Pain Management Confirmation Panel

Pain Management Confirmation Panel (LC/MS/MS only)
Drug Class LC/MS Cutoff*
Benzodiazepines
Includes alprazolam and metabolite (α-OH alprazolam), clonazepam
and metabolite (7-aminoclonazepam), flunitrazepam and metabolite (7-
aminoflunitrazepam), diazepam, lorazepam, midazolam, nordiazepam,
oxazepam, temazepam, triazolam and metabolite (α-OH triazolam),
flurazepam, clobazam,nitrazepam,estazolam,bromazepam,flunitrazepam
50 ng/mL
Opiates
Includes codeine, morphine, hydrocodone, hydromorphone, oxycodone,
oxymorphone, heroin, 6-acetylmorphine,
50 ng/mL
Non-Opiate Analgesics
Includes fentanyl, norfentanyl, tramadol, meperidine and metabolite,
propoxyphene and metabolite, methadone andmetabolites, buprenorphine
and metabolite, tapentadol, pentazocine
10-50 ng/mL
Barbiturates
Includes amobarbital, butabarbital, butalbital, pentobarbital, phenobarbital,
secobarbital,primidone
200 ng/mL
Tricyclic Antidepressants and SSRIs
Includes amitriptyline, nortriptyline, cyclobenzaprine, imipramine,
desipramine, doxepine, protrptyline, trimipramine,dothiepin, citalopram,
duloxetine,venlafaxine,sertraline
50 ng/mL
Other Drugs of interest
Includes carisoprodol, meprobamate,
methylphenidate,zolpidem,gabapentin,pregabalin
50-300 ng/mL