Although players may appeal positive results and request waivers for medical reasons, the sanctions will be harsh, starting with disqualification. A first-time violation will bring ineligibility for up to one year, a second up to five years and a third up to a lifetime ban. Fines of up to $500,000 will be included. For abuse of recreational drugs such as marijuana and cocaine, the commissioner will have the "discretion" to require treatment and rehabilitation. Narcotics are included on the banned list.