Your Trusted Source for Confidential, Accurate, and Affordable Alcohol and Drug Testing from home including observed urines at your location.
Verify the Treatment Plan — Confirm What Patients Are Taking, and What They Aren't-Accountability
If you have a patient that is facing a drug or alcohol addiction that may be helped with medication assisted treatment such as with Suboxone, Subutex or other medications, The Family Wellness Box can provide resources for confidential addiction treatment programs via telehealth with medical providers that can, if appropriate, provide medication management. Please click the link below for more information. This can be offered in partnership with therapists that are currently providing one-on-one therapy.
A confidential, affordable, in-home and in-office drug, alcohol and medication screening tool built for addiction treatment providers — physicians, nurse practitioners, PAs, Certified Addiction Counselors (CACs), IOP and outpatient programs and affordable for the patients. The Family Wellness Box (FWB) panel tests for 74 substances, including the prescribed medications you are managing, over the counter dangerous compounds such as Kratom and the substances of concern your patients are working to avoid. Results are produced by a CLIA-certified n LC/MS instrumentation, reviewed by a PhD specialist, and delivered on your timeline. Fully HIPAA compliant — results stay between you, your patient, and the records you choose to keep.
Treating substance use disorder requires answers to two questions at every visit: Is the patient taking the medication you prescribed at the dose you prescribed it? And are they staying off the substances that brought them into treatment? Standard point-of-care cup tests answer neither question well and often cost as much or more than FWB testing. They often miss buprenorphine, naltrexone and the newer synthetic compounds, such as Kratom and mushrooms, that your patients are most likely to relapse on. on and cannot distinguish parent drug from metabolite, the difference between a patient who is taking their Suboxone and a patient who is shaving the strip to pass a test. FWB was built to close that gap. Considerable dangers can surface when medications that are prescribed are mixed with other legal and illegal medications and substances. This identifies many of those possible drug interactions by positively identifying what substances, including prescribed medications, are being consumed.
Confirming Both Sides of the Treatment Plan
MAT and MOUD programs depend on adherence. A patient on buprenorphine and naltrexone, who is taking their medication as prescribed has dramatically better outcomes than one who is not — and the difference is often invisible at the visit. Diversion is real: strips get sold, naltrexone gets skipped, and self-reported compliance is the least reliable data point in the chart. FWB's LC/MS panel detects buprenorphine and norbuprenorphine separately, so you can distinguish dosing from tampering. It detects naltrexone, so you can confirm an oral or extended-release dose is actually in the patient's system. It detects the prescribed antidepressants sleep aids and related medications, that other providers in the patient's care are managing, — and flags the ones that aren't on the medication list.
Abstinence verification is the other half. Patients in recovery are most often tripped up by substances a standard cup test will not see: fentanyl analogs, kratom, mushrooms, designer benzodiazepines like clonazepam, synthetic cannabinoids, and the high-potency THC concentrates that have largely replaced flower. FWB's 74-substance panel covers what your patients are realistically encountering and gives you a defensible result — reviewed by a PhD on the instrument — instead of a strip with a faint second line that everyone in the room interprets differently.
What The Family Wellness Box Gives Your Practice
A 74-substance panel that fits addiction medicine.
FWB's CLIA-certified LC/MS lab tests for 74 substances, including buprenorphine and norbuprenorphine, naltrexone, methadone and EDDP, the full range of prescription opioids, benzodiazepines (including designer compounds), stimulants, antidepressants, sleep aids, alcohol metabolites (EtG/EtS), marijuana and its metabolites, kratom, and the newer synthetic compounds your patients are most likely to relapse on. In addition, it tests for many psychotropic medications that may interact with some or all of these substances. Every result is reviewed by a PhD with decades of experience on this instrument before it reaches you. A full substance list is available on this website.
Collected where it makes sense — your office, or the patient's home.
Boxes arrive with securely packaged cups, all collection materials, and prepaid return shipping. Use them in your office during a visit or send them home with patients for a scheduled collection between visits. Twelve commonly abused drugs return immediate cup-level results within minutes. The full 74-substance lab analysis returns by encrypted email, typically within 24–48 hours.
Observed collection when the situation calls for it.
In the event a higher level of accountability is required, for court-ordered patients, drug court referrals, custody matters, return-to-work agreements, or any clinical situation where chain-of-custody matters, FWB can send a licensed Paramedic or Nurse to the patient's home or to your office for an additional fee. All observed collections follow strict chain-of-custody, with the sample sealed by the observer's and delivered directly to UPS.
HIPAA compliant, with the provider in control of the record.
Results route to the ordering provider by encrypted email. Nothing goes to a school, an employer, or an insurance carrier unless you or the patient chooses to share it. The result is yours to document, discuss, and act on as the treatment plan requires. If you do not directly order the tests you can downland a Request for Information from on this website for your patients to sign releasing the results to you.
Affordable enough for the cadence treatment actually requires.
Effective monitoring in recovery isn't a one-time test. It is a baseline followed by periodic and random check-ins calibrated to the patient's stage. FWB's pricing is built for that cadence, not for a single confirmatory send-out. Multi-cup boxes are very affordable and work well for a patients required to provide weekly or biweekly samples. All purchases can be paid for over several weeks or months interest free If the patient is participating in the telehealth addiction program single cups may be purchased at a significant discount.
When Providers Use FWB
Most addiction treatment programs use FWB at predictable clinical inflection points — the same moments where adherence and abstinence data change the next decision in the plan. A few of the most common:
MAT and MOUD induction and stabilization.
In the first weeks of buprenorphine, naltrexone, or methadone treatment, confirm that the medication is in the patient's system at the expected level and that the substances of concern are clearing and that otherwise non tested substances are not being substituted for the specific drug of choice. A baseline followed by short-interval check-ins gives the prescriber real data for dose adjustments and step-down decisions.
Ongoing maintenance and step-down.
Once a patient is stable, periodic random screens scheduled by the practice, collected at home or in office maintain accountability without the friction of a clinic visit every week. The 74-substance panel catches relapses on substances a cup test would miss.
IOP, PHP, and outpatient program participation.
Program admission, mid-program checkpoints, and discharge planning all benefit from a panel that confirms both medication adherence and abstinence. Results integrate cleanly into the clinical record and the patient's treatment plan.
Court-ordered, drug court, and probation matters.
When chain-of-custody and observed collection are required, FWB's licensed Paramedic or Nurse option will travel to the patient’s location or your office to collect the sample which avoids sending the patient to a collection site. Convenience and confidentiality can make the difference between the patient staying or leaving treatment.
Custody, return-to-work, and licensure matters.
Professionals in monitoring agreements, — clinicians, pilots, commercial drivers, attorneys — and parents in custody proceedings need defensible results on a predictable schedule that will be credible to attorneys and courts. FWB accomplishes all of these.
CAC and case-manager-led check-ins.
Certified Addiction Counselors and case managers can use FWB to confirm the clinical picture they are seeing in session — and to surface concerns to the prescribing provider before they become a crisis.
When something in the chart doesn't add up.
Self-report says one thing, the cup says another, and the pharmacy fill history says a third. A full LC/MS panel resolves the disagreement with data the whole care team can rely on.
How It Works
Ordering is Fast and Easy
The patient places orders directly on this website. Standard delivery is typically within 24 hours at no charge; guaranteed overnight is available for a small fee. If you would like an observed collection — at the patient's home or your office and — the patient can add an observed urine at the time of order. If an observed urine is not required but you want the cup immediately provided to you and confirmation that the sample is provided by the patient, the patient can request that the cups are delivered to your office.
Collect the sample where it works for the patient.
Each box arrives with securely packaged cups, all collection materials, and prepaid return shipping. There is no separate collection site, no waiting room. For patients managing work schedules, transportation barriers, or childcare, this is often the difference between a screen that happens and one that doesn't. The patient provides urine in a cup and then a small amount is drawn into a vacutainer which is returned to the lab for testing.
See immediate results, then full lab results.
Twelve commonly abused drugs are visible on the cup within minutes. A small portion of the sample is sealed in the prepaid envelope and dropped at any UPS location whjch can be found on the UPS location link on this website. The full results for the 74-substance LC/MS analysis is returned by encrypted email to the patient or to the provider, typically within 24–48 hours. A Request for Infromation form ,which the patient signs to allow release of the results to a non-prescribing person, can be downloaded from the Forms and Tools section on this website.
If you require an observed collection.
A licensed Paramedic or Nurse meets the patient at the agreed location, oversees the collection, takes immediate custody of the sample, and delivers it to UPS. The patient is instructed not to open the cup before providing the sample, and chain-of-custody documentation is maintained throughout.
If a result is disputed.
If the patient claims a discrepancy, a re-test is conducted within 24 hours and must include an observer, regardless of how the original sample was collected. If the discrepancy is confirmed, the retest is free and the original test is refunded.
What It Costs
All boxes include collection materials and shipping.
Four-Cup Box
$52 each
Three-Cup Box
$60 each
Two-Cup Box
$72 each
One-Cup Box
$80 each
Addiction Treatment Program Cup
$62.00
Optional observed collection by a licensed Paramedic or Nurse
$70
FWB also offers reduced costs or no-cost testing for patients facing financial hardship through participating programs. If cost is a barrier for a patient you are treating, please ask.