Regulation for non-testing pool athletes

If you have to use substances or methods that are defined on WADA's Prohibited List, you should make sure to keep an up-to-date medical documentation (for example in the form of discharge letters, medical reports, examination results, laboratory results). Should it be necessary to apply for a retroactive Therapeutic Use Exemption after a doping test in the future, these documents must be submitted to NADA Germany.

In the event of a doping test, declare all medications that you are using or have used in the last seven days. You should also declare blood donations, infusions and operations. We recommend that you bring a list of all medications you are using to the competition and hand it to the doping control officer during the doping test.

If you use prohibited substances and are tested in-competition, a so-called result management procedure due to a possible anti-doping rules violation is formally initiated. In the course of this process, athletes who are not member of a NADA Germany testing pool or a sports league that requires prospective TUEs, have the option to apply for a retroactive Therapeutic Use Exemption. NADA Germany will request you to send the application in writing and will inform you of the documents to be submitted. As soon as all documents have been received, NADA Germany's Committee for Therapeutic Use Exemptions (TUEC) will decide on your application. Once the application has been approved, the results management process will be closed. There will be no anti-doping rules violation in this case.

Regardless of the disease, the following documents are important in any case:

• completely filled TUE application form
• current comprehensive letter from the treating specialist physician with information on the medical history, the current medication and the estimated duration of the treatment
• Medical justification why no permitted alternatives can be used (e.g. did not show sufficient effect, no permitted alternatives available)
• Medical report of initial diagnosis
• Documentation of the course of the disease since the initial diagnosis until today.

Depending on the disease, further documents may also be requested by NADA Germany. The scope of the application may vary depending on the medication and the duration of the disease. All applications are processed by NADA Germany's Medical Department. If documents are missing, they will be requested.

No, each application is assessed individually and evaluated by NADA Germany's Committee for Therapeutic Use Exemptions (TUEC). Globally applicable criteria according to which the TUEC assesses TUE applications are published by WADA. If a TUE application meets these criteria, it is approved by the TUEC.

Possible reasons for a rejection of a TUE-application may include:

• WADA's requirements for the therapeutic use of the prohibited substance or method were not met.
• The required documentation was not submitted in due time.
• The prohibited substance was used on one's own authority without a medical prescription.
• The substance listed in the application form is not compatible with the diagnosis and medical history.

The rule for non-testing pool athletes described above only applies to national competitions in Germany. Some International Federations require a TUE in advance from certain or all participating athletes, regardless their NADA Germany's testing pool status. Non-testing pool athletes who participate in international events or in competitions in other countries should contact their international federation about the applicable rules.