Effective Date: Monday, June 01, 2015 Test Updates

Immediate Action

In our continuing effort to provide you with the highest quality toxicology laboratory services available, we have compiled important changes regarding a number of tests we perform. Listed below are the types of changes that may be included in this notification, effective Monday, June 01, 2015

Test Changes - Tests that have had changes to the method/ CPT code, units of measurement, scope of analysis, reference comments, or specimen requirements.

Discontinued Tests - Tests being discontinued with alternate testing suggestions.

Please use this information to update your computer systems/records. These changes are important to ensure standardization of our mutual laboratory databases.

If you have any questions about the information contained in this notification, please call our Client Support Department at (866) 522-2206. Thank you for your continued support of NMS Labs and your assistance in implementing these changes.

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. NMS Labs does not assume responsibility for billing errors due to reliance on the CPT Codes listed in this document.

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 1 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

0175B Alcohol (Police), Blood (Forensic) • 9097B Alcohol Screen (Police), Blood • Alfentanil and Sufentanil Confirmation 54143U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Amphetamines Confirmation (Qualitative) 54000U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Atomoxetine Confirmation (Qualitative) 54207U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Barbiturates Confirmation (Qualitative) 54001U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Bath Salts Confirmation (Qualitative) 54339U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Benzodiazepines Confirmation 54002U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Benztropine Confirmation (Qualitative) 54443U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Bupivacaine Confirmation (Qualitative) 54211U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Bupropion and Metabolite Confirmation 54212U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Buspirone Confirmation (Qualitative) 54377U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Cannabinoids Confirmation (Qualitative) 54003U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Carbamazepine and Metabolite Confirmation (Qualitative) (Drug Impaired 54215U • Driving/DRE Toxicology), Urine (Forensic) Carisoprodol and Metabolite Confirmation (Qualitative) (Drug Impaired 54217U • Driving/DRE Toxicology), Urine (Forensic) Chlorpheniramine Confirmation 54440U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Citalopram Confirmation (Qualitative) 54221U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 2 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

Clonidine Confirmation (Qualitative) 54348U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Clozapine and Metabolite Confirmation 54223U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Cocaine and Metabolites Confirmation 54004U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Cyclobenzaprine Confirmation 54445U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Dextrorphan / Levorphanol Confirmation 54349U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Dicyclomine Confirmation (Qualitative) 54228U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Diltiazem Confirmation (Qualitative) 54230U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Diphenhydramine Confirmation 54441U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Donepezil Confirmation (Qualitative) 54234U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Drug Impaired Driving/DRE Toxicology 8075B Expanded Drug Screen Add-On, Blood • (Forensic) Drug Impaired Driving/DRE Toxicology 8075SP Expanded Drug Screen Add-On, • Serum/Plasma (Forensic) Drug Impaired Driving/DRE Toxicology 8075U Expanded Drug Screen Add-On, Urine • (Forensic) Drug Impaired Driving/DRE Toxicology 8078B Gamma-Hydroxybutyric Acid (GHB) Add- • On, Blood (Forensic) Drug Impaired Driving/DRE Toxicology 8078U Gamma-Hydroxybutyric Acid (GHB) Add- • On, Urine (Forensic) Drug Impaired Driving/DRE Toxicology 8074B • Hallucinogens Add-On, Blood (Forensic) Drug Impaired Driving/DRE Toxicology 8074U • Hallucinogens Add-On, Urine (Forensic) Drug Impaired Driving/DRE Toxicology 8076B Low Dose Benzodiazepines Add-On, • Blood (Forensic) Drug Impaired Driving/DRE Toxicology 8076U Low Dose Benzodiazepines Add-On, • Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 3 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

Drug Impaired Driving/DRE Toxicology 8070B • Panel (with Alcohol), Blood (Forensic) Drug Impaired Driving/DRE Toxicology 8067B Panel (with Alcohol), Blood (Forensic) • (CSA) Drug Impaired Driving/DRE Toxicology 8069B Panel (with Alcohol), Blood (Forensic) • • (CSA) - LA Drug Impaired Driving/DRE Toxicology 8070SP Panel (with Alcohol), Serum/Plasma • (Forensic) Drug Impaired Driving/DRE Toxicology 8069U Panel (with Alcohol), Urine (Forensic) • (CSA) - LA Drug Impaired Driving/DRE Toxicology 8068B • Panel, Blood (CSA) - LA Drug Impaired Driving/DRE Toxicology 8071B • Panel, Blood (Forensic) Drug Impaired Driving/DRE Toxicology 8071SP • Panel, Serum/Plasma (Forensic) Drug Impaired Driving/DRE Toxicology 8068U • Panel, Urine (CSA) - LA Drug Impaired Driving/DRE Toxicology 8090B Panel, with Statement of Certainty®, • Blood (Forensic) Eszopiclone / Zopiclone Confirmation 54350U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Fentanyl and Metabolite Confirmation 54142U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Flecainide Confirmation (Qualitative) 54351U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Flunitrazepam and Metabolites Confirmation (Qualitative) (Drug Impaired 54248U • Driving/DRE Toxicology), Urine (Forensic) Fluvoxamine Confirmation (Qualitative) 54249U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) GC Confirmation Set 1 (Qualitative) 54337U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) GC Confirmation Set 2 (Qualitative) 54336U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Guaifenesin Confirmation (Qualitative) 54252U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 4 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

Hydroxyzine Confirmation (Qualitative) 54442U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Ketamine and Metabolite Confirmation 54258U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) LSD Confirmation (Qualitative) (Drug 54010U Impaired Driving/DRE Toxicology), Urine • (Forensic) Lacosamide Confirmation (Qualitative) 54355U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Lamotrigine Confirmation (Qualitative) 54259U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Levetiracetam Confirmation (Qualitative) 54260U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Loxapine Confirmation (Qualitative) 54357U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Memantine Confirmation (Qualitative) 54358U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Mescaline Confirmation (Qualitative) 54359U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Metaxalone Confirmation (Qualitative) 54360U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Methadone and Metabolite Confirmation 54005U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Methaqualone Confirmation (Qualitative) 54273U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Methocarbamol Confirmation 54276U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Methylphenidate and Metabolite Confirmation (Qualitative) (Drug Impaired 54279U • Driving/DRE Toxicology), Urine (Forensic) Mexiletine Confirmation (Qualitative) 54362U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Olanzapine Confirmation (Qualitative) 54291U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Opiates - Free (Unconjugated) 54006U Confirmation (Qualitative) (Drug Impaired • Driving/DRE Toxicology), Urine

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 5 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

Oxcarbazepine/Eslicarbazepine as Metabolite Confirmation (Qualitative) 54293U • (Drug Impaired Driving/DRE Toxicology), Urine (Forensic) Papaverine Confirmation (Qualitative) 54295U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Paroxetine Confirmation (Qualitative) 54296U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Phencyclidine Confirmation (Qualitative) 54007U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Phensuximide Confirmation (Qualitative) 54102U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Phenyltoloxamine Confirmation 54364U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Phenytoin Confirmation (Qualitative) 54105U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Piperazine Designer Drugs Confirmation 54340U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Primidone, Phenobarbital and PEMA Confirmation (Qualitative) (Drug Impaired 54106U • Driving/DRE Toxicology), Urine (Forensic) Procainamide and NAPA Confirmation 54107U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Promazine Confirmation (Qualitative) 54446U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) ProofPOSITIVE® Drug Impaired 8082B Driving/DRE Toxicology Inhalants Add- • On, Blood (Forensic) ProofPOSITIVE® Drug Impaired 8151B Driving/DRE Toxicology Panel (with • Alcohol), Blood (Forensic) Propoxyphene and Metabolite Confirmation (Qualitative) (Drug Impaired 54008U • Driving/DRE Toxicology), Urine (Forensic) Quetiapine Confirmation (Qualitative) 54112U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Quinidine Confirmation (Qualitative) 54148U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 6 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

Ramelteon and Metabolite Confirmation 54368U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Risperidone and Metabolite Confirmation 54338U (Qualitative) (Drug Impaired Driving/DRE • • Toxicology), Urine (Forensic) Salvinorin B Confirmation (Qualitative) 54369U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Sertraline Confirmation (Qualitative) 54116U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Sibutramine and Metabolites Confirmation (Qualitative) (Drug Impaired 54335U • Driving/DRE Toxicology), Urine (Forensic) Sildenafil and Metabolite Confirmation 54370U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Synthetic Opioids - Total (Conjugated/Unconjugated) Confirmation 54334U • (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine Tapentadol - Total Confirmation 54372U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Tetrahydrozoline Confirmation 54373U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Theophylline Confirmation (Qualitative) 54121U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Thiothixene (Cis Isomer) Confirmation 54123U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Tiletamine Confirmation (Qualitative) 54125U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Topiramate Confirmation (Qualitative) 54127U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Tramadol and Metabolite Confirmation 54128U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Trihexyphenidyl Confirmation 54345U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic) Venlafaxine and Metabolite Confirmation 54132U (Qualitative) (Drug Impaired Driving/DRE • Toxicology), Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 7 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Test Name Test Method / Specimen Stability Scope Units Reference Discontinue Code Name CPT Code Req. Comments

Xylazine Confirmation (Qualitative) (Drug 54135U Impaired Driving/DRE Toxicology), Urine • (Forensic) Yohimbine Confirmation (Qualitative) 54375U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Zaleplon Confirmation (Qualitative) (Drug 54137U Impaired Driving/DRE Toxicology), Urine • (Forensic) Zolazepam Confirmation (Qualitative) 54138U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Zolpidem Confirmation (Qualitative) 54139U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic) Zonisamide Confirmation (Qualitative) 54379U (Drug Impaired Driving/DRE Toxicology), • Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 8 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Changes 0175B Alcohol (Police), Blood (Forensic)

Summary of Changes: Scope of Analysis was changed. Approximate # of Drinks was removed. Scope of Analysis: Headspace GC (80301): Ethanol, Blood Alcohol Concentration (BAC), Methanol, Method (CPT Code) Isopropanol, Acetone Headspace GC (80320): Ethanol, Methanol, Isopropanol, Acetone 9097B Alcohol Screen (Police), Blood

Summary of Changes: Scope of Analysis was changed. Approximate # of Drinks was removed. Scope of Analysis: Headspace GC (80301): Ethanol, Blood Alcohol Concentration (BAC), Methanol, Method (CPT Code) Isopropanol, Acetone Headspace GC (80320): Ethanol, Methanol, Isopropanol, Acetone 54143U Alfentanil and Sufentanil Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54000U Amphetamines Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54207U Atomoxetine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54001U Barbiturates Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54339U Bath Salts Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54002U Benzodiazepines Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

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Test Changes 54443U Benztropine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54211U Bupivacaine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54212U Bupropion and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54377U Buspirone Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54003U Cannabinoids Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54215U Carbamazepine and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54217U Carisoprodol and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54440U Chlorpheniramine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54221U Citalopram Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 10 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Changes 54348U Clonidine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54223U Clozapine and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54004U Cocaine and Metabolites Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54445U Cyclobenzaprine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54349U Dextrorphan / Levorphanol Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54228U Dicyclomine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54230U Diltiazem Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54441U Diphenhydramine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54234U Donepezil Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

8075U Drug Impaired Driving/DRE Toxicology Expanded Drug Screen Add-On, Urine (Forensic)

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Test Changes

Summary of Changes: Scope of Analysis was changed. Glipizide was removed. Scope of Analysis: Method (CPT Code) 8069B Drug Impaired Driving/DRE Toxicology Panel (with Alcohol), Blood (Forensic) (CSA) - LA

Summary of Changes: Test Name was changed. Scope of Analysis was changed. Approximate # of Drinks was removed. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone, Phencyclidine, Propoxyphene, Methamphetamine, Oxycodone Headspace GC (80301): Ethanol, Blood Alcohol Concentration (BAC), Methanol, Isopropanol, Acetone Headspace GC (80320): Ethanol, Methanol, Isopropanol, Acetone 8069U Drug Impaired Driving/DRE Toxicology Panel (with Alcohol), Urine (Forensic) (CSA) - LA

Summary of Changes: Test Name was changed.

8068B Drug Impaired Driving/DRE Toxicology Panel, Blood (CSA) - LA

Summary of Changes: Test Name was changed.

8068U Drug Impaired Driving/DRE Toxicology Panel, Urine (CSA) - LA

Summary of Changes: Test Name was changed.

54350U Eszopiclone / Zopiclone Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54142U Fentanyl and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54351U Flecainide Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54248U Flunitrazepam and Metabolites Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

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Test Changes

Summary of Changes: Test Name was changed.

54249U Fluvoxamine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54337U GC Confirmation Set 1 (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54336U GC Confirmation Set 2 (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54252U Guaifenesin Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54442U Hydroxyzine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54258U Ketamine and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54010U LSD Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54355U Lacosamide Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54259U Lamotrigine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

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Test Changes 54260U Levetiracetam Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54357U Loxapine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54358U Memantine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54359U Mescaline Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54360U Metaxalone Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54005U Methadone and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54273U Methaqualone Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54276U Methocarbamol Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54279U Methylphenidate and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54362U Mexiletine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

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Test Changes

Summary of Changes: Test Name was changed.

54291U Olanzapine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54006U Opiates - Free (Unconjugated) Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine

Summary of Changes: Test Name was changed.

54293U Oxcarbazepine/Eslicarbazepine as Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54295U Papaverine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54296U Paroxetine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54007U Phencyclidine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54102U Phensuximide Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54364U Phenyltoloxamine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54105U Phenytoin Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

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Test Changes

Summary of Changes: Test Name was changed.

54340U Piperazine Designer Drugs Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54106U Primidone, Phenobarbital and PEMA Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54107U Procainamide and NAPA Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54446U Promazine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

8082B ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology Inhalants Add-On, Blood (Forensic)

Summary of Changes: Test Name was changed.

8151B ProofPOSITIVE® Drug Impaired Driving/DRE Toxicology Panel (with Alcohol), Blood (Forensic)

Summary of Changes: Scope of Analysis was changed. Approximate # of Drinks was removed. Scope of Analysis: ELISA (80301): Opiates, Cocaine / Metabolites, Benzodiazepines, Cannabinoids, Method (CPT Code) Amphetamines, Barbiturates, Methadone, Phencyclidine, Carisoprodol / Metabolite, Methamphetamine, Oxycodone, Zolpidem Headspace GC (80301): Ethanol, Blood Alcohol Concentration (BAC), Methanol, Isopropanol, Acetone Headspace GC (80320): Ethanol, Methanol, Isopropanol, Acetone 54008U Propoxyphene and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54112U Quetiapine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 16 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Changes

Summary of Changes: Test Name was changed.

54148U Quinidine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54368U Ramelteon and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54338U Risperidone and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed. Scope of Analysis was changed. Risperidone and 9-Hydroxyrisperidone - Total was removed Scope of Analysis: LC-MS/MS (80342): Risperidone, 9-Hydroxyrisperidone Method (CPT Code) 54369U Salvinorin B Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54116U Sertraline Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54335U Sibutramine and Metabolites Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54370U Sildenafil and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54334U Synthetic Opioids - Total (Conjugated/Unconjugated) Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine

Summary of Changes: Test Name was changed.

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 17 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Changes 54372U Tapentadol - Total Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54373U Tetrahydrozoline Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54121U Theophylline Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54123U Thiothixene (Cis Isomer) Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54125U Tiletamine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54127U Topiramate Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54128U Tramadol and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54345U Trihexyphenidyl Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54132U Venlafaxine and Metabolite Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 18 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Test Changes 54135U Xylazine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54375U Yohimbine Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54137U Zaleplon Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54138U Zolazepam Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54139U Zolpidem Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

54379U Zonisamide Confirmation (Qualitative) (Drug Impaired Driving/DRE Toxicology), Urine (Forensic)

Summary of Changes: Test Name was changed.

NMS LABS 3701 Welsh Road Willow Grove, PA 19090 www.NMSLabs.com Page 19 of 20 Effective Date: Monday, June 01, 2015 Test Updates

Discontinued Tests Test Code Test Name Alternative Test 8075B Drug Impaired Driving/DRE Toxicology 8152B - ProofPOSITIVE® Drug Impaired Expanded Drug Screen Add-On, Blood Driving/DRE Toxicology Expanded Drug (Forensic) Screen Add-On, Blood (Forensic) 8075SP Drug Impaired Driving/DRE Toxicology No Alternate Tests Available Expanded Drug Screen Add-On, Serum/Plasma (Forensic) 8078B Drug Impaired Driving/DRE Toxicology Gamma- 9326B - Gamma-Hydroxybutyric Acid Screen, Hydroxybutyric Acid (GHB) Add-On, Blood Blood (Forensic) 8078U Drug Impaired Driving/DRE Toxicology Gamma- 9326SP - Gamma-Hydroxybutyric Acid Screen, Hydroxybutyric Acid (GHB) Add-On, Urine Serum/Plasma (Forensic) 8074B Drug Impaired Driving/DRE Toxicology 8756B - Bath Salts and Stimulants Designer Hallucinogens Add-On, Blood (Forensic) Drugs - Expanded, Blood 8074U Drug Impaired Driving/DRE Toxicology 8756U - Bath Salts and Stimulants Designer Hallucinogens Add-On, Urine (Forensic) Drugs - Expanded, Urine 8076B Drug Impaired Driving/DRE Toxicology Low 8152B - ProofPOSITIVE® Drug Impaired Dose Benzodiazepines Add-On, Blood Driving/DRE Toxicology Expanded Drug (Forensic) Screen Add-On, Blood (Forensic) 8076U Drug Impaired Driving/DRE Toxicology Low No Alternate Tests Available Dose Benzodiazepines Add-On, Urine (Forensic) 8070B Drug Impaired Driving/DRE Toxicology Panel 8151B - ProofPOSITIVE® Drug Impaired (with Alcohol), Blood (Forensic) Driving/DRE Toxicology Panel (with Alcohol), Blood (Forensic) 8067B Drug Impaired Driving/DRE Toxicology Panel 8151B - ProofPOSITIVE® Drug Impaired (with Alcohol), Blood (Forensic) (CSA) Driving/DRE Toxicology Panel (with Alcohol), Blood (Forensic) 8070SP Drug Impaired Driving/DRE Toxicology Panel No Alternate Tests Available (with Alcohol), Serum/Plasma (Forensic) 8071B Drug Impaired Driving/DRE Toxicology Panel, 8150B - ProofPOSITIVE® Drug Impaired Blood (Forensic) Driving/DRE Toxicology Panel, Blood (Forensic) 8071SP Drug Impaired Driving/DRE Toxicology Panel, No Alternate Tests Available Serum/Plasma (Forensic) 8090B Drug Impaired Driving/DRE Toxicology Panel, 8151B - ProofPOSITIVE® Drug Impaired with Statement of Certainty®, Blood (Forensic) Driving/DRE Toxicology Panel (with Alcohol), Blood (Forensic)

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