Therapeutic Use Exemptions
There is a process which allows you to take a medication containing a banned substance if you need to for medical reasons. This is called a Therapeutic Use Exemption (TUE).
You may need to apply for a TUE if you get sick or injured and require medication or if you have an ongoing medical condition that requires treatment, such as diabetes or asthma.
If athletes compete at a certain level and in certain competitions, they may need to apply for a TUE before they take medication which contains a prohibited substance.
If you meet any of the following criteria, you will need a TUE in advance of competing:
- assigned to DFSNZ's Registered Testing Pool or National Testing Pool,
- selected in a New Zealand Olympic, Paralympic, or Commonwealth Games team,
- if you are registered, qualified, selected, named or contracted for the listed teams and events:
|Level of competition at which a TUE in advance is required|
|Athletics||Athletes who enter in the senior category at the National Track and Field Championships||Black singlet competitions||World Athletics|
Athletes who are selected in the Breakers Squad.
Athletes who are selected in the National Basketball League (men) or Women's Basketball Championships Squads.
Tall Blacks squad (men)
Tall Ferns squad (women)
|Canoeing||Athletes who enter in the Open Age category at the Canoe Spring National Championships||Athletes selected in the Canoe Racing NZ Open National team (men and women)||ICF|
Plunket Shield, 50 Over and T20 competitions (men)
Women's One Day and T20 competitions
Black Caps contracted player list
White Ferns Squad contracted player list
|Cycling||Elite/Senior or Open Age categories at National Championship events (includes road, track, mountain bike and BMX championships)||Athletes selected to compete at the elite level at a World Championship event (includes road, track, mountain bike and BMX)||UCI|
Athletes selected for the Wellington Phoenix Squad
Men's National League Squad
Women's National League Squad
All Whites Squad (men)
Football Ferns Squad (women)
|Hockey||National Hockey Championship Tier 1 (men and women)||Black Sticks Squad (men and women)||FIH|
|Netball||ANZ Premiership||Silver Ferns Squad||INF|
|Rowing||Premier grade at the New Zealand National Rowing Championships||Athletes selected in the NZ Rowing Team (elite)||FISA|
-NZ Warriors Squad and the Warriors Women Squad
-Athletes who compete in the Premiership (tier 1) division of the National Rugby League Competition (men and women)
|-Athletes selected in the NZ Kiwis Squad (men) or the Kiwi Ferns squad (women)||RLIF|
-Super Rugby competition squad (men)
-Mitre10 Cup squad (men)
-All Blacks and All Blacks 7s Squads (men)
-Black Ferns and Black Ferns 7s Squads (women)
|Swimming||Open age category at the NZ Open Championships||Swimming NZ HPSNZ carded athletes||FINA|
|Triathlon||Elite (standard distance) category at the National Triathlon Championships||Tri NZ HPSNZ carded athletes||ITU|
|Weightlifting||Athletes who compete in the senior category at the OWNZ Senior and Junior National Championships||Athletes competing in an IWF event||IWF|
If you compete at any of the levels described in the table above, you will need a TUE in advance.
If you're in a national team and you need to take a prohibited medication, then you should apply for a TUE as soon as you are selected. The TUE should remain in place for the duration of the competition (ie until the final play-offs etc). If you lose your place in the team due to injury or performance, you must have a TUE in place as you could still be drug-tested during this time.
Retroactive TUE - available to athletes competing at other levels who return a positive test
Other athletes who may be tested and return a positive test due to a medication, are able to apply for a retroactive TUE (this means you can apply after you have been tested). However, you will still need to meet the criteria before a TUE will be granted.
You can find out more about the TUE process here:
- the TUE process
- who needs to apply for a TUE and when
- what to include in your TUE application
- TUEs and emergency treatment
- where to send your TUE application
- what the TUE review committee considers
- get a TUE application form
The steps below outline the entire TUE process for you.
- You tell your medical professional that you’re an athlete who could be drug tested and ask them to bear this in mind when prescribing medication.
- Check the status of the medication by using the medication check on this website.
- If the substance is prohibited, ask your doctor if there are any alternatives that could be used.
- If there’s NO ALTERNATIVE, a TUE application must be completed (in emergency situations, treatment may begin immediately).
- You can download an application form here or call us to check whether you need to apply to your International Federation.
- Your application must be completed in full by a medical practitioner (preferably the prescribing doctor) and all relevant supporting documentation attached. (Note that most applications require Specialist support).
- Submit your application to Drug Free Sport NZ: Fax +64 9 580 0381 or PO Box 17451, Greenlane, Auckland 1546 or email us. (Or send your TUE to your International Federation if that’s appropriate).
- Your application will be reviewed.
- You and your medical professional will be told whether the application has been accepted or rejected. You will be told of any conditions including the date of expiry and restrictions on the use of the medication.
International Level Athletes
The criteria for an international level athlete is determined by a sport’s International Federation. If you’re competing internationally you should check with your Federation and be clear about your responsibilities around TUEs because you may have to apply for a TUE from your International Federation rather than Drug Free Sport NZ.
Other athletes do not require a TUE in advance. If you’re one of these athletes, you can apply for a retroactive exemption, which means you only need to apply if you’re tested and you return a positive test. However, you will need to meet the relevant criteria.
If you’re not sure what level athlete you are email us, call us 0800 DRUGFREE (378 437) or contact your National Sport Organisation (NSO) to check.
Your medical practitioner will need to provide a variety of information in support of your TUE application.
- comprehensive medical evidence to justify the use of the treatment, preferably from a specialist
- confirmation that permitted alternative medications have been tried.
Please check the WADA checklist guidance regarding the medical evidence you need to supply for the most common TUE applications.
If your medication or condition is not listed, direct your doctor to the full list of medical advice from WADA.
If you or your medical professional do not submit all of the required information, then your application will be delayed so it’s important that you include the correct documentation.
Drug Free Sport NZ aims to deal with TUE applications quickly and we generally turn them around within five working days. But don’t leave it until the last minute to apply in case you need to provide further information.
If you have a serious accident or you require emergency medical treatment, don’t hesitate. Your health always comes first and you should get whatever medical help you need immediately.
Do advise all medical staff that you’re an athlete who could be drug tested and ask them to check whether all medications are prohibited in sport. However, if you do require a prohibited substance or method for the sake of your health, make a TUE application immediately after treatment (a retroactive TUE).
New Zealand athletes will either apply to Drug Free Sport NZ, their International Federation or a major event organiser (e.g. the International Olympic Committee) for a TUE.
Who you apply to for a TUE will depend on what level you compete at and what sport you’re involved in.
Most athletes can apply to Drug Free Sport NZ for a TUE, but it’s best to call us first to check and we’ll let you know whether you need to apply to your International Federation or event organiser. Email us here or call us 0800 DRUGFREE (378 437).
Applications to Drug Free Sport NZ should got to firstname.lastname@example.org
Getting a TUE may protect athletes from receiving a sanction if a prohibited substance is found in their sample.
An exemption is only granted if the athlete will gain no unfair advantage by using the banned substance or method. It’s also important that the athlete’s wellbeing not put at further risk as a result of using the medication.
The TUE Committee must consider the following:
- will you experience significant health problems if you don’t take the medication?
- will the substance significantly enhance your sporting performance?
- is there no reasonable and permitted alternative medication you could take for the illness or condition?
If the criteria are met then it’s likely a TUE will be granted. A TUE will only be valid for the specific medication and for a certain time period. Make sure you understand the restrictions that apply to your TUE application.
If you need a TUE in advance, you can download a TUE application form here. If you're an international level athlete you should contact your International Federation or call us for more information 0800 DRUGFREE (378 437)