I've started using quite a lot of belbuca and Butrans in my practice. A lot of my patients seem to do very well on it. The only issue that I am running into is that it doesn't seem to show up on uds including confirmation consistently. I spoke to the rep who said that was a known issue and that you have to ask the lab to drop the cutoff value. I've since asked the lab we work with to do that. I know the amount for pain is much less than the lowest dose of suboxone and I imagine that is the cutoff value that they are testing at. I was curious other people's experience with this and what you are doing about it if anything?