Non-DOT drug testing

MRO review for non-DOT workplace drug testing

Most workplace drug tests aren’t regulated by DOT, but a positive result still affects someone’s job. Assured MRO gives non-DOT programs the same physician review, donor interview and documentation that DOT programs get.

Why non-DOT programs use an MRO

Employers aren’t always required to use a Medical Review Officer for non-DOT testing, but most well-run programs do. A lab result alone can’t tell you whether a donor is taking a legitimately prescribed medication. An MRO review turns a raw lab result into a verified result that holds up when a donor challenges it, and it keeps donors’ medical information away from supervisors.

Panels we review

Non-DOT programs choose their own panels. We review standard 5-panel and 10-panel tests and expanded panels your lab offers, including expanded opioids, fentanyl, benzodiazepines, barbiturates and other drugs your program adds. We review urine, oral fluid and hair results when your laboratory reports them to an MRO.

State law matters for non-DOT testing

For non-DOT testing, state law sets many of the rules: which employers can test, what notice is required, whether a confirmation test is required, and how marijuana results may be used. Rules on marijuana in particular vary widely from state to state, and some states protect off-duty use for certain employees. We follow your written policy and flag anything unusual during setup, but your program’s legal obligations are for you and your counsel to decide.

How it works

STEP 1

Tell us your program

Panels, specimen types, labs and how you want results delivered.

STEP 2

Designate us as MRO

We send your lab what it needs to route MRO results to us.

STEP 3

We review every result

Negatives are released quickly; non-negatives get a physician review and donor interview.

STEP 4

You get a verified report

Confidential results go to your designated representative, with records kept securely.

Pricing

The same flat per-result price applies to DOT and non-DOT results, positive or negative. Employer plans start at $49 a month, and there’s no setup fee. See plans and estimate your cost.

Assured MRO provides MRO services only. It does not perform collections or laboratory testing, and nothing on this page is legal advice.

FAQ

Common questions

Is an MRO required for non-DOT drug testing?

Not always. Requirements depend on your state and your policy. Many employers use an MRO anyway because a verified result is more defensible and keeps donors’ medical information confidential.

Do you review fentanyl and expanded opioid panels?

Yes. We review whatever panel your laboratory runs and reports to an MRO, including fentanyl and expanded opioids.

How do you handle marijuana results for non-DOT programs?

We verify the result and report it according to your written policy. How an employer may act on a marijuana result depends on state law, which varies, so check your policy with counsel.

Can you review oral fluid and hair tests?

Yes, when your laboratory performs the test and reports the result for MRO review.

Is non-DOT pricing different from DOT pricing?

No. The flat per-result price is the same for DOT and non-DOT results, negative or positive.

See your price in 30 seconds

Plans from $49 a month for employers. TPA rates from $3.75 per result.

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