On Mar 26, 2025, at 2:55 PM, David S. Cockrum via MCOH-EH <mcoh-eh@mylist.net> wrote:

This is sort of a cross-over MRO question (but I’ve somehow disconnected from the MRO listserv) but is also related to my role as Medical Director of Employee Health and Wellness.

 

We have recently discovered that some of our remote employees live in states that require employers to specifically name the drugs that are being tested during pre-employment. Local pre-employment evals are tested with a standard 12-panel which we mimic as close as we can through the collection site/commercial lab nearest the candidate, but sometimes these are 10 panels, 9 panels, or whatever.

 

I am being asked to come up with a list of “must test” drugs that we can have in policy. Including the SAMHSA 5 (federal 5, DOT 5, or whatever you want to call them) is definitely a starting point. Was wondering if anyone has a reference for this, or experience. It seems the most common drug not included in panels is buprenorphine – I wouldn’t mind not including it in our list, but I need to understand risk of abuse to ensure we don’t overlook potential for patient harm, etc.

 

Appreciate any thoughts, and if anyone has the MRO list info, please share that with me (david.s.cockrum@hitchcock.org) so I can post there as well.

 

Thanks,

 

David

 

David S. Cockrum, MD, MPH
He/Him/His

Medical Director & Section Chief

Occupational & Environmental Medicine
Department of Medicine

Tel (603) 653-3881 | Fax (603) 650-0930
Dartmouth-Health.org

 

Dartmouth Hitchcock Medical Center 

 

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