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.
Please download all relevant documents for your specific medical condition (including both the USADA checklist and WADA guidelines). If your condition is not listed, please choose the “Other Conditions” option.
ADD/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 – PCOS
WADA Guidelines – Female Infertility
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
Pain Management (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
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.
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.
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.
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.
**PLEASE NOTE THAT IT MAY TAKE 3-5 BUSINESS DAYS TO RECEIVE A RESPONSE.**