What is a TUE?
A TUE approval is a certificate that allows you to use a prohibited substance or treatment method for a legitimate medical reason, for a specified duration. If you’re prescribed anything on the Prohibited List, you must get a TUE approved before you use it, otherwise you risk being suspended for an ADRV.
When should I apply for a TUE?
- When your doctor diagnoses a condition that can only be treated with a prohibited substance. You must get a TUE approval before treatment starts.
- When you are given a prohibited substance in a medical emergency, or for an acute medical condition. Here, a TUE approval can be obtained retroactively (after the event). However, your doctor must provide clear evidence to show why the emergency treatment was needed.
- When exceptional circumstances mean there wasn’t enough time or opportunity to submit an application before treatment, or before a doping control. Except for medical emergencies, new applications, renewals, and applications for recognition of an existing TUE granted by another NADO should be submitted as soon as possible, and at least 30 days in advance of any match or tournament you may be involved in.
Who is responsible for obtaining TUE approval?
Only you and your treating doctor (together) can complete and submit your TUE. You are ultimately responsible for having a valid TUE when you play rugby.
What are the criteria for granting a TUE?
A TUE will only be granted if your doctor can show that:
- The prohibited substance or method is needed to treat a diagnosed medical condition supported by medical evidence.
- Use of the prohibited substance is unlikely to enhance your performance beyond what might be expected by a return to normal health after treating a legitimate medical condition.
- There is no reasonable permitted alternative treatment.
- Your medical need is not due to prior use of a prohibited substance.
Which players should submit TUEs to World Rugby?
You should submit your TUE as a soon as possible to World Rugby if you are included in or participating in:
- Any World Rugby Testing Pool
- Rugby World Cup Tournaments or Qualification Matches (15’s and 7s, Men’s and Women’s)
- World Rugby U20 tournaments
- World Rugby Sevens World Series (Men’s and Women’s)
- All other World Rugby tournaments.
Download the form from HERE and complete it with your doctor. Submit by email to World Rugby at firstname.lastname@example.org or by fax to +353 1 240 9289. All other players should consult their NADO. If your country doesn’t have a NADO, applications can be submitted to World Rugby.
World Rugby will recognise existing TUEs granted by NADOs if they meet the WADA criteria for granting a TUE. If you have a valid NADO TUE and need to apply to World Rugby for recognition, submit the TUE and supporting documents to email@example.com. World Rugby reserves the right to review all applications, and in some cases may request some additional medical details from you or your doctor before making a decision.