If the matter is not referred to WADA  for review within the twenty -one ( 21)  20  [Comment to Article 4.4.3: If UWW refuses to recognize a TUE granted by a National Anti -Doping Organization only because medical records or other information are missing that are needed to demonstrate satisf action with the criteria in the International Standard for Therapeutic Use Exemptions, the matter should not be referred to WADA.