Disclaimer
is document attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care, and providers at all levels. is document
should not be considered exclusive of other methods of care reasonably directed at obtaining the
same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Abbreviations
6-MAM, 6-monoacetylmorphine; AAP, American Academy of Pediatrics; ACOG,
American Congress of Obstetricians and Gynecologists ; ASAM, American Society of
Addiction Medicine; CLIA, Clinical Laboratory Improvement Amendments; EtOH,
ethyl alcohol or ethanol; EtG, ethyl glucuronide; EtS, ethyl sulfate; MRO, Medical Review
Officer; NIDA, National Institute on Drug Abuse; OBOT, office-based opioid treatment;
OTP, opioid treatment program; OTS, opioid treatment services; PCP, phencyclidine;
PHP, Physician Health Program; POCT, point of care testing ; RAM, RAND/UCLA
Appropriateness Method; SAMHSA, Substance Abuse and Mental Health Services
Administration; SBI, Screening and Brief Intervention; SBIRT, Screening, Brief
Intervention, and Referral to Treatment; SUD, substance use disorder; UDT, urine drug
testing
Source
Appropriate Use of Drug Testing in Clinical Addiction Medicine
Available at: www.ASAM.org/DrugTesting
106 Commerce Street, Suite 105
Lake Mary, FL 32746
TEL: 407.878.7606 • FAX: 407.878.7611
Order additional copies at GuidelineCentral.com
Copyright © 2017 All rights reserved
ASAMDRU1763
Expert Panel Members
Louis Baxter, MD, DFASAM; Lawrence Brown, MD, MPH, DFASAM; Matthew
Hurford, MD, Expert Panel Moderator; William Jacobs, MD; Kurt Kleinschmidt, MD;
Marla D. Kushner, DO, FACOFP, DFASAM, FSAHM; Lewis Nelson, MD; Michael
Sprintz, DO, FASAM; Mishka Terplan, MD, MPH, FASAM; Elizabeth Warner, MD;
Timothy Wiegand, MD, FACMT, FAACT, FASAM
Resources
1
http://www.asam.org/docs/default-source/practice-support/quality-improvement/
asam-standards-of-care.pdf
2
http://www.asam.org/publications/the-asam-criteria
3
ASAM.GuidelineCentral.com for Calculators
