AMA Aligned
Drug Class
Drug/
Drug Class
Common/Trade Drug Name
Alcohol1
Ethanol
n/a
Alcohol Biomarkers2,3
EtG, EtS
n/a
Alkaloids
Cotinine
Nicoderm®, Nicorette®
Amphetamine2,3
Amphetamine
Adderall®, Adzenys XR-ODT®, Amphetamine Salts, Dyanavel XR®, Evekeo®
Methamphetamine
Desoxyn®
Phentermine
Adipex®, Fastin®, Ionamin®, Oby-trim®
Citalopram
Celexa®
Duloxetine
Cymbalta®
Escitalopram
Lexapro®
Fluoxetine
Fontex®, Prozac®, Sarafem®, Symbyax®
Paroxetine
Brisdelle®, Paxil®, Paxil CR®, Pexeva®
Sertaline
Zoloft®
Amitriptyline
Duo-Vil®, Elavil®, Etrafon®, Limbitrol®, Triavil®, Vanatrip®
Clomipramine
Anafranil®
Desipraimine
Norpramin®
Doxepin
Adapin®, Prudoxin®, Sinequan®, Silenor®, Zonalon®
Imipramine
Tofranil®, Tofranil-PM®
Mirtazapine
Remeron®, Remeronsoltab®, Zispin®
Antidepressants;
Serotonergic Class
Anti-Depressants;
Tricyclic and
other Cyclicals2,3
13 Panel Presumptive Screening for DOA Testing
13 Panel Presumptive Screen for DOA will be available for clients
who DO NOT perform presumptive screening in the office setting.
The Laboratory Test Code has been provided, as well as the HCPCS
Code (G0479) and AMA CPT Code (80307) for this testing. Please
consult the Stone Clinical Laboratories Testing Manual for cutoffs
of specific drugs within each class.
Street Names Include: "Robins Eggs"
Aventyl®, Pamelor®
Surmontil®
Bupropion
Buproban®, Welbutrin®, Zyban®
Trazodone
Desyrel®, Oleptro® Street Names Include: "Sleepeasy"
Venlafaxine
Effexor®, Pristiq®
Anti-Epileptics, not
otherwise specified2,3
Toprimate
Qudexy®, Qsymia®, Topamax®
Anti-psychotics;
not otherwise
specified2,3
Aripiprazole
Abilify®
Chlorpromazine
Largactil®, Thorazine®
Benzodiazepines¹
Clozapine
Clopine®, CloZAPine Synthon®, Clozaril®, Denzapine®, FazaClo®, Versacloz®, Zaponex®
Fluphenazine
Prolixin®
Haloperidol
Haldol®
Olanzapine
Zyprexa®, Zyprexa Zydis®, Zyprexa Relprevv®, Symbyax®
Risperidone
Risperidal®, Risperidal consta®
Quetapine
Seroquel®
Ziprasidone
Geodon®
Amobarbital
Amytal®
Butabarbital
Butibel®, Butisol®
Street Names Include: “White Lily"
Street Names Include: "Risk it All"
Street Names Include: "Quell", "Baby Heroin"
Street Names Include: "Truth Serum" "Blue Velvet", "Blue Devils", "Blues", "Downers"
Butalbital
Bupap®, Fioricet®, Fioricet with Codeine #3®, Fiorinal®, Fiorinal with Codeine #3®
Pentobarbital
Nembutal®
Phenobarbital
Belladonna®, Luminal®
Secobarbital
Seconal®
Street Names Include: "Nebbies", "Nembies", "Nemmies", "Yellow Dolls", "Yellow Jackets", "Yellow Bullets"
Street Names Include: "Seccies", "Seggies", "M&M's", "Red Devils", "Red Dolls", "Red Birds", "Red Bullets"
Street Names Include: "Xannies", "Bars", "Zanbars", "Z-Bars", "Bricks"
Alprazolam
Niravam®, Xanax®
Clonazepam
Klonopin®
Chlordiazepoxide
Librium®, Limbitrol®
Diazepam
Valium®
Flunitrazepam
Rohypnol®
Street Names Include: "Circles", "Mexican Valium", "Roofies", "The Five Way" (Heroin, Cocaine, Methamphetamine, Rohypnol, and Alcohol)
Flurazepam
Dalmane®
Street Names Include: "Z-bars", "Bars"
Lorazepam
Ativan®
Street Names Include: "Control", "Silence"
Midazolam
Versed®
Street Names Include: "Dazzle"
Oxazepam
Serax®
Street Names Include: "Tranks", "Downers" "Kpin", "Benzos"
Street Names Include: "Downers", "Bennies", "L", "Blue Bombs", "Nerve Pills"
Street Names Include: "V's", "Howards", "Blue V's", "Benzos"
Temazepam
Restoril®
Street Names Include: "King Kong", "Jellies", "Jelly", "Tams", "Temazies", "Beans", "Eggs", "Mazzies"
Triazolam
Halcion®
Street Names Include: "Up Johns"
Benzoylecgonine
Cocaine
Street Names Include: "Snow", "Crack", "White", "Dust", "Nose Candy", "Blow", "Rock", "Bernice"
Buprenorphine
Belbuca®, Butrans®, Suboxone®, Subutex®
Cannabinoids
THC
Street Names Include: “Weed", "Reefer"
Fentanyls¹
Fentanyls
Abstral®, Actiq®, Duragesic®, Fentora®, Sublimaze®, Subsys®
Gabapentin, non-blood¹
Gabapentin
Fanatrex®, Gabarone®, Gralise®, Horizant®, Neurontin®, Nupentin®
Heroin Metabolite
Heroin
Street Names Include: "Big H", "Black Tar", "Smack", "Thunder", "Brown Sugar", "Junk", "Mud", "Scag"
Ketamine¹
Ketamine
Kentanest®, Ketalar®, Ketoses®
Methadone¹
Methadone
Dolphine®, Methadone Diskets®, Methadose®
Methylenedioxyamphetamines
MDMA
Street Names Include: “Molly", "Ecstasy", "XTC", "X", "Beans", "Adam", "Clarity"
Methylphenidate¹
Methylphenidate
Aptensio XR®, Concerta®, Daytrana®, Metadate CD®, Methylin®, Quillivant®ER, Ritalin®,
Street Names Include: "Vitamin R", "R-ball", "Rids", "Diet Coke", "Skittle", "Smarties", "Poor Man's Cocaine"
Opiates, natural¹
Codeine
Empirin with Codeine®, Fiorinal with Codeine®, Maxiflu CD, Phrenilin®, Soma with Codeine ®, Tylenol with Codeine #3®
Street Names Include (Primarily mixed with other drugs): "Loads", "Pancakes and Syrup", “Fours and Doors", "Purple Drank"
Hydrocodone
Anexisa®, Hysingla ER®, Lortab®, Lorcet®, Norco®, Reprexain, Vicodin®, Vicoprofen®, Xodol®, Xylon 10®, Zamicet®, Zohydro ER®, Zolvit®, Zydone®
Street Names include: "Vikes", "Hydro", "Norco", "357s", "Fluff"
Hydromorphone
Dilaudid®, Dilaudid-5®, Exalgo®, Hymorphan®
Morphine
Avinza®, Duramorph®, Infumorph®, Kadian®, MS Contin®, MSIR, Oramorph SR®, Rescudose®, Roxanol
Street Names include: "Miss Em", "TNT", "Tango and Cash", "Murder 8", "M", "Monkey", "Aunti", "Morph"
Meperidine
Demerol®, Mepergan®
Naloxone
Evzio®, Narcan®, Suboxone®, Targiniq ER®
Naltrexone
ReVia®, Vivitrol®
Dextromethorphan
Delsym®
Oxycodone
Endocodone®, Oxaydo®, Oxecta®, OxyContin®, Oxyfast®, Oxy IR®, Percocet®, Percodan®, Roxicodone®, Tylox®, Xtampza®, Xtampza ER®
Street Names Include: "Oxy", "OC", "Blue", "Hillbilly Heroin", "Ox", "Killers"
Oxycodone¹
LC MS/MS
Cut Off
1000 ng/ml
50 ng/ml
BAR
Barbiturates
200 ng/ml
BZO
Benzodiazepines
200 ng/ml
25 ng/ml
BUP
Buprenorphine
10 ng/ml
50 ng/ml
10 ng/ml
COC
Cocaine
300 ng/ml
10 ng/ml
MDMA
Ecstasy
500 ng/ml
50 ng/ml
ETH
Ethanol
500 ng/ml
10 ng/ml
MTD
Methadone
300 ng/ml
50 ng/ml
OPI
Opiates
300 ng/ml
50 ng/ml
OXY
Oxycodone
300 ng/ml
50 ng/ml
PCP
Phencyclidine
25 ng/ml
10 ng/ml
THC
Natural Cannabinoids
50 ng/ml
10 ng/ml
TCA
Tricyclic Antidepressants
300 ng/ml
25 ng/ml
Footnotes:
Buprenorphine¹
Opioid and
Opiate Analogs2,3
Cut Off
Amphetamines
This is ordered and billed as a class.
This is ordered and billed individually dependent on the
number of drugs that are chosen.
3
When ordered as a class, this drug class contains additional
drugs that are listed on the back of the requisition form.
Please review those drugs for medical necessity and financial
reasonableness for each patient for whom this is ordered.
4
These drugs have been grouped together for clinical utility
but will be billed as individual CPT codes per the AMA
Definitive Drug Class Listing.
5
This order will incur additional cost as related to the
addition of CPT codes for each of the drug/drug classes that
are provided. Please refer to the Stone Clinical Laboratories Fee
schedule for guidance, as well as the back of therequisition form.
2
Nortriptyline
Barbiturates¹
Clinical
Drug/Drug Class
Abreviation
AMP
1
Trimipramine
Anti-Depressants;
not otherwise
specified¹
Street Names Include: "Addys", "Uppers", "Beans", "Speed", "Zing", "Study Buddies"
Street Names Include: "Crystal", "Meth", "Speed", "Tina", "Ice", "Chalk", "Crank","Crissy", "Go", "Yaba"
Street Names Include: "Bup", "Sub(s)", "Box", "Stop Sign",
Street Names Include: "Apache", "China Girl", "China White", "Jackpot", "Perc-a-Pop"
Street Names Include: "Quell", "Morontin", "Gabbies"
Street Names Include: "K", "Ket", "Special K", "Vitamin K", "Kit Kat", "Super C", "Purple"
Street Names Include: "Amidone", "Fizzies", "Wafer", "Chocolate Chip Cookies" (when mixed with MDMA)
Street Names include: “Dust”, “Juice”, “Smack”, “D”, “Footballs”
Street Names Include: "Juice", "Dillies", "D", "Dust"
Street Names Include: "Dexies", "Drex", "Rojo", "Orange Crush", " Drank", "Sizzle"
Street Names Include: "Blue Heaven", "Mrs. O", "Biscuits", "Pink", "Orgasna ER", "Octagons"
Oxymorphone
Numorphan HCI®, Opana®, Opana ER®
Pregabalin¹
Pregabalin
Lyrica®
Street Names Include: "Budweisers", "Lycia"
Street Names include: “PCP”, "Angel Dust", "Wack", "Rocket Fuel", "Ozone"
Phencyclidine
Phencyclidine
Sernyl®
Propoxyphene¹
Propoxyphene
Darvon®, Darvon-N®, PP-Cap®, Darvocet®
Sedative Hypnotics
(Non-Benzodiazepine)¹
Escziplocone
Lunesta®
Zolpidem
Ambien®, Ambient CR®, Edluar®, Intermezzo®, Zolpimist®
Zaleplon
Sonata®
Skeletal Muscle
Relaxants²
Cyclobenzaprine
Amrix®, Fexmid®, Flexeril®
Meprobamate
Equanil®, MB-TAB®
Street Names Include: "Milltown"
Carisoprodol
Soma®, Vanadom®
Street Names Include: "Las Vegas Cocktail", "Soma Coma", "Ds", "Dance"
Tapentadol¹
Tapentadol
Nucynta®, Nucytna ER®
Tramadol¹
Tramadol
Copnzip®, Ryzolt®, Ultram®, Ultracet®
Street Names Include: "65's", "N's", "Pinks"
Street Names Include: "Zombie Pills", "Sleepers"
Street Names Include: "No-Go", "Zombies", Sleepeasy", "Tic Tacs", "A-minus"
Street Names Include: "No-Go", “Sleepeasy", "Tic Tacs"
Street Names Include: "Flex-ies", "Mellow Yellow", "Cyclone"
Street Names Include: "Chill Pills", "Ultras"