A resource outlining common questions and answers regarding our drug testing products,
laboratory services and additional helpful information.
Why does the Burpenorphine (BUP) strip take longer to develop than other drug test strips? And, why does the BUP line look less intense (lighter line) than other drug test strips?
The Premier Bio-Cup is testing for BUP at 5ng/mL. Because we are testing at such a sensitive level, which studies indicate is necessary to effectively detect BUP use, the test chemistry takes a bit longer than other test lines to form and tends to form a lighter line because of the low cut-off level. It is very important to remember that it is completely normal for the BUP line to take longer to form and be less intense (lighter) than the surrounding test strips. Make sure to wait the full 5 minutes before calling a BUP line positive.
Why do some test (T) lines appear more faint than others?
The presence of a line, regardless of its intensity, is to be read as a NEGATIVE result. Because of the chemical composition of certain drugs and metabolites along with the test strip chemistry, variation in cut-off levels for each drug, and expected variation in human donor specimen, it is normal for some lines to appear more intense (darker) than others. Any shade of color in the test (T) region should be considered a NEGATIVE result.
Why EDDP would be advantageous over a test for MTD?
In many cases, the test administrator would like to know if the individual is actually taking their prescribed methadone and not diverting it. If you are using a standard methadone test you cannot tell the difference as you can sprinkle some MTD from a tablet into the sample and you will get a positive. If you use an EDDP test, you are testing for the MTD metabolite which allows you to make sure the person is taking their recommended dose.
Additionally, you will also pick up the abuser that is not prescribed and is just abusing it.
What does a lab confirmation tell us?
The LC-MS/MS laboratory confirmation provides a specific and definitive result. Lab confirmation testing will indicate the exact compound in the sample ie. It WILL differentiate whether the OPI positive result was due to heroin, codeine, hydrocodone, morphine, or a combination of these. The confirmation result is absolutely specific and definitive. Premier Biotech will provide toxicology testimony if necessary so that results are upheld in court.
If a patient admitted to taking Suboxone on the first day of the month, than tested positive on the last day of the month, could this be new usage?
Yes, the detection window is 1-7 days. This result would indicate that additional use took place.
Why would THC come back negative in the rapid cup while positive on lab confirmation?
Cutoff for THC is much lower via the confirmation method. Low result may not be enough to be detected within a cup.
What are the differences between screening VS. confirmation
Screening refers to a preliminary test that yields a qualitative “Positive or Negative” result. Screening can be conducted with a rapid test or using laboratory instrumentation (EIA, EMIT). Both rapid tests and lab screens use the same testing technology, called immunoassay technology. Screening technology is non-specific in that it does not differentiate among the drug class. For example, a positive OPIATE result only indicates that there is some opiate present. It does not indicate whether it is hydrocodone (vicodin), codeine (tylenol 3), heroin, or a combination of these.
Confirmation testing utilizes high complexity instrumentation that yields a definite and specific result. Best practice for confirmation testing involves using either a GC/MS or LC-MS/MS. The results of a confirmation test provide an absolute and definite result that indicates the specific drug/compound present in the urine or oral fluid sample. Premier Biotech utilizes all LC-MS/MS instrumentation for confirmation testing which is considered to be the platinum standard. LC-MS/MS results are defensible in court.
What cross reacts with the standard opiate (OPI) panel?
The standard OPIATE panel cross reacts with morphine, codeine, hydrocodone, hydromorphone. To effectively test for the synthetic opioids (prescription pain pills) specific tests strips are required. Oxycodone, fentanyl, tramadol, and buprenorphine require their own specific test strips. Premier Biotech’s innovative portfolio includes exclusive configurations that tests for many of the prescription opioids and the most relevant drugs of abuse.
If the Premier Bio-Dip was not inserted until 2 hours after collection. Are results still valid?
Yes, as long as the specimen is properly stored there is no time limit requirements.
Would someone taking Vicodin show positive for both the OPI and OXY strip?
No, only the OPI (opiate) strip would be positive.
Does the Opiate Strip pick up Oxycodone?
No. Oxycodone requires its own separate test to effectively detect.
Would adderall test positive for methamphetamine?
No. Adderall would only test positive for amphetamine.
If a donor is taking Tylenol-3. Would donor be positive for oxycodone?
No. They would be positive for codeine, and possibly morphine/hydrocodone as they are metabolites for codeine. Donor should not be positive for oxycodone.
ETG negative, ETS positive. Would this be a positive for alcohol consumption?
ETG can degrade. ETS is present, alcohol was consumed.
Why are cutoffs lower on confirm testing than on rapid test devices?
Antibody technology is less specific than mass spec technology. It is beneficial to have cutoffs lower if possible.
What agencies are benefiting from purchasing through MMCAP?
• Probation And Parole
• Department Of Corrections
• Prisons, Correctional Institutions
• Child And Family Services
• Health And Human Services
• Judicial Districts
• Drug Courts
• Treatment Providers
• Hospitals And Healthcare Clinics
Premier Biotech, Inc.
723 Kasota Avenue SE
Minneapolis, MN 55414
Premier Biotech Labs
©2017 Premier Biotech, Inc. All Rights Reserved.