United States Anti-Doping Agency - Drug Reference Resources and Therapeutic Use Exemptions (TUE)

Drug Reference Resources and Therapeutic Use Exemptions (TUE)

Athletes subject to testing by USADA have access to a number of resources designed to help athletes understand prohibited substances and if specific medications are prohibited according to the WADA prohibited List. In addition to a drug reference phone line, where athletes can speak to an expert, USADA has partnered with UK Anti-Doping (UKAD) and the Canadian Centre for Ethics in Sport (CCES) to provide the Global Drug Reference Online (GlobalDRO) tool. The tool allows athletes to search for the prohibited or not-prohibited status of a medication, by brand or generic drug name as well as drug ingredient.

USADA also allows athletes to apply for and obtain a therapeutic use exemptions (TUEs) when a legitimate medical need for a prohibited substance exists. The USADA TUE process is consistent with the WADA International Standard for Therapeutic Use Exemptions. TUE applications are reviewed by a TUE Committee consisting of independent doctors and medical experts. The TUE process varies depending on competition level. USADA's TUE process is considered strict, and a TUE is not always granted for applications.

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