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Oral Fluid Drug Testing

Oral Fluid Drug Testing

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Oral fluid has become a popular choice for drug testing. From substance use disorder treatment to workplace drug testing to criminal justice, many agencies and providers have embraced oral fluid testing as a valuable option to round out their testing protocols, achieve their program goals and increase accountability.

Cordant offers an extensive drug testing menu with over 180 metabolites and parent drugs, with more than 60 mental health testing options in oral fluid.

Benefits of Oral Fluid Testing

As Reliable, Sensitive and Accurate as Urine Drug Testing

Having undergone many advancements in recent years, oral fluid drug testing results are just as accurate and sensitive as urine drug testing. In addition, oral fluid testing provides legally defensible results that are admissible as evidence in courts across the country.

Nearly Impossible to Adulterate and No Dilution Effects

Drug use can be detected in oral fluid almost immediately after ingestion, with a maximum detection window of 1–3 days for most drugs. It is an ideal sample choice for identifying what illicit or prescription drug an individual has or has not taken recently, including THC. The shorter detection window is also helpful when monitoring adherence in patients who are prescribed daily medications.

Snapshot of Recent Drug Use

Oral fluid is a direct filtrate of blood, so test results show primarily parent drugs rather than the substance(s) the parent drug is metabolized into.

Identification of Parent Drugs Rather Than Metabolites

Oral fluid is a direct filtrate of blood, so test results show primarily parent drugs rather than the substance(s) the parent drug is metabolized into.

Low Drug Concentrations Detected

Because oral fluid is a direct filtrate of the blood and shows drugs actively circulating in the bloodstream, low drug concentrations of drugs will be detected, which is an especially important consideration when testing patients who are prescribed medications such as buprenorphine, which often appear only in very low levels.

Video-Observed Oral Fluid Testing

Cordant offers a video-observed oral fluid (saliva) drug testing solution for addiction treatment practices and government agencies that allows you to monitor your patients’ adherence to their treatment plans and continue to provide the highest level of care to your most vulnerable patients during these challenging times.

  • Non-invasive and easily observed oral fluid collection can be done conveniently in the patient’s home
  • Entire collection process is conducted under video supervision by a remote Cordant collection specialist or a member of your staff
  • Supports and complements providers’ existing telehealth platforms
  • Allows for continuity of care when in-office testing may not be available, ensuring the patient adheres to their treatment program

The Cordant Difference:
Going Above and Beyond What Other Laboratories Offer

  • Extensive Drug Testing Menu with 180+ Metabolites and Parent Drugs
  • 60+ Mental Health Testing Options in Urine and Oral Fluid
  • 100x Lower Cutoff Buprenorphine Testing in Urine and Oral Fluid
  • Powerful, Proprietary Technology that Combines Lab Test Ordering and Test Results with Detailed Trend Reports
  • Connectivity (Integration with most EMR systems)
  • CLIA, CAP and CAP FDT Certified
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Cordant clients who agree Cordant's offerings exceed what other labs in the market offer
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Client satisfaction with Cordant's customer service
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Client satisfaction with Cordant's lab service experience

Results of 2019 Cordant client satisfaction survey

Matrix

Detection Window

Clinical Use

URINE

Up to 6 Days

  • Detects drug metabolites and parents drugs
  • Provides a relatively long window of detection
  • Most widely used but easiest to adulterate
  • Point-of-care testing options available

ORAL FLUID

Up to 3 Days

  • Parent compounds, few metabolites
  • Non-invasive; ideal for routine medication monitoring
  • Useful in high-risk patients when adulteration or substitution of urine samples may be suspected
  • Easy to collect, no bathroom or other facilities needed

HAIR

7 Days to
3 Months

  • Parent compounds and metabolites
  • Provides the longest window of detection
  • A valuable tool when onboarding new patients
  • Provides an accurate record of drug use in the last 90 days

BLOOD

Up to 2 Days

  • Parent compounds, few metabolites
  • Measurement of pharmacologically active drugs
  • Determination of steady-state medication concentration
  • Determination of impairment

Certifications

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