Pain Care Physicians – Testing Protocol with Central Tox

Section 1: Analyzer results

(Any positive will reflex the corresponding confirmation codes)

Analyte Positive
(Check box if screen is positive)
Amphetamine (CMETH)
Barbiturates (CBARB)
Benzodiazepines (CBENZO)
THC (CTHC)
Cocaine (CCOC)
Opiates (COPI)
Methadone (CMTD)
Oxycodone (COXYC)
Buprenorphine (CBUP)
Ethanol (CETG)

Section 2: Reflex Medications

(Any of these medications will reflex COPI, COXYC, CBUP, CFENT, CMEP, CTAP, and CTRAM)

Medications
Buprenorphine (Butrans,Suboxone,Subutex)
Fentanyl (Actiq, Duragesic, Fentora, Lazanda)
Meperidine (Demerol)
Tapentadol (Nucynta)
Tramadol (Ryzolt, Ultram)
Codeine (Tylenol #3, Tylenol #4)
Morphine (Avinza, Embeda, Kadian, MS Contin, MSIR)
Hydrocodone (Lorcet, Lortab, Norco, Vicodin, Vicoprofen)
Hydromorphone (Dilaudid, Exalgo)
Oxycodone (Oxy IR, OxyContin, Percocet, Roxicodone)
Oxymorphone (Opana ER, Opana IR)

Section 3: High Risk Profile

This section is if the patient is deemed “High Risk” and will auto reflex all of the high risk confirmations in addition to any test reflexed above.
Confirmations included in the high risk panel are: – ETG – Bath Salts – Buprenorphine – Soma (Muscle Relaxants) – Cocaine – Fentanyl
– Opiates (6AM, Codeine, Morphine, Hydrocodone, Hydromorphone, Norhydromorphone) – Ketamine – MDMA – Meperidine – Methadone – Methylphenidate
– PCP – Synthetic Cannabinoids – THC – Tapentadol

Is this a high risk patient?