therapeutic use exemptions

Athletes with a documented medical condition requiring the use of a Prohibited Substance or Prohibited Method must first obtain a Therapeutic Use Exemption (TUE).

Under the International Standard for Therapeutic Use Exemptions (ISTUE) the process of granting TUEs is harmonized across sports and countries.

If you are an International-Level Athlete (you are included in the IBU Registered Testing Pool) you should apply to the IBU for a TUE.

Other Athletes participating in any IBU Biathlon competition must apply for a TUE from their National Anti-Doping Organisation and request recognition from the IBU. To ensure this application can be processed efficiently, Athletes must include sufficient information to support the diagnosis including physician’s notes, laboratory and/or test results, and any imaging results.


TUE applications must be submitted via ADAMS. WADA provides an Online Checklist to guide and support Athletes, physicians and Anti-Doping Organisations during the application process.

TUE Instructions & Form

Download PDF File

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