4.4.3 TUE Recognition20  4.4.3.1  Where the Athlete  already has a TUE granted by their National Anti -Doping Organization  under Article 4.4 of the Code  for the substance or method in question, and provided that such  TUE has been reported in accordance with Article 5.5 of the International Standard  for Therapeutic Use Exemptions , ILS will automatically recognize it for purposes of international -level Compe tition  without the need to review the relevant clinical information .