Pain Management Drug Panel Comparison

There are multiple methods of drug testing: rapid point-of-care cup, lab immunoassays, and high-resolution drug tests by time-of-flight (TOF) mass spectrometry. The cutoff values for each drug in each of the tests are listed in the table below. Urine tests include sample validity testing by creatinine.

  ARUP Drug Screen Cup
Kit #49204
Cups only #48915

 
 
Pain Management High-Resolution Hybrid Drug Test Panel, Urine
2007479
 
Pain Management Extended Drug Panel, Screen with Reflex to Quantitation
​2012312
Drug Screen
9 panel 0090453
9A panel 0090454

 
Drug Screen
9 panel - positive screen reflexes to confirmation
0092420
Specimen Type Urine Urine Urine Urine Serum/Plasma
Methodology Point-of-care IA LC-TOF, IA IA IA, Enz IA
Turn-around time of screen 5 min 1–3 days 1–3 days 1–2 days 1–4 days

Drug / Drug Class: Test Cutoff Values

Amphetamine (AMP) 1000 ng/mL 100 ng/mL 300 ng/mL 300 ng/mL 30 ng/mL
Barbiturates 300 ng/mL 200 ng/mL 200 ng/mL 200 ng/mL 75 ng/mL
Benzodiazepines 300 ng/mL 20-60 ng/mL 200 ng/mL 200 ng/mL 75 ng/mL
Buprenorphine   5 ng/mL 5 ng/mL    
Cocaine 300 ng/mL 150 ng/mL 150 ng/mL 150 ng/mL 30 ng/mL
Codeine included in OPI 40 ng/mL   Included in OPI Included in OPI
Fentanyl   2 ng/mL 2 ng/mL    
Hydrocodone included in OPI 40 ng/mL   Included in OPI Included in OPI
Marijuana (THC) 50 ng/mL 20 ng/mL 20 ng/mL 20 ng/mL 30 ng/mL
MDMA (ecstasy) 500 ng/mL 200 ng/mL 500 ng/mL 500 ng/mL Included in Methamphetamine
Meperidine   50 ng/mL 200 ng/mL    
Methadone 300 ng/mL 150 ng/mL   150 ng/mL 40 ng/mL
Methamphetamine 1000 ng/mL 400 ng/mL   Included in AMP 30 ng/mL
Morphine Included in OPI 20 ng/mL   Included in OPI Included in OPI
Opiates Total (OPI) 300 ng/mL   300 ng/mL 300 ng/mL 30 ng/mL
Oxycodone 100 ng/mL 40 ng/mL 100 ng/mL 100 ng/mL 30 ng/mL
Phencyclidine 25 ng/mL 25 ng/mL 25 ng/mL 25 ng/mL 15 ng/mL
Propoxyphene   300 ng/mL 300 ng/mL 300 ng/mL 75 ng/mL
Tapentadol   100 ng/mL 200 ng/mL    
Tramadol   200 ng/mL 200 ng/mL    
Other analytes detected Tricyclic antidepressants
1000 ng/mL
Carisoprodol 100 ng/mL
EtG 500 ng/mL
Phentermine 100 ng/mL
Ritalinic acid 100 ng/mL
Zolpidem 20 ng/mL
etG 500 ng/mL
Carisoprodl 100 ng/mL
Zolpidem 20 ng/mL
[9A] Ethanol 40 mg/dL  

Option to Reflex to Quantitative Confirmation [see cutoffs of confirmation]

Availability of automatic confirmation No. No confirmation required unless unexpected or for quantitation. Call ASAP if confirmation is desired. Yes, for applicable drug confirmation test. Yes, for 9 panel 0092186;
for 9A (alcohol) panel 0092187.
Yes, 0092420.
When the “Reflex to Quantitative Confirmation” option is ordered, we will automatically retest the specimen by mass spectrometry for the drug(s) found positive in the screen. Note that confirmation testing will not occur if the screen is negative. If you know, or suspect the patient is taking a specific drug, and wish to have the drug tested quantitatively even if the screen is negative, please order together (1) the “Reflex to Quantitative Confirmation” option for the screen AND (2) the quantitative test for the specific drug. If the screen is positive for that drug, we will automatically cancel the duplicated test.

Immunoassay:IA; Enzymatic:Enz; Ethyl glucuronide: EtG; Gas chromatography:GC; Liquid chromatography:LC; Mass spectrometry: MS; Tandem mass spectrometry:MS/MS; Time-of-flight mass spectrometry:TOF