Originally Posted by MidwestFM

That's why you should know how to interpret a UDS.

If a pt on Oxycodone is negative, this could be:

1. A false negative.
2. Binging behavior.
3. Diversion.

So you would want to :

1. Ask for a urine drug screen with opioid breakdown ( no LLOD ).
2. Pill count : at random intervals. If the diverting pt knows it's coming, they may be able to score some of the opioid in question. Some opioid contracts state the pt is required to bring all their narcotics with them: at every visit.

I would think the last thing you would want to have happen is to have your narcs land in the hands of your friendly neighbourhood drug dealer.