Drug Testing Instructions

Members are Required to Order Drug Tests Online (QPassports) in your Express Labs Account or use the Paper Quest Forms (provided by Express Labs).  After Enrolling, Express Labs Express Labs does not accept Drug Test Results from other Companies.  Your Company Name & Express Labs must be Listed on Drug Test Results.

Option 1: Ordering Drug Tests Online

1. Login to your Express Labs account

2. Click “Order Drug Tests” on the Top Left Tabs

3. Select the Reason for Testing (Pre-Employment, Random, Post-Accident)

4. Choose a Collection Site by entering the ZIP Code (Collection Fees Included)

5. Click “Complete Order”

6. Check your Email for the QPassport from Quest Diagnostics within 1 Hour

7. Driver must bring the QPassport (printed or on your phone) to the Collection Site Selected on the QPassport for the Collector to Scan the Barcode and Start the Collection

8. Call the Site to Confirm they are Open after you have received the QPassport before Notifying Drivers or Driving to the Site.  Sites may not begin a Collection within 3 Hours of Closing (Drivers have 3 hours to provide Sample)

9. Results are Emailed by the MRO and uploaded into your Account

Option 2: Paper Quest Diagnostics Form

The Paper are an Insurance Policy if you can not Order Online and need to use an Out-of-Network Collection Site for Drug Testing.  Members must use the Paper Quest Forms for In-Network or Out-of-Network Collection Sites.  Keep 1 Form in each Truck - in the event of an Accident or if you can not Order Online.  After Enrolling, Express Labs Express Labs does not accept Drug Test Results from other Companies.  Your Company Name & Express Labs must be Listed on Drug Test Results.

1. Find In-Network Collection Sites - Click Here (Collection Fees Included)

2. Find Out-of-Network Collection Sites: Google "DOT Drug Testing Sites Near Me" Including: Concentra, Urgent Cares and most Hospitals (Collection Fees Not Included)

3. Check the Reason for Testing on the Form (Pre-Employment, Random, Post-Accident)

4. Bring the Paper Quest Forms (provided by Express Labs) to the Collection Site

5. Call the Site to Confirm they are Open before Notifying Drivers or Driving to the Site.  Sites may not begin a Collection within 3 Hours of Closing (Drivers have 3 hours to provide Sample)

6. Results are Emailed by the MRO and uploaded into your Account

Drug Test Results

• Results are Emailed by the MRO and uploaded into your Account

• Most Negative Results are Reported within 3 Business Days

• If you have not received Results within 4 Business Days, Contact Quest Customer Service at 800-877-7484

• Provide your Quest Account Number (Listed on the QPassport) or the Specimen ID (Listed on the Paper Quest Form)

Drug Testing Fees

• $80 for DOT & Non-DOT Drug Test Results at In-Network Collection Sites

• $125 for Return-to-Duty & Follow-Up Drug Tests (Observed) at In-Network Collection Sites

• Collection Fees are not Included at Out-of-Network Sites with QPassports or Paper Forms

• Invoices are Due Upon Receipt - Members must maintain a Valid Credit Card on File to keep both Company and Driver Accounts Active.  Membership Fees do not include Drug Testing charges

DOT's Drug Testing Process

1. Collection Process

• Driver Reports to a DOT Certified Collection Site with the QPassport or the Paper Quest Form
• Collector verifies the Driver’s ID and explains the steps
• Driver washes hands and removes outer clothing
• Split Urine Sample is Collected:
  • Bottle A: 30 ml (for initial test)
  • Bottle B: 15 ml (for confirmation if needed)
• Sample Temperature checked, Sealed and Labeled on the Custody and Control Form (CCF)
• Sample Shipped to Quest Diagnostics Laboratory for Testing

2. Laboratory Testing – Quest Diagnostics

• Initial Screening (Immunoassay)
  • If Negative the Result is reported as Negative to the MRO
  • If Positive the Sample is sent for a Confirmation Testing the Reported to the MRO
• Confirmation Test (GC/MS) detects:
  • Marijuana (THC)
  • Cocaine
  • Opiates (Codeine, Morphine, Heroin)
  • Amphetamines (Methamphetamine, MDMA)
  • Phencyclidine (PCP)

3. Medical Review Officer (MRO) Review (Licensed Physician)

• Negative Results: The MRO Reports the Results as Negative
• Non-Negative Results: MRO Contacts the Driver to confirm any valid Prescriptions or Medical Explanations.  DOT only allows the MRO to discuss Prescription Medications with the Driver
  • If the Driver provides a valid Medication Prescription the Results are Reported as Negative
  • If there is no Medication Prescription the Results are Reported as Positive