Clinical Drug Monitoring Reference Guide
Page 2
P = Presumptive D = Definitive M = medMATCH®
Profile Name and Test Codes
Base Profile Profile 1 Profile 2 Profile 3 Profile 4 Profile 5 Profile 6 Profile 7 Profile 8
16260 16259 16457 92466 92450 92451 92458 92459 92467 92453 92461 16855 16854 16456 92468 92454 92462 90347 90348 92455 90318 92463 92456 92464 92457 92465 92489 92490
Drug Class P P,D,M P,D P P,D,M P,D,M P,D P,D P P,D,M P,D P P,D,M P,D P P,D,M P,D P P,D,M P,D,M P,D P,D P,D,M P,D P,D,M P,D P,D,M P,D
Alcohol Metabolites/ETG ALC ALC ALC ALC ALC ALC
Amphetamines AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP AMP
Amphetamines d/l Isomers ADL ADL ADL ADL
Barbiturates BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR BAR
Benzodiazepines BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN BEN
Buprenorphine BUP BUP
Cocaine Metabolite COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC COC
Heroin Metabolite HER HER HER HER HER HER
Marijuana Metabolite MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR MAR
MDMA/MDA MDM MDM
Methadone Metabolite MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH MTH
Opiates OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI OPI
Oxycodone OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY OXY
Phencyclidine PCP PCP PCP PCP PCP PCP PCP PCP PCP PCP
Clinical Drug MonitoringTest List with Test Codes
Test Profiles
Drug Class P P,D,M P,D D,M D
Alcohol Metabolites 90079 16910 92142 16217
Amphetamines 92222 70245 16885 70209 16913
Amphetamines with Reflex d/l Isomers 91590 91589 92484 92483
Antidepressants (urine) 94032
Antidepressants (serum) 94031
Antipsychotics (urine) 94528
Antipsychotics (serum) 94529
Barbiturates 92223 70246 16886 70230 16912
Benzodiazepines 92224 70247 16887 70231 16914
Buprenorphine 16207 70249 16901 18998 16213
Buprenorphine with Naloxone 93093 93094
Carisoprodol 18999 16902
Drug Class P P,D,M P,D D,M D
Cocaine Metabolite 92225 70248 16888 90082 16916
Eszopiclone 91251
Fentanyl 36278 36279 36280 18996 16900
Gabapentin 70205 16904
Heroin Metabolite 92226 90081 16911 90333 90329
Marijuana Metabolite 92227 18989 16889 70233 16917
MDMA/MDA 92228 90078 16909 90334 90331
Meperidine 70206 16905
Methadone Metabolite 92229 18990 16890 70234 16918
Methamphetamine d/l Isomers 90319
Methylphenidate 90247 90246
Mitragynine 39241 39240
Drug Class P P,D,M P,D D,M D
Naltrexone 93753
Opiates 92230 18991 16891 70237* 16298*
Oxycodone 92231 18992 16892 70238 16920
Phencyclidine 92232 18993 16893 90083 16921
Pregabalin 70208 16908
Propoxyphene 92233 18995 16894 70239 16922
Synthetic Cannabinoids 93027
Synthetic Stimulants 90322
Tapentadol 90244 90243
Tramadol 70207 16906
Tricyclic Antidepressants 70204 16903
Zolpidem 91258
*Includes oxycodone drug class
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Base Profile16260 (P), 16259 (P,D,M), 16457 (P,D)
BenzodiazepinesCocaine MetaboliteOpiatesOxycodone
Profile 192466 (P), 92450 (P,D,M), 92458 (P,D)
AmphetaminesBarbituratesBenzodiazepinesCocaine MetaboliteMarijuana MetaboliteMethadone MetaboliteOpiatesOxycodonePhencyclidine
Profile 1 with Amphetamines d/l Isomers92451 (P,D,M), 92459 (P,D)
Amphetamines with Reflex d/l IsomersBarbituratesBenzodiazepinesCocaine MetaboliteMarijuana MetaboliteMethadone MetaboliteOpiatesOxycodonePhencyclidine
Profile 292467 (P), 92453 (P,D,M), 92461 (P,D)
Methadone MetaboliteOpiatesOxycodone
P = Presumptive D = Definitive M = medMATCH®
Profile 316855 (P), 16854 (P,D,M), 16456 (P,D)
AmphetaminesBenzodiazepinesCocaine MetaboliteMarijuana MetaboliteOpiatesOxycodone
Profile 492468 (P), 92454 (P,D,M), 92462 (P,D)
AmphetaminesBarbituratesBenzodiazepinesCocaine MetaboliteMethadone MetaboliteOpiatesOxycodonePhencyclidine
Profile 590347 (P), 90348 (P,D,M), 90318 (P,D)
AmphetaminesBarbituratesBenzodiazepinesCocaine MetaboliteMarijuana MetaboliteMethadone MetaboliteOpiatesOxycodone
Profile 5 with Amphetamines d/l Isomers92455 (P,D,M), 92463 (P,D)
Amphetamines with Reflex d/l IsomersBarbituratesBenzodiazepinesCocaine MetaboliteMarijuana MetaboliteMethadone MetaboliteOpiatesOxycodone
Profile 692456 (P,D,M), 92464 (P,D)
Alcohol Metabolites/EtGAmphetaminesBarbituratesBenzodiazepinesCocaine MetaboliteHeroin MetaboliteMarijuana MetaboliteMethadone MetaboliteOpiatesOxycodonePhencyclidine
Profile 792457 (P,D,M), 92465 (P,D)
Alcohol Metabolites/EtGAmphetaminesBarbituratesBenzodiazepinesCocaine MetaboliteHeroin MetaboliteMarijuana MetaboliteMethadone MetaboliteOpiatesOxycodone
Profile 892489 (P,D,M), 92490 (P,D)
Alcohol Metabolites/EtGAmphetaminesBenzodiazepinesBuprenorphineCocaine MetaboliteHeroin MetaboliteMarijuana MetaboliteMDMA/MDAOpiatesOxycodone
For healthcare professionals seeking assistance with interpreting results, please contact a Quest Diagnostics Toxicology Specialist at 1.877.40.RX TOX (1.877.407.9869), M–F 8:00 AM to 10:00 PM ET.
Clinical Drug Monitoring Test Profiles
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Drug/Drug ClassPresumptive
Cutoff (ng/mL)Definitive
Cutoff (ng/mL)Reportable Drug or Metabolite
Additional Reportable Drug/Metabolitea Examples of Generic/Trade/Street Name Urine Detection Timea
Alcohol Metabolites 500500 Ethyl Glucuronide (EtG) Ethyl Sulfate (EtS)
Up to 80 Hours100 Ethyl Sulfate (EtS) Ethyl Glucuronide (EtG)
Amphetamines 500 250
Amphetamine Amphetamine — Adderall®, Dexedrine®, Dextrostat®, Vyvanse®
1–3 DaysMethamphetamine Amphetamine
Methamphetamine — Desoxyn®
Benzphetamine — Didrex®
Amphetamines with ReflexMethamphetamine d/l Isomers
500
250
Amphetamine Amphetamine — Adderall®, Dexedrine®, Dextrostat®, Vyvanse®
1–3 Days
Methamphetamine AmphetamineMethamphetamine — Desoxyn®
Benzphetamine metabolite — Didrex®
d-Methamphetamined-Methamphetamine — Desoxyn®
Benzphetamine d-metabolite — Didrex®
l-MethamphetamineSelegiline l-metabolite — Eldepryl®
l-Methamphetamine —nasal inhaler
Antidepressantsc 10 10
Amitriptyline Nortriptyline Amitriptyline — Elavil®, Endep®
1–3 Days
Amoxapine Amoxapine — Asendin®
Citalopram/Escitalopram Desmethylcitalopram Citalopram/Escitalopram — Celexa® (citalopram), Lexapro® (escitalopram)Desmethylcitalopram
Clomipramine DesmethylclomipramineClomipramine — Anafranil®
Desmethylclomipramine
Desipramine Imipramine Imipramine — Tofranil®
Desipramine — Norpramin®
Doxepin DesmethyldoxepinDoxepin — Adapin® , Sinequan®
Desmethyldoxepin
Duloxetine Duloxetine — Cymbalta®
Fluoxetine NorfluoxetineFluoxetine — Prozac®
Norfluoxetine
Fluvoxamine NorfluvoxamineFluvoxamine — Luvox®
Norfluvoxamine
Hydroxybupropion Hydroxybupropion — Aplenzin® (bupropion)
Imipramine Desipramine Imipramine — Tofranil®
Maprotiline Maprotiline — Ludiomil®
a Depends upon drug usage patterns, drug/drug metabolite elimination, and test cutoffb Naloxone is reported when orderedc Presumptive analysis uses mass spectrometry method of analysis
Note: Unless otherwise specified, the presumptive method of analysis is immunoassay.
Clinical Drug Monitoring Reference Guide
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Drug/Drug ClassPresumptive
Cutoff (ng/mL)Definitive
Cutoff (ng/mL)Reportable Drug or Metabolite
Additional Reportable Drug/Metabolitea Examples of Generic/Trade/Street Name Urine Detection Timea
Antidepressantsc
10 10
Mirtazapine Mirtazapine — Remeron®
1–3 Days
Nortriptyline Amitriptyline Amitriptyline — Elavil®, Endep®
Nortriptyline — Aventyl®
Paroxetine Paroxetine — Paxil®, Seroxat®
Protriptyline Protriptyline — Vivactil®
Sertraline NorsertralineSertraline — Zoloft®
50 50 Norsertraline
10 10
Trazodone 1-(3-Chlorophenyl)piperazineTrazodone — Desyrel®
1-(3-Chlorophenyl)piperazine
Trimipramine Trimipramine — Surmontil®
Venlafaxine O-desmethylvenlafaxine Venlafaxine — Effexor® XR (venlafaxine), Khedezla (desvenlafaxine)O-desmethylvenlafaxine
Vilazodone Vilazodone — Viibryd®
Vortioxetine Vortioxetine — Trintellix®
Antipsychoticsc
22 Aripiprazole Dehydroxyaripiprazole
Aripiprazole — Abilify®
1–3 Days
10 Dehydroxyaripiprazole
5 5 Brexpiprazole Brexpiprazole — Rexulti®
5 5 Cariprazine Cariprazine — Vraylar®
10 10Chlorpromazine 7-OH-chlorpromazine
Chlorpromazine — Largactil, Thorazine®
7-OH-chlorpromazine
25 25Clozapine Norclozapine
Clozapine — Clozaril®
Norclozapine
5 5Fluphenazine 7-OH-fluphenazine
Fluphenazine — Prolixin®, Modecate7-OH-fluphenazine
1 1 Haloperidol Haloperidol — Haldol®
5 5Loxapine 8-hydroxyloxapine
Loxapine — Loxapac, Loxitane®
8-hydroxyloxapine
5 5 Lurasidone Lurasidone — Latuda®
10 10 Mesoridazine Mesoridazine — Serentil®
5 5 Molindone Molindone — Moban®
2.5 2.5Olanzapine Desmethylolanzapine
Olanzapine — Zyprexa®
Desmethylolanzapine
a Depends upon drug usage patterns, drug/drug metabolite elimination, and test cutoffb Naloxone is reported when orderedc Presumptive analysis uses mass spectrometry method of analysis
Note: Unless otherwise specified, the presumptive method of analysis is immunoassay.
Clinical Drug Monitoring Reference Guide
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Drug/Drug ClassPresumptive
Cutoff (ng/mL)Definitive
Cutoff (ng/mL)Reportable Drug or Metabolite
Additional Reportable Drug/Metabolitea Examples of Generic/Trade/Street Name Urine Detection Timea
Antipsychotics
10 10Quetiapine Norquetiapine
Quetiapine — Seroquel®
1–3 Days
Norquetiapine
5 5Risperidone OH-risperidone
Risperidone — Risperdal®
OH-risperidone
50 50 Thioridazine Thioridazine — Mellaril®, Melleril
5 5
Thiothixene Thiothixene — Navane®
Trifluoperazine Trifluoperazine — Stelazine®
Ziprasidone Ziprasidone — Geodon®, Zeldox
Barbiturates 300 100
AmobarbitalAmobarbital — Amytal®,
1–3 Days Short-Acting;
>3 Long-Acting
Secobarbital Amobarbital/Secobarbital Combination — Tuinal®
Butalbital Butalbital — Esgic®, Fioricet®, Fiorinal®, Sandoptal®
Pentobarbital Pentobarbital — Nembutal®
Phenobarbital Phenobarbital — Luminal®
SecobarbitalSecobarbital — Seconal®
Amobarbital Amobarbital/Secobarbital Combination — Tuinal®
Benzodiazepines 100
25 Alpha-hydroxyalprazolam Alprazolam — Xanax®
1–3 Days Short-Acting;
>3 Long-Acting
50Alpha-hydroxymidazolam Midazolam — Versed®
Alpha-hydroxytriazolam Triazolam — Halcion®
25 Aminoclonazepam Clonazepam — Klonopin®
50
Hydroxyethylflurazepam Flurazepam — Dalmane®
Lorazepam Lorazepam — Ativan®
NordiazepamOxazepam
Chlordiazepoxide — Librium®
Clorazepate — Tranxene®
Oxazepam, Temazepam Diazepam — Valium®
Oxazepam
Oxazepam — Librax®, Serax®
NordiazepamClorazepate — Tranxene®
Chlordiazepoxide — Librium®
Nordiazepam, Temazepam Diazepam — Valium®
TemazepamOxazepam Temazepam — Restoril®
Oxazepam, Nordiazepam Diazepam — Valium®
Clinical Drug Monitoring Reference Guide
a Depends upon drug usage patterns, drug/drug metabolite elimination, and test cutoffb Naloxone is reported when orderedc Presumptive analysis uses mass spectrometry method of analysis
Note: Unless otherwise specified, the presumptive method of analysis is immunoassay.
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Drug/Drug ClassPresumptive
Cutoff (ng/mL)Definitive
Cutoff (ng/mL)Reportable Drug or Metabolite
Additional Reportable Drug/Metabolitea Examples of Generic/Trade/Street Name Urine Detection Timea
Buprenorphine 5 2
BuprenorphineNorbuprenorphine, Naloxone
Buprenorphine/Naloxone Combinationb — Bunavil®, Suboxone®, Zubsolv®
1–3 DaysNorbuprenorphine
Buprenorphine — Buprenex®, Butrans®, Subutex®
Norbuprenorphine
Naloxoneb Buprenorphine, Norbuprenorphine
Buprenorphine/Naloxone Combinationb — Bunavil®, Suboxone®, Zubsolv®
Carisoprodol Metabolite
1000 MeprobamateCarisoprodol — Soma®, Equagesic®
Meprobamate — Milltown®, Equanil® 1–3 Days
Cocaine Metabolite 150 100 Benzoylecgonine Cocaine — Coke 1–3 Days
Eszopiclone 5 Eszopiclone Eszopiclone — Lunesta® 1–3 Days
Fentanyl 0.5 0.5Fentanyl Norfentanyl
Fentanyl — Abstral®, Actiq®, Duragesic®, Fentora®, Lonsys® 1–2 DaysNorfentanyl
Gabapentin 1000 Gabapentin Gabapentin — Fanatrex, Gabarone, Neurontin® 1–3 Days
Heroin Metabolite 10 10 6-Acetylmorphine Heroin — Heroin 1 Day
Marijuana Metabolite
20 5 Marijuana MetaboliteDronabinol — dronabinol, Marinol®
Marijuana — pot, weed1–3 Days Casual Use;
>3 Days Chronic Use
MDMA/MDA 500 200MDMA MDA Ecstasy
1-2 DaysMDA Sally
Meperidine 100/100Meperidine Normeperidine
Meperidine — Demerol® 1-3 DaysNormeperidine
Methadone Metabolite
100 100Methadone EDDP
Methadone — Dolophine® 1–3 DaysEDDP
Methylphenidate 100 Ritalinic Acid Methylphenidate — Ritalin®, Concerta® 1–3 Days
Mitragynine 50 2 Mitragynine Kratom 1–3 Days
Clinical Drug Monitoring Reference Guide
a Depends upon drug usage patterns, drug/drug metabolite elimination, and test cutoffb Naloxone is reported when orderedc Presumptive analysis uses mass spectrometry method of analysis
Note: Unless otherwise specified, the presumptive method of analysis is immunoassay.
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Drug/Drug ClassPresumptive
Cutoff (ng/mL)Definitive
Cutoff (ng/mL)Reportable Drug or Metabolite
Additional Reportable Drug/Metabolitea Examples of Generic/Trade/Street Name Urine Detection Timea
Naltrexone 5Naltrexone 6-beta-naltrexol
Naltrexone — ReVia®, Vivitrol® 1–3 Days6-beta-naltrexol
Opiates 100 50
CodeineMorphine
Codeine — Tylenol® #3, Tylenol® #4, Tylenol® w/Codeine, Acetaminophen w/Codeine, Phenaphen® w/Codeine, Phenergan® w/Codeine, Phenameth w/Codeine, Promethazine w/Codeine
1–3 Days
Poppy seed ingestion
Hydrocodone Codeine minor metabolite
Morphine
Morphine — Avinza®, Kadian®, MS Contin®, Roxanol®; Heroin
Codeine
Codeine — Tylenol® #3, Tylenol® #4, Tylenol® w/Codeine, Acetaminophen w/Codeine, Phenaphen® w/Codeine, Phenergan® w/Codeine, Phenameth w/Codeine, Promethazine w/Codeine
Poppy seed ingestion
Hydromorphone Morphine minor metabolite
Heroin Metabolite Heroin metabolite
Hydrocodone
Hydromorphone, Norhydrocodone
Hydrocodone — Hycodan®, Lorcet®, Lortab®, Norco®, Vicodin®
Codeine, Morphine Codeine minor metabolite
Hydromorphone
Hydromorphine — Dilaudid®
Hydrocodone, Norhydrocodone Hydrocodone — Hycodan®, Lorcet®, Lortab®, Norco®, Vicodin®
Morphine Morphine minor metabolite
Norhydrocodone Hydrocodone, Hydromorphone Hydrocodone — Hycodan®, Lorcet®, Lortab®, Norco®, Vicodin®
Oxycodone 100 50
Noroxycodone Oxycodone, OxymorphoneOxycodone — Endocet®, Magnacet®, OxyContin®, OxyFAST®, OxyIR®, Percocet®, Percodan®, Perolox®, Roxicet®, Roxicodone®, Tylox® 1–3 Days
Oxycodone Noroxycodone, Oxymorphone
OxymorphoneOxycodone, Noroxycodone
Oxymorphone — Opana®, Numorphan®
Phencyclidine 25 25 Phencyclidine Phencyclidine — PCP 1–3 Days
Pregabalin 1000 Pregabalin Pregabalin — Lyrica® 1–3 Days
Propoxyphene 300 200 Norpropoxyphene Propoxyphene — Darvon®, Davocet®, Dolene®, Progesic®, Trycet® 1–3 Days
Clinical Drug Monitoring Reference Guide
a Depends upon drug usage patterns, drug/drug metabolite elimination, and test cutoffb Naloxone is reported when orderedc Presumptive analysis uses mass spectrometry method of analysis
Note: Unless otherwise specified, the presumptive method of analysis is immunoassay.
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Drug/Drug ClassPresumptive
Cutoff (ng/mL)Definitive
Cutoff (ng/mL)Reportable Drug or Metabolite
Additional Reportable Drug/Metabolitea Examples of Generic/Trade/Street Name Urine Detection Timea
Synthetic Cannabinoidsc
2 2
AB-CHMINACA M2 AB-CHMINACA
1–3 Days
AB-FUBINACA M2 N-pentanoic acid
AB-FUBINACA
AB-PINACA AB-PINACA
ADBICA N-pentanoic acid ADBICA
ADB-PINACA N-pentanoic acid
ADB-PINACA
0.2 0.2 AKB48 N-pentanoic acid AKB48
2 2 BB-22 3-carboxyindole BB-22
0.2 0.2JWH-018 N-pentanoic acid JWH-018
JWH-073 N-butanoic acid JWH-073
2 2 PB-22 3-carboxyindole PB-22
0.2 0.2 UR-144 N-pentanoic acid UR-144
2 25-Fluoro-PB-22 3-carboxyindole
5-Fluoro-PB-22
Synthetic Stimulants
50
Butylone Butylone — Bk-MBDB
1–3 Days
MDPVMDPV — Bath salts, Ivory Wave, Vanilla Sky
MephedroneMephedrone — 4-MMC, Meow Meow, M-CAT, Bounce
Methylone Methylone — Bath salts
Tapentadol 50Tapentadol Nortapentadol
Tapentadol — Nucynta® 1–3 DaysNortapentadol
Tramadol 100Tramadol Desmethyltramadol
Tramadol — Rybix®, Ryzolt®, Ultram® 1–3 DaysDesmethyltramadol
Tricyclic Antidepressants
100Amitriptyline Nortriptyline Amitriptyline — Elavil®, Endep®
1–3 DaysNortriptyline Nortriptyline — Aventyl®, Pamelor®
Zolpidem 5Zolpidem Zolpidem Metabolite
Zolpidem — Ambien®, Edluar®, Intermezzo®, Zolpimist® 1–3 DaysZolpidem Metabolite
Clinical Drug Monitoring Reference Guide
K2, Spice, Bliss, Blaze
a Depends upon drug usage patterns, drug/drug metabolite elimination, and test cutoffb Naloxone is reported when orderedc Presumptive analysis uses mass spectrometry method of analysis
Note: Unless otherwise specified, the presumptive method of analysis is immunoassay.
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Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third-party marks—® and ™—are the property of their respective owners. © 2018 Quest Diagnostics Incorporated. All rights reserved. MI7659 09/2018
Healthcare providers have trusted Quest Diagnostics for clinical drug monitoring for years. Our reputation in clinical laboratory diagnostics is built on an unparalleled commitment to service, coupled with one of the industry’s most comprehensive drug testing menus.
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Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third-party marks—® and ™—are the property of their respective owners. © 2020 Quest Diagnostics Incorporated. All rights reserved. MI7659 3/2020