Hi @happypappy,
With all due respect, IMHO I beg to differ on a coupla points you mentioned.
First, when we talk about drug testing we must understand that the lab tests themselves are set up differently for different purposes. For example, an employment screening test might be a simple 10-panel screen for general categories of drugs (benz, opi, amp, etc.) and not a specific substance. Since you are talking about putting a sub in a sample to be "good to go" I am assuming you are referring to drug treatment compliance testing, which is more comprehensive, as opposed to an employment screening. Generally an employment screening that shows a positive result will offer an option to do a confirmation test in the lab.
- Yes, I do agree that sub is usually a separate test from standard 0pi@te tests and therefore is a separate order not typically found in a ten-panel test. More and more, however, some labs
http://millenniumlabs.com/services/millennium-udt/udt-offerings/ are beginning to include it in a more comprehensive "standard" test.
- A GS/MS lab specifically looks for the metabolized substance, norbuprenorphine which is chemically different from the the unmetabolized substance, buprenorphine. This is done specifically to insure that the sample itself was not tampered with.in your urine, In addition they test for the amount of water, creatine, pH and other contaminants that might indicate tampering
- A drug treatment compliance lab not only quantifies the substance , but the better labs will graph the quantity so as to provide the ordering physician with a patient history
http://millenniumlabs.com/wp-content/uploads/2013/09/MLI-MKT12505_RADAR_Report_Mock-Up_MLIS1.pdf.
Having said that, some sub doctors don't send samples to a lab at all in which case the patient might get away with it. But IME most, if not all sub doctors send a sample from time to time to a Gas Chromatography/Mass Spectrometer - based lab both to confirm any positive tests and to demonstrate to the D Ea that they are being good medical practitioners.
I hope you find this useful, and if I am wrong about this, please let me know.
PR