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U.S. Anti-Doping Agency (USADA)

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DETERMINE IF YOU NEED
A THERAPEUTIC USE EXEMPTION (TUE)

STEP 1 - DETERMINE MEDICATION STATUS
STEP 2 - COMPARE YOUR RESULTS WITH YOUR COMPETITIVE STATUS
STEP 3 - TUE PRE-CHECK WEB FORM

STEP 1 - SEARCH GLOBAL DRO

GlobalDRO logoFind out the status of your prescription and over-the-counter medications. Go to Global DRO, search each medication by brand name or active ingredients, and compare your search results with the table below. Be sure to keep record of your Global DRO Reference number from your search (found in the bottom left corner of your results page).

Can’t find your product? It might be a dietary supplement. TUEs cannot be issued for dietary supplements. Learn more about how you can realize, recognize, and reduce your risks associated with supplements at Supplement Connect.

Emergency Treatment or Emergency Surgery?

Please seek medical care prior to submitting a TUE or TUE Pre-Check Form. Keep any medical documents received during care and check medication status on Global DRO. Please review the Surgery Checklist for a detailed list of information regarding emergent/non-emergent situations.

STEP 2 - COMPARE YOUR RESULTS

Using the Global DRO results for each substance, compare your findings to the table below to see if a TUE is necessary. If you have any questions regarding the necessity of a TUE, please fill out and submit the TUE Pre-Check Form below or contact USADA.

Global DRO Results TUE Instructions
In-Competition  Out-of-Competition Registered Testing Pool (RTP) Athletes – USADA or IF
(Including USADA CAP Athletes)		 All Other Athletes
STOP HERE – A TUE is not required for this substance. STOP HERE – A TUE is not required for this substance.
A TUE is required to use or have this substance in your system during the in-competition period. Please fill out the TUE Pre-Check Form below.
A TUE is required to use this substance at any time. Please fill out the TUE Pre-Check Form below.
Please read the “Additional Info” section on your GlobalDRO search results to determine if a TUE is needed. Please fill out the TUE Pre-Check Form or contact USADA if you need clarification on the conditions.

*Registered Testing Pool (RTP) athletes are formally notified by USADA or their IF and are required to submit regular Whereabouts information. Clean Athlete Program (CAP) athletes are formally notified by USADA and are required to submit partial Whereabouts information. If this does not sound familiar, then you are probably not in an RTP.

STEP 3 - TUE Pre-check form

Please complete and submit the form below to determine if you need to apply for a TUE for your medication in question. A copy of this form will be sent to the email address entered below. If you do not receive a copy, please check your spam folder and/or resubmit the form and verify the email address is correct. Once this form is submitted successfully, you will receive a response from the USADA TUE and Drug Reference Department within 3-5 business days.

**PLEASE NOTE THAT IT MAY TAKE 3-5 BUSINESS DAYS TO RECEIVE A RESPONSE.**

    Section 1: Athlete Information
    Athlete Name:

    Date of Birth (mm/dd/yy):

    Gender: FemaleMale

    Contact Email:
    Please verify that your email address is correct as a copy of this form will be sent to you.

    Contact Phone Number:

    Athlete Sport: To select more than one sport, hold Ctrl or list other sports in the field below.

    If other, please specify your sport.:

    Section 2: TUE Pre-Check Questions
    Please answer the following questions by filling in the blanks or selecting "Yes," "No," or "Not Sure."

    Please list all prohibited or conditional substances and medications you are currently taking. Please include the substance, dosage, route of administration, and frequency of the medications. Example: Albuterol (90mcg, inhaled, two puffs daily). You can check the status of your medication at Global DRO.


    Treatment Duration:


    Global DRO Reference Number(s) You can get a Global DRO Reference Number by checking the status of your medication on Global DRO.


    1. Are you now, or have you ever been, in USADA’s Registered Testing Pool (RTP), or an International Federation (RTP)? You would have been formally notified if you were added to a RTP, and you would be required to submit regular whereabouts information. If this does not sound familiar, then you are probably not in a RTP.
    YesNoNot Sure

    2. Are you planning to compete in any event sanctioned by an International Federation, the IOC or the USOPC or Pan-American Event Organization? If you are not sure, go to the event website to determine which organization is sanctioning the event. Keep in mind sometimes international events are held in the USA.
    YesNoNot Sure



    3. Are you planning to compete at an event which could immediately result in National Team selection for an Olympic, Paralympic, Pan- or Para-Pan American Games, including the Youth Olympic Games (e.g., any Olympic Trials named event)?
    YesNoNot Sure

    4. Do you receive USOPC funding?
    YesNoNot Sure

    5. Have ever tested positive in an anti-doping test?
    YesNoNot Sure

    6. Are planning to compete in the “Open,” “Professional,” or “Elite” category of a National championship? If you are competing in a National Championship, but in an age-group, Junior, or Masters category, then the answer to this question is No. If you are unsure about this question, please select "Not Sure" and provide your event and category details in the box below
    YesNoNot Sure



    7. Please list the names and dates of your upcoming competitions. If you are competing in the next 7 days and are taking a prohibited substance, please begin collecting the necessary TUE Application materials as soon as possible.


    8. Additional Comments or questions for USADA's TUE Team.


    Click here for more information on USADA’s Privacy Policy.

    TUE Questions? Contact Us.

    Drug Reference Line
    Toll-Free Phone: (800) 233-0393
    Phone: (719) 785-2080
    Email: drugreference@USADA.org

    TUE
    Phone: (719) 785-2045
    Email: tue@USADA.org

    USADA
    Toll-Free Phone: (800) 601-2632

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