As of October 2009, ADAMS was used by approximately 123,000 elite athletes around the world.

ADAMS has been implemented and is used by close to 60 International Sport Federations (IFs), more than 40 National Anti-Doping Organizations (NADOs) and by all 35 WADA accredited laboratories. Stakeholders continue to be trained and added to the ADAMS system or a regular basis.

In addition, a number of Major Games Organizers, including the Pan American Sports Organization, the Olympic Council of Asia and the International Paralympic Committee, have adopted the system to manage their in-competition testing programs at their events.

Individual athlete statistics show that close to 100,000 athlete profiles have been logged.

Although the use of ADAMS is not mandatory for anti-doping organizations (ADOs), WADA strongly recommends its use. ADAMS allows ADOs to coordinate anti-doping activities between each other and to fulfill their responsibilities under the World Anti-Doping Code in a highly secure, cost and time-effective way.