Screening Panel – Drug Classes

Our initial immunoassay drug screen detects:

• Amphetamines

• Barbiturates

• Benzodiazepines

• Cocaine

• Ethanol (ETOH)

• Methadone

• Opiates

• Oxycodone

• Phencyclidine (PCP)

• Tetrahydrocannabinol (THC)

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Reflex Confirmation

If any drug class in the screen is positive, we automatically perform a targeted LC-MS/MS confirmation for that class to validate results and quantify levels.

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Full Confirmation Panel – Analytes

Our comprehensive LC-MS/MS toxicology panel detects and confirms the following:

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• Barbiturates: Amobarbital, Butalbital, Phenobarbital

• Alcohol Metabolites: Ethyl Glucuronide (ETG), Ethyl Sulfate (ETS)

• Opiates & Opioids: Codeine, Morphine, Hydrocodone, Hydromorphone, Norhydrocodone, Oxycodone, Oxymorphone, Noroxycodone, 6-Monoacetylmorphine, Methadone, EDDP, Meperidine, Normeperidine, Fentanyl, Norfentanyl, Buprenorphine, Norbuprenorphine, Tapentadol, Tramadol, Desmethyltramadol, Naloxone, Naltrexone, Mitragynine (Kratom)

• Benzodiazepines: Alprazolam, Hydroxyalprazolam, Clonazepam, 7-Aminoclonazepam, Diazepam, Nordiazepam, Flunitrazepam, Lorazepam, Temazepam, Oxazepam, Flurazepam, Hydroxytriazolam, Hydroxymidazolam, Zaleplon, Zolpidem, Zolpidem COOH

• Stimulants & Related: Amphetamine, Methamphetamine, MDA, MDEA, MDMA, Phentermine, Methylphenidate, Ritalinic Acid

• Antidepressants: Amitriptyline, Nortriptyline, Imipramine, Desipramine, Doxepin, Fluoxetine, Sertraline, Venlafaxine

• Muscle Relaxants & Sedatives: Carisoprodol, Meprobamate, Cyclobenzaprine, Gabapentin, Pregabalin

• Anesthetics & Dissociatives: Ketamine

• Other Agents: OPRM1-related opioids, multiple drug metabolites for compliance monitoring

Specimen Type: Urine (primary), oral fluid available for specific programs
 

Turnaround Time:

• Screening results: Same day or next business day

• Confirmation results: 1–3 business days after specimen receipt

 

Reporting:

• Clear, easy-to-read reports showing detected analytes, concentrations, and cutoff levels

• Positive confirmations include metabolite profiles for prescription compliance assessment

Included: Collection cup or oral fluid device, security seal, biohazard transport bag, requisition form, prepaid return label

 

Steps:

1. Collect specimen following chain-of-custody or standard collection protocols.

2. Secure lid and apply tamper-evident seal.

3. Label specimen with patient name, DOB, and collection date/time.

4. Complete requisition form, noting medications reported by patient.

5. Place specimen in transport bag with paperwork in outer pocket.

6. Return via prepaid courier or approved pickup.

Q: What’s the difference between screening and confirmation?
A: Screening quickly detects drug classes; confirmation uses LC-MS/MS to identify and quantify specific drugs and metabolites.

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Q: Do you automatically confirm positives?
A: Yes, through our reflex confirmation protocol.

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Q: Can results show if a medication is being taken as prescribed?
A: Yes—metabolite patterns can indicate compliance or possible diversion.

 

Q: How far back can drugs be detected?
A: Detection windows vary by drug class and patient metabolism, from hours to several days or weeks.

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Q: Is testing admissible for legal or compliance programs?
A: Yes—when collected with proper chain-of-custody procedures.