Medication Monitoring

Under the CURES program urine toxicology is appropriate:
  • Worker’s compensation.

  • Opioid addiction treatment.

  • Residential drug and alcohol services program.

  • Treatment of non-cancer chronic pain with controlled substances.

  • Treatment of obesity with amphetamine/amphetamine anorectic controlled substance.

  • Prescribing/dispensing controlled substances.

    • Certain substances: opioids, benzodiazepines, buprenorphine or drug containing buprenorphine, carisoprodol, substance containing hydrocodone or hydrocodone only extended release.

    • Initial prescribing or dispensing of certain substances, e.g, opioids.

    • Set quantity or prescribed for prolonged duration.

    • New controlled substance prescription for new patient.

    • New controlled substance prescription for new course of treatment

    • Replacement prescription.

  • Reason to believe patient wants controlled substance prescription for illegal or medically inappropriate reasons, or may be misusing, abusing or diverting medication

  • Professional judgment indicates review necessary to prevent opioid abuse.

  • Prescriber violation of law/rule regarding prescription drugs.

  • Opioid prescribing improvement program

Medication Monitoring

Lab Medical Group provides you with full comprehensive toxicology testing of over 140 medications with custom panels available, with results in 24 hours from when our lab receives samples. Supports the Clinician’s medication treatment process by identifying recent use of prescribed drugs and other illicit substances.


Medical/Legal Concerns

  • Reduces risk of regulatory agency scrutiny and investigation by documenting that the physician is monitoring and evaluating prescribed medications.

  • Provides measurements that objectify pharmacotherapeutic regimens for reporting to workers’ compensation boards, medical boards, insurance providers, DEA, and other regulatory agencies.

  • Assists in complying with DEA’s current Interim Policy Statement which requires doctors to minimize the potential for abuse and diversion.

  • Assists in complying with The Federation of State Medical Board’s “Model Policy for the Use of Controlled Substances for the Treatment of Pain” which suggests in part that the medical records of patients contain “diagnostic, therapeutic and laboratory results” and further suggests extra care and monitoring of patients with a history of substance abuse.


Substance Abuse, Misuse, Diversion and Addiction / Pseudoaddiction Issues

  • Provides the clinician with an objective test which documents prescription drug misuse and/or illicit drug usage. The patient may be required to write an
    explanation for any inaccuracies in drug test.

  • May assist in the verification of patient historical data including: suspicious stories, family reports of abuse, in office written explanation of relapse, etc.

  • May confirm behavioral observations including: continued risky behavior, missed appointment(s), intoxicated appearance, pill count discrepancies, early
    refill requests, and pharmacy calls/concerns.

  • May identify intentional dilution, adulteration, substitution or tampering with the specimen.

  • Supports referral for treatment to a substance abuse professional.

  • Allows the clinician to monitor drug elimination of discontinued illicit or prescription medication.

  • Imposes a barrier for patient’s intent on diverting opioid medication.

  • Identifies the use of illicit substances throughout the treatment process and assists in making the appropriate decisions regarding discontinuation of medication/treatment and referral to the appropriate addiction and/or mental health professional.

  • Reduces the risk of therapeutic failure by detecting noncompliant patients.

  • Confirms compliance with the agreed upon treatment plan.

Links below are to PDFs

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Servicing Los Angeles and Orange County, CA

Tel: 949.431.6528

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Lab Medical Group, a laboratory management company focused on delivering the highest quality testing with white glove customer service.  We specialize in clinical laboratory testing for Hematology Profiles, Medication Monitoring / Urine Toxicology, Respiratory Pathogen Panels (RPP), Pharmacogenomics (PGX), Cardiovascular Disease, Diabetes, and Coronavirus Testing | Covid-19 Test Kits, more.

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