Therapeutic Use Exemptions (TUEs) - Asian Games 2022

You can contact us to submit a TUE starting 2 January up to 20 February 2022.

Before 2 January 2022

You should follow the normal process and submit new requests to your IF or NADO. Pre-existing TUEs will follow the recognition process provided they are entered in ADAMS.

Between 2 January and 20 February 2022

All athletes participating in the Asian Games should apply as a first resort to the ITA’s TUE office located in the polyclinic of the Olympic Village.

FOR SECURITY REASONS, NO EMAIL APPLICATIONS ARE ACCEPTED

1 – Fill in the TUE form, sign it and have it signed by your physician.

2 – Gather all the necessary supporting medical documentation (Resources List | World Anti-Doping Agency (wada-ama.org))

3a – Bring the form and the supporting documentation to the TUE office situated in the polyclinic of the  Village (go to the bottom of the page for more information on opening hours of the TUE office).

OR

3b – Submit the form and the supporting documentation directly in ADAMS, if you are familiar with the process. You can call us at +41 21 612 12 72 (or the local numbers +86 166 2024 0697 and +852 6811 6558 from 3 February to 19 February) should you require support.

For any other situations, please contact us by phone so that we can assess the situation and help you submit your application.

TUE Office opening days: From 4 February to 19 February 2022

TUE Office opening hours: 9h00 – 12h00 and 13h00 – 17h00 (GMT +8)

TUE Office location: Please refer to the map below

In case of absence, or outside opening hours, you can reach us by phone from 8h00 to 20h00 (GMT +8) at the following numbers: +41 21 612 12 72 (swiss number) or +86 166 2024 0697 and +852 6811 6558 (local numbers, only from 3 February to 19 February)

Please note:

You can prepare for our meeting by doing the following:

• read this page carefully
• visit www.globaldro.com to check if your substance is prohibited
• Fill in the TUE form, sign it and have it signed by your physician

Gather all the necessary supporting medical documentation.

Athletes may have illnesses or conditions that require them to take medications or undergo procedures. If the medication or method an athlete is required to use to treat an illness or condition is prohibited as per the World Anti-Doping Agency’s (WADA) Prohibited List, a TUE may give that athlete the authorisation to use that substance or method while competing without invoking an anti-doping rule violation (ADRV) and applicable sanction. Applications for TUEs are evaluated by a panel of physicians, the TUE Committee (ITUEC).

NADO TUEs are only valid for national-level Competition and Out-of-Competition Testing.

Athletes participating in the Asian Games 2022 are subject to anti-doping rules and would need a TUE to take a prohibited substance or use a prohibited method. You can also verify with us if you can apply retroactively. Please see chapter below on “HOW TO APPLY TO THE ITA’S ITUEC FOR A TUE?”

Before 2 January 2022

You should follow the usual process defined by your IF and NADO, and submit new requests to your IF or NADO. Pre-existing TUEs will follow the recognition process provided they are entered in ADAMS.

Between 2 January and 20 February 2022

All Athletes participating in the Asian Games should apply as a first resort to the ITA’s TUE office located in the polyclinic of the Olympic Village.

First, check if the required medication or method you intend to take or use is prohibited as per the WADA Prohibited List.

For this, you may also use a ‘check your medication’ online like  Global Drug Reference Online  or consult your National Anti-Doping Organisation (NADO).

You have a responsibility to inform your physician(s) that you are an athlete bound to anti-doping rules. You and your physician(s) should check the  Prohibited List  for whatever substance/method you are prescribed. If the substance/method is prohibited, discuss non-prohibited alternatives, if there are none, apply for a TUE. Remember athletes have the ultimate responsibility.

Contact  ITA’s ITUEC  if you are having difficulties (tue@ita.sport).

Then, contact  ITA’s ITUEC  to determine your TUE application requirements but please remember that TUE applications will not be accepted by email.

You must apply for a TUE, as soon as the need to use the substance or method arises, unless there are emergency or exceptional circumstances.

For substances prohibited in-competition only, you should apply for a TUE at least 30 days before your next competition, unless one of the exceptions on retroactive TUEs (see below) apply.

Please refer to the section “HOW TO APPLY FOR A TUE?” section above.

If you already have a TUE granted by your National Anti-Doping Organisation (NADO) or International Federation (IF), your TUE will be automatically recognized for the Period of the Games.

All of the four following criteria must be met (for more details, please refer to the WADA International Standard for Therapeutic Use Exemptions (ISTUE) Article 4.2):

• The athlete has a clear diagnosed medical condition, which requires treatment using a prohibited substance or method;
• The therapeutic use of the substance will not, on the balance of probabilities, produce significant enhancement of performance beyond the athlete’s normal state of health;
• The prohibited substance or method is an indicated treatment for the medical condition, and there is no reasonable permitted therapeutic alternative;
• The necessity to use that substance or method is not the consequence of the prior use (without a TUE), of a substance or method which was prohibited at the time of use.

You may only apply retroactively for a TUE to ITA’s ITUEC if:

• You required emergency or urgent treatment of a medical condition.
• There was insufficient time, opportunity or other exceptional circumstances that prevented you from submitting the TUE application or having it evaluated, before getting tested.
• As per the International Olympic Committee anti-doping rules you were not permitted or required to apply in advance for a TUE.
• You tested positive after using a substance Out-of-Competition that was only prohibited In-Competition (for example glucocorticoids).
• In rare and exceptional circumstances and notwithstanding any other provision in the ISTUE, you may apply for and be granted retroactive approval for a therapeutic use of a prohibited substance or method, if considering the purpose of the Code, it would be manifestly unfair not to grant a retroactive TUE. An Anti-Doping Organization may grant an Athlete’s application for a retroactive TUE pursuant to this Article only with the prior approval of WADA (and WADA may in its absolute discretion agree with or reject the Anti-Doping Organization’s decision).

Important note:

Using a prohibited substance or method without a TUE could result in an Anti-Doping Rule Violation.

In case an application for a retroactive TUE is necessary following sample collection, you are strongly advised to have a medical file prepared and ready to submit for evaluation.

FOR SECURITY REASONS, NO EMAIL APPLICATIONS ARE ACCEPTED

1 – Fill in the TUE form, sign it and have it signed by your physician.

2 – Gather all the necessary supporting medical documentation (Resources List | World Anti-Doping Agency (wada-ama.org))

3a – Bring the form and the supporting documentation to the TUE office situated in the polyclinic of the Beijing Olympic Village.

OR

3b – Submit the form and the supporting documentation directly in ADAMS, if you are familiar with the process. You can call us at +41 21 612 12 72 (or the local numbers +86 166 2024 0697 and +852 6811 6558 from 3 February to 19 February) should you require support.
We can also help you in person, at the TUE office situated in the polyclinic of the Beijing Olympic Village.

For any other situations, please contact us by phone so that we can assess the situation and help you submit your application.

Your TUE application must be submitted in a legible form using capital letters or typing.

The medical file must include:

• A comprehensive medical history, including documentation from the original diagnosing physician(s) (where possible),
• The results of all examinations, laboratory investigations and imaging studies relevant to the application.
• Any costs incurred by the athlete in making the TUE application and in supplementing it as required by the ITA’s ITUEC are the responsibility of the athlete.
• Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and re-submission.
• To assist you and your doctor in providing the correct medical documentation, we suggest consulting the  WADA’s Checklists for TUE applications  for guidance and support during the TUE application process, and  Medical Information to Support the Decisions of TUECs  for guidance on specific common medical conditions, treatments, substances, etc.
• Keep a complete copy of the TUE application form and all medical information submitted in support of your application, and proof that it has been sent.

The TUEC shall be entitled, including prior to the Period of the Asian Games 2022, to review any TUE in order to ensure that it meets the criteria set out in the International Standard for Therapeutic Use Exemptions and, if necessary, request the provision of further supporting documentation. If the TUEC decides to review a TUE and determines that it does not meet the aforementioned criteria, and, accordingly, refuses to recognise it, it must notify the Athlete, the Athlete’s NOC and the granting Athlete’s National Anti-Doping Organisation or International Federation, and WADA promptly, explaining its reasons. Such decision shall also be reported via ADAMS. (Article 4.4.5 of the Anti-doping rules)

Where the athlete already has a TUE granted by the Athlete’s National Anti-Doping Organisation or International Federation and such TUE is available on ADAMS, the athlete does not need to apply for the recognition of this TUE which shall be automatically recognised.

The ITA’s ITUEC must render a decision as soon as possible, and usually within 21 days from the date of receipt of the complete TUE application, unless in exceptional circumstances. Nevertheless, during the Asian Games, treatment times are in average much shorter and all efforts will be made to provide a decision before a competition takes place.

Each TUE has a specific duration, at the end of which it expires automatically. Should you need to continue to use the prohibited substance or method, it is your responsibility to submit a new application for a TUE with updated medical information ahead of the expiry date, so that there is sufficient time for a decision to be made prior to the expiry of the current TUE. 

Important note:

The presence (following sample collection), use, possession or administration of the prohibited substance or method must be consistent with the terms of your TUE. Therefore, if you require a materially different dosage, frequency, route or duration of administration, you should contact the ITA’s ITUEC, as you may be required to apply for a new TUE. Some substances and dosages, e.g. insulin, are often modified during treatment and these possible fluctuations should be mentioned by the treating physician in the TUE application and would usually be accepted by the ITA’s TUEC.

TUEs granted during the at the Asian Games 2022, are only valid during the period of the Games. Should you have a chronic condition, or a treatment that is needed outside this period, you should contact your NADO or IF in order to prolong or renew your TUE.

A decision by the TUEC not to grant or not to recognise a TUE may be appealed by the athlete exclusively to WADA. If the athlete does not appeal (or WADA decides to uphold the refusal to grant/recognise the TUE and so rejects the appeal), the athlete may not use the prohibited substance or prohibited method in question in relation to the Asian Games, but any TUE granted by the athlete’s National Anti-Doping Organisation or International Federation for that substance or method remains valid outside of the Asian Games 2022.

The email address to enquire and/or send the request for review is: medical@wada-ama.org

All the information contained in a TUE application, including the supporting medical information and any other information related to the evaluation of your TUE request is kept strictly confidential and treated in accordance with the Athlete’s Declaration contained in the ADAMS TUE and in the TUE Application Form which can be found below. All members of the ITA’s TUEC and any other authorised recipients of your TUE request and related information (as described in the Athlete’s Declaration) are subject to a professional or contractual confidentiality obligation.

Please review the terms of the Athlete’s Declaration carefully. In particular, note that should you wish to revoke the right of the ITA’s TUEC to obtain the information related to your TUE in accordance with the Athlete’s Declaration, your TUE application will be deemed withdrawn without approval [or recognition] being granted.

Your TUE request-related information will be retained by the ITA’s ITUEC and any other authorised recipients for no longer than necessary for the purposes stated in the Athlete’s Declaration, in accordance with the International Standard for the Protection of Privacy and Personal Information.