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U.S. Anti-Doping Agency (USADA)

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APPLY FOR A THERAPEUTIC USE EXEMPTION (TUE)

If you determined that a Therapeutic Use Exemption (TUE) is needed, please follow the steps below to complete the TUE application.

TUE Application Steps

Click on each step to open the details.

Step 1: Determine if a TUE is needed.

If you determined that a Therapeutic Use Exemption (TUE) is needed, please follow the steps below to complete the TUE application.

Step 2: Find your condition.

Please download all relevant documents for your specific medical condition. If your condition is not listed, please choose the “Other Conditions” option.

ADHD (Stimulants)
USADA Checklist
WADA Guidelines

Adrenal Insufficiency (Glucocorticoids, Mineralocorticoids, DHEA*)
USADA Checklist
WADA Guidelines

Anaphylaxis (Epinephrine, Glucocorticoids, B2 Agonists)
USADA Checklist
WADA Guidelines

Androgen Deficiency/Male Hypogonadism (Testosterone, hCG – Human Chorionic Gonadotropin) 
USADA Checklist
WADA Guidelines

Asthma (B2 Agonists & Inhaled Glucocorticoids)
USADA Checklist
WADA Guidelines

Cardiovascular Conditions (Beta-blockers)
USADA Checklist
WADA Guidelines

Diabetes Mellitus (Insulin) 
USADA Checklist
WADA Guidelines

Female & Male Infertility/PCOS (Aromatase Inhibitors, Clomiphene Citrate, hCG, Letrozole, Spironolactone) 
USADA Checklist – FEMALE
USADA Checklist – PCOS
USADA Checklist – MALE

WADA Guidelines

Growth Hormone Deficiency – Adult (recombinant human growth hormone – rhGH) 
USADA Checklist
WADA Guidelines

Growth Hormone Deficiency – Child & Adolescent (recombinant human growth hormone – rhGH) 
USADA Checklist
WADA Guidelines

Inflammatory Bowel Disease (Glucocorticoids) 
USADA Checklist
WADA Guidelines

Intravenous Infusions (e.g. Normal Saline Solution – NSS, Lactated Ringer’s Solution – LRS, Dextrose in Water – D5W/D2.5W/D5LRS) in excess of 100mL/12hours and/or with a prohibited substance 
USADA Checklist
WADA Guidelines

Intrinsic Sleep Disorders (Stimulants) 
USADA Checklist
WADA Guidelines

Musculoskeletal Conditions (Glucocorticoids, Narcotics) 
USADA Checklist
WADA Guidelines

Neuropathic Pain (Narcotics, Cannabinoids) 
USADA Checklist
WADA Guidelines

Other Conditions
USADA Checklist

Renal Transplantation (Glucocorticoids, Beta-Blockers, Diuretics, Erythropoietin-EPO) 
USADA Checklist
WADA Guidelines

Sinusitis/Rhinosinusitis (Glucocorticoids, Pseudoephedrine)  
USADA Checklist
WADA Guidelines

Transgender Athletes/Gender Dysphoria (Gender-affirming Hormones, Androgen or Anti-androgenic therapy) 
USADA Checklist
WADA Guidelines

Step 3: Download the appropriate TUE application.

If your sport or federation is listed in the list below, download the corresponding PDF application.

Everyone else should download the General USADA TUE Application only.

General USADA TUE Application

FEI (Equestrian)

Paralympics (IPC)

Wrestling (UWW)

Step 4: Complete the TUE application and collect medical documents.

Bring all forms and guidelines with you to your doctor’s visit.

Work with your physician to fill out the TUE application and collect supporting documents listed on the guidance document for your condition. Please ensure that your physician has correctly completed all medical information & diagnosis, medication details, and physician declaration sections in the TUE application.

Please note that any TUE application submitted to USADA without medical documentation will be returned to the athlete and will not be processed.

Step 5: Review your TUE application. 

Please review your TUE application to ensure that it is complete and includes the proper medical documentation to support your medical diagnosis, and is organized in a logical fashion. All TUE applications must contain sufficient medical information, including clinic and laboratory testing notes, to allow the USADA TUE Committee make the same diagnosis and arrive at the same treatment plan as your physician without ever seeing you as a patient.

To ensure all components are included in the applications submission, we recommend athletes submit the TUE application and medical documents at the same time. We consider it best practice for athletes to keep a copy of the entire application packet for their records.

Step 6: Submit COMPLETED application to USADA.

Submit your application by email to tue@USADA.org or by fax to 719-785-2029. For those sports with a sport specific international federation TUE, you may submit the application to USADA and we will handle getting the application information to your international federation.

Please note that any TUE application submitted to USADA without medical documentation will be returned to the athlete and will not be processed.

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