How Does USADA Drug Testing Work? What to Expect

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How Does USADA Drug Testing Work? What to Expect
Short Answer

USADA drug testing can happen at a competition or without advance notice away from one. Collection may involve urine, blood or dried blood spots. Staff check who you are, collect and seal the sample, fill out forms and send it to a lab.

USADA testing at a glance

QuestionAnswer
Is this only for Olympic medalists?No. Testing depends on the athlete's governing body and USADA's authority
Is every test a urine test?No. Blood and dried blood spots are also used
Can testing happen outside the season?Yes, for athletes under USADA's authority
Can you ask questions during collection?Yes. Procedures should be explained, and you can request a representative
Does a prescription automatically clear a banned medicine?No. Check the medical exemption requirements

Which athletes does this guide cover?

USADA is the US Anti-Doping Agency. Anti-doping means the rules and work used to deal with banned drugs and methods in sport.

Its rules cover athletes within its testing program. That includes people in sports run by national or world sport bodies. It is not the rulebook for every athlete who earns money from sport.

Ask the body that runs your sport who can test you and which rules apply. A college team may not be your only sport program. Our NCAA drug-testing guide explains that separate college program.

When can USADA test you?

Tests can happen at an event or away from one. Athletes under USADA's rules can be tested all year.

Some athletes must file whereabouts: details of where they plan to be. This lets staff find them for a test. The rules vary by testing pool, the group you are placed in. Check your own rules rather than copy a teammate's routine.

What happens when you are selected?

A doping control officer, or DCO, is the trained official who runs sample collection. A chaperone may also tell you that you have been picked.

Ask to see the official's ID and ask which sample you need to give. Report right away unless the official grants a delay. If you need care or must attend a medal event, ask first. Do not leave on your own.

Stay with the official or chaperone as directed. Raise a concern while staff can note and address it.

What happens during urine collection?

USADA's guide sets out these main steps:

StageWhat to expect
IdentificationShow identification and acknowledge notification
EquipmentChoose sealed equipment and inspect it
CollectionProvide urine under direct observation
ProcessingCheck matching codes and split urine into two bottles
SealingSeal the bottles and review the documentation

The two bottles are called A and B samples. The athlete keeps control of the sample until it is sealed. Ask the collector for help if a step is unclear.

Forms record what happened and what you report. Follow the form's steps for listing medicines and supplements. Keep your copy.

How does a blood test differ?

A trained, licensed professional draws blood. For dried blood spots, staff use a device that gathers small spots of blood. This is a different test from giving urine.

Tell staff about a past problem with a blood draw before they start. Follow their steps to prepare and wait as they direct. Do not assume the urine kit or steps apply to blood.

What support can you request?

You can have a support person, called your representative. You can ask for an interpreter, someone who can translate, if one is available.

You can also ask staff to explain the steps or adapt them for an impairment. Ask for the help you need when told you must test.

Its guide adds safeguards for minors, including two staff at collection. It strongly urges a young athlete to name a support person. These are USADA steps. A school's own test may follow other rules.

What happens after samples leave the station?

Samples go to a lab accredited by the World Anti-Doping Agency, known as WADA. Staff record custody: who is in charge of the sample as it moves. Lab forms use sample codes rather than the athlete's name.

A finding starts results management. Staff review the evidence and decide whether a rule was broken. It is not simply a school coach making an immediate decision.

For an A-sample finding, the athlete can ask for the B sample to be tested. You can also attend when the B bottle is opened and tested. If charged, you can ask for an independent hearing. Further appeals are also possible.

Read any notice promptly and get qualified help. This guide does not set a deadline or decide your case.

What if you take prescribed medicine?

A therapeutic use exemption, or TUE, lets you use an otherwise banned drug or method for a documented health need. A prescription and a TUE are different things.

USADA says to check medicines through Global DRO, a medicine lookup tool. Then follow the exemption steps for your sport level. Ask your doctor and USADA how the rules apply to you.

In an emergency, seek medical care first and keep the records. Do not stop prescribed treatment based on an article.

What should you prepare before test day?

Take these questions to your support team:

  1. Which organization can test me, and where are its current rules?
  2. What identification and contact details should I have ready?
  3. Who can act as my representative?
  4. Have my medicines and exemption requirements been checked?
  5. Where will I keep my test forms and product records?

For supplements, scan it in Varsity Stack first and discuss the result with your support team. USADA warns that supplements carry risks. Third-party certification cannot protect you fully.

Our guide to third-party tested claims explains why label wording and certification are different checks. Neither replaces the rules for your sport.

Check your supplements with Varsity Stack

Scan a barcode or photograph a label to check it against our certification database. Log products you take in your stack and retain a photo of the lot number. A scan cannot clear a medicine or replace a testing authority's decision.

Download the App

For coaches, sports dietitians and athletic trainers: review athlete stacks and certification status in the team dashboard.

Request access for your program

Varsity Stack does not laboratory test supplements, and certification lowers risk without removing it.

Sources7 sources
  1. USADATesting and Whereaboutsusada.org
  2. USADASample Collection Process and Athlete Rightsusada.org
  3. USADASample Collection Process, published transcriptusada.org
  4. USADAAthlete Responsibilities and Failures to Comply with Sample Collectionusada.org
  5. USADAResults Management and Adjudicationusada.org
  6. USADATherapeutic Use Exemptionsusada.org
  7. USADASupplement Connectusada.org

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