@wada-ama.org facebook.com/wada.ama twitter.com/wada_ama The procedures for applying for and granting a TUE are outlined in the International Standard for TUEs (ISTUE) and the ISTUE Guidelines published by WADA and available on its website. To find specific information about TUEs contact your IF or NADO.