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  • Protect Your Practice and Your Patients

    Welcome to our Website

    Medication Monitoring To Improve Pain Management Starts With Staying Informed

    doctor writing prescription

    Documenting recovery of prescribed medications with a urine drug screen can rule out drug diversion. Urine screens provide awareness of adherence to the prescribed drugs, identify use of undisclosed drugs and potential illicit substances. PhyProLabs specializes in pain medication and Drug Detection.

  • We provide
    Professional Lab Work

    Value of Drug Testing

    Value of Drug Testing

    With use of prescription opioids on the rise, it is increasingly important for clinicians to effectively manage the medication adherence of their chronic pain patients.

    Drug Toxicology

    Drug Toxicology

    In order to reduce medication misuse and abuse, it is important to evaluate whether your chronic pain patients are taking their medications properly.

    Federal Policy

    Federal Policy

    Medication monitoring and drug detection services are an effective clinical tool for healthcare professionals.

    Start Testing with Us

    Start Testing with Us

    Accuracy with results in 48 hours, easy to understand reports, CLIA certified - high complexity, capped billing options.

  • Our Services

    The Clinical Value Of UDT Is Clear

    Clear Data Analysis of UDI

    doctor writing prescription

    With use of prescription opioids on the rise, it is increasingly important for clinicians to effectively manage the medication adherence of their chronic pain patients. The American Pain Society and American Academy of Pain Medicine guidelines for chronic opioid therapy state that “clinicians should consider periodically obtaining urine drug screens or other information” as part of their plan of care.¹


    With the accurate and detailed information from PhyProLabs process, you may:

    • Reduce the risk of a patient's misuse or abuse of a prescribed medication.

    • Gain insight into the likelihood that a patient is taking his or her medication as prescribed.

    • Learn about controlled substances a patient is taking.

    • Learn about potentially harmful drug-to-drug interactions.


    Our medication monitoring solutions help advance the treatment of chronic pain by providing detailed information and insight on patients’ pain medication use. Our process helps you assess whether a patient is:

    • Taking illicit drugs.

    • Taking an additional medication prescribed by another provider.

    • Likely taking his or her medications correctly.

    • Not taking enough medication.

    • Taking too much medication.


    References

    • 1 Chou R, Fanciullo GJ, Fine PG. et al. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. J Pain. 2009;10(2):113–130.

    • Couto JE, Goldfarb NI, Leider HL, Romney MC, Sharma S. High rates of inappropriate drug use in the chronic pain population. Popul Health Manag. 2009;12(4):185–190.

    • Turk, D, et al. Predicting opioid misuse by chronic pain patients. Clinical Journal of Pain. 2008. 24: 497-508.

  • Our Services

    Drug Toxicology

    Reduce Medication Misuse and Abuse

    Drug Toxicology

    In order to reduce medication misuse and abuse, it is important to evaluate whether your chronic pain patients are taking their medications properly. It is vital information for assuring that your patients receive the right treatment for the best outcome and protecting the safety of both your patients and your practice.

  • Our Services

    Federal Policy

    “Physicians have a legal obligation to prevent diversion” DEA

    Federal Policy

    Why Order Medication Monitoring and Drug Detection Services?


    Medication monitoring and drug detection services are an effective clinical tool for healthcare professionals who need clear and reliable information about their patients’ use of prescribed medications, non-prescribed medications or the presence of any illicit substances in order to make informed clinical decisions regarding treatment.


    Benefits of medication monitoring and drug detection services include:

    • Results provide an objective means to determine and document whether or not a patient is taking prescribed medications and/or illicit drugs for better treatment planning

    • Identification of possible drug-drug interactions

    • Helping healthcare professionals identify certain forms of aberrant drug-related behavior

    • Reviewing results can initiate a conversation about a patient’s mental and physical health


    Urine drug testing is a useful diagnostic tool in a number of medical disciplines including pain management, addiction, and in the primary care setting.


    Heit/Gourlay Urine Drug Testing in Pain Medicine. (2004) Journal of Pain and Symptom Management 27(3).

    Many leading organizations have published guidelines with their recommendations on the use of urine drug testing in clinical practice. Information in their publications include their position statements, addressing risk, frequency of UDT, and recommended actions when presented with unexpected UDT results. Common terms used within these guidelines:

    UDT – Urine Drug Testing: OT – Opioid Therapy: COT – Chronic Opioid Therapy: ORT – Opioid Risk Tool.


    APS – American Pain Society


    APS/AAPM Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Non-Cancer Pain Feb 2009-p.118

    www.jpain.org/article/S1526-5900(08)00831-6/fulltext


    ASIPP – American Society of Interventional Pain Physicians

    ASIPP 2008 Update- Opioids in the Management of Chronic Non-Cancer Pain pg. S42 with reference to periodic monitoring pg. S44.

    www.painphysicianjournal.com/2008/march/2008;11;S5-S62.pdf


    VA – Veterans Affairs

    VA/DoD Evidence-Based Practice- Management of Opioid Therapy for Chronic Pain

    www.healthquality.va.gov/COT_312_Full-er.pdf


    UTAH – Clinical State Guidelines

    The State of Utah Clinical Guidelines on Prescribing Opioids for Treatment of Pain

    www.dopl.utah.gov/licensing/forms/OpioidGuidlines.pdf


    WA – Washington State Agency

    Interagency Guideline on Opioid Dosing for Chronic Non-Cancer Pain

    www.agencymeddirectors.wa.gov


    FSMB – Federation of State Medical Boards

    Federation of State Medical Boards, Model Policy for the Use of Controlled Substances for the Treatment of Pain 2004, pg. 4,

    Informed Consent and Agreement for Treatment

    www.fsmb.org/pdf/2004_grpol_controlled_substances.pdf


    UW Pain Medicine Portal

    depts.washington.edu/anesth/education/pain/index.shtml

  • Our Services

    Start Testing with Us

    "Protect Your Practice and Your Patients"

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    Why Consider For Your Urine Drug Screening?

    • Accuracy with Results in 48 Hours

    • Easy To Understand Reports

    • CLIA Certified -High Complexity

    • Capped Billing Option


    Other Services to Physician:

    • CLIA Application Assistance

    • CLIA Processing and Training

    • On site – (Home Office) Collection

  • Latest News

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    CNN Prescription drug deaths Two stories

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    Prescription Drugs: Abuse & Addiction

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    Prescription-Tracking Database Underused UTSanDiego

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    Ever Been Scammed?

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    Study Finds Low Compliance with Opioid Treatment Guidelines

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    NIDA Quick Screen

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    Untreated PainCosts and Opioid Abuse

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    Drug Screen Assist

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    Heroin is the drug of choice in white US suburbs

  • All Products

    We provide quality and the service to acompany your business with us.


    Bluing Pills

    Bluing Pills

    Sale $35

    Rapid Drug Test Cup

    Rapid Drug Test Cup

    $199.00 25 Cups

  • Alcohol "DOT" Test

    ALCO-Screen 02 Saliva Alcohol Tester Kits CHEM-56288-24 (24 Tests)

    Alcohol DOT Test


    Alco-Screen® 02 is the most simple, cost effective method of monitoring for alcohol consumption in your Zero Tolerance testing program. Alco-Screen® 02 is so effective that it has been tested and approved by the US Department of Transportation (DOT) for required testing of all transportation and safety sensitive employees for blood alcohol concentrations above the federally mandated zero tolerance level of 0.02%.

    Alco-Screen® 02 is a simple one-step saliva screening test that works in a clean, non-invasive manner and provides results within 4 minutes.

    ***NOTE: This product is not CLIA Waived. This test is for FORENSIC USE ONLY and not for medical office use.***

    Simply wet the test pad with saliva; development of a line on the test pad within 4 minutes indicates a blood alcohol concentration exceeding 0.02% as shown below:

    Positive Result Positive Result: Blood alcohol above 0.02%

    Negative Result Negative Result: Blood alcohol less than 0.02%.

    This simple, highly effective test allows you to tell if the individual being tested is under the influence of alcohol, putting you in control. Inappropriate consumption of alcohol can be a problem in many family, occupational, institutional and safety sensitive situations. Alco-Screen® 02 provides you with an easy yet effective tool in identifying alcohol consumption. And it is the most cost effective alcohol testing method available. For less than $2.00 per test, Alco-Screen® 02 can help you avoid the risks associated with inappropriate alcohol consumption.

    Note: This device is for forensic use only.

  • Adulterant Strips

    Adulteration Test Strips (Specimen Validity Tests)

    Adulterant Strips


    When a donor attempts to alter the drug test result by tampering with the urine specimen that is considered to be adulteration. The use of adulterants can cause false negative results in drug tests by destroying the drugs present in the urine or interfering with the test itself.

    There are several methods drug abusers have used to try and beat the drug test such as diluting or adding substances to the specimen, flushing their system, etc. Adulteration test strips (Specimen Validity Tests) are a cost effective way to determine if the donor has adulterated their specimen in as little as 1 minute.

    Parameters on Adulteration Test Strips (SVT):

    • Creatinine – Creatinine is a waste product of creatine, an amino-acid contained in muscle tissue and found in urine. A person may attempt to foil a test by drinking excessive amounts of water or diuretics such as herbal teas to “flush” the system. Creatinine and specific gravity are two ways to check for dilution and flushing. Low creatinine and specific gravity levels may indicate dilute urine. The absence of creatinine (<5 mg/dl) is indicative of a specimen not consistent with human urine.

    • Specific Gravity tests for sample dilution. Values outside the normal range of 1.003 to 1.030 may be the result of specimen dilution or adulteration.

    • Nitrite – include common commercial adulterants such as Klear or Whizzies. They work by oxidizing the major cannabinoid metabolite THC-COOH. Normal urine should contain no trace of nitrite.

    • Glutaraldehyde – Adulterants such as UrinAid and Clear Choice contain glutaraldehyde which may cause false negative screening results by disrupting the enzyme used in some immunoassay tests. Glutaraldehyde is not normally found in urine.

    • pH – Normal pH levels should be in the range of 4.0 to 9.0. Values outside of this range may indicate sample tampering.

    • Oxidants/PCC – Oxidizing agents such as bleach, hydrogen peroxide and pyridinium chlorochromate (UrineLuck) are commonly used adulterants. Normal human urine should not contain oxidants or PCC.

  • Bluing Pills

    Instant Bluing Tablets ALERE-7875 (100 Tablets)

    Bluing Pills


    Instant Bluing Tablets, designed for quick, portable, and easy to use bluing application. Comes packaged in twist cap bottle. 100 tablets per bottle.

    Alere Instant Bluing Tablets - Turns water blue to prevent adulteration prior to specimen collection. (100 tablets)

  • 5 Panel Drug Cassette

    INSTANT-VIEW® DOA Tests

    5 Panel Drug Cassette


    INSTANT-VIEW® DOA Tests.

    For the detection of illegal or prescription drugs in human urine to determine illicit use or pain management adherence. One-Step Drugs of Abuse Immunoassays.

    Simple, Fast Testing for Detecting Drugs of Abuse.


    • FDA 510(k) for Professional Use

    • CE Marked for Sale in Europe

    • OTC Cleared and CLIA Waived

    • 92.2%-99.8% Accurate

    • Results in 4-7 Minutes

    • Test up to 12 Drugs at Once

    • Made in the USA

    • Adulteration Controls Available

    • Dip Strip and Device Formats

  • 10 Panel Drug Cassette

    ALCO-Screen 02 Saliva Alcohol Tester Kits

    10 Panel Drug Cassette


    ACON 5 Panel Drug Test

    DOA-754 (25 Tests)

    5 Panel Drug Testing Kit, a simple one step dip and read urine test card for detection of Marijuana, Cocaine, Amphetamine, Opiates and Benzodiazepine in urine. FDA Cleared and CLIA Classified as Moderately Complex. (FDA 510K#: K061718)


    The ACON 5 Panel Drug Screening Test Card is a Rapid One-step Urine Drug of Abuse Test Kit used to Screen for 5 drugs of abuse and their metabolites at the minimum cutoff sensitivity levels established by the National Institute on Drug Abuse, World Health Organization (WHO) and SAMHSA.


    The dip type on-site test kit is simple to use and the results are easily interpreted. The donor voids into the cup and gives the specimen to a collector. The collector inserts the test card into the specimen, removes the test card from the specimen, and places it on a flat surface for processing. The result is ready to read within 5 minutes.


    BENEFITS:

    • Dip the card in the specimen for 10-15 seconds

    • Lie on a flat surface

    • Read the results in as little as 5 minutes, but not more than 10 minutes

    • The replaceable cap prevents messes

    • FDA-Cleared

    • Easy-to-use

    • Very accurate

    • Extremely inexpensive


    CPT Codes*: G0430 – Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure, G0431 – Drug screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay), each drug class.


    National Limit Amount: $20.83

    *All CPT codes are supplied for information purposes only and represent no statement; promise or guarantee by CLIAwaivedTM Inc. that these codes will be appropriate or that reimbursement will be made. It is the responsibility of the service provider to confirm the appropriate coding required by their local Medicare carriers, fiscal intermediaries and commercial payors.

  • 12 Panel Drug Cassette

    Instant-View 12-Panel Drug Test

    12 Panel Drug Cassette


    Instant-View 12-Panel Drug Test

    ALF-03-3958 (20 Tests)

    Rapid 12-panel onsite drug testing card, for detection of THC, COC, MOR300, AMP, PCP, mAMP, BZD, BAR, MTD, TCA, PPX, XTC in urine. (Cup not included.) FDA-Cleared and CLIA Classified as Moderately Complex. (FDA 510K#: K063545)


    Instant View Drug Test Cards:

    • Rapid, easy to read results in 4-7 minutes

    • Test up-to 12 drugs of abuse at one time

    • Simple one step testing procedure

    • Pipette or dip-and-read procedure

    • SAMHSA defined concentration cut-off levels

    • Room temperature storage

    • Adulteration controls available

    • FDA 510(k) Cleared


    The Instant-View Multi Drug Screen is a rapid lateral flow immunoassay designed to detect up to twelve drugs of abuse in urine with a single device.

    The Multi-Panel Drug Screen is easy to use as a dip and read device, with a large viewing window that is protected from splashes by a plastic cover. The test strips are fully enclosed and give a clear visual result in four to seven minutes upon addition of sample. A plastic cap is included to cover the sample end of the device and prevent drips onto the benchtop or photocopier glass.

    The Multi-Panel Drug Screen is 510(k)-cleared for professional use and made in U.S.A.

  • Rapid Drug Test Cup

    CLIAwaived,Inc. Rapid Drug Test Cup CLIA-12-RDTC (25 Cups) $199.00

    Rapid Drug Test Cup


    The all new CLIAwaived, Inc. RDTC Rapid Drug Test Cup is the first ever FDA- Cleared and CLIA Waived 12 panel drug test cup with integrated adulteration testing. Exclusively marketed by CLIAwaived.com. Features a simple design for simultaneous evaluation and detection of 12 drugs of abuse in urine; including: THC, COC, OPI, AMP,mAMP, PCP, BAR, BZD, MTD, MDMA, TCA and OXY. Unique integrated adulterant testing for Creatinine, Nitrite, pH, Bleach, and SG. Activate the cup by turning once. Read results at 5 minutes. In-stock item ships immediately! 12-Panel CLIA Waived Drug Test Cup.


    BENEFITS:

    • Simple procedure

    • Easy to interpret color bands

    • Built-in test control

    • Room temperature storage

    • Read results in 5 minutes

    • FDA-Cleared / CLIA Waived for up to 12 drugs


    CPT CODE*: G0434QW - Drug screen, other than chromatographic; any number of drug classes, by CLIA waived test or moderate complexity test, per patient encounter.

  • find us

    1310 Tully Road,
    Ste 109 San Jose,
    CA 95122

    New Client:+1 888 704 1339 Current Client:+1 408 275 1741
    Email: drugtesting@phyprolabs.com

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