SAMHSA & DOT 49 CFR Part 40 grounded

Hours of toxicology cross-referencing,
answered in seconds.

ToxIQ gives MROs, clinicians, counselors, and legal professionals instant, evidence-based interpretation of drug test results — detection windows, cutoffs, metabolite ratios, and specimen validity, all grounded in SAMHSA and DOT guidance.

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See it in action

Ask in plain language, get an evidence-based answer

Type a question or upload a lab result. ToxIQ walks through cutoffs, detection windows, metabolite ratios, and next steps — the way an experienced MRO would.

ToxIQ · THC screen
My patient is still THC-positive three weeks after they say they quit. They were a heavy daily user before. Is that plausible, or is it new use?
Plausibly residual. THC-COOH is highly lipophilic and accumulates in body fat, so a chronic daily user can keep excreting above cutoff for 30+ days after last use. Key points:
  • Detection window: 3–5 days for occasional use, but 30+ days for heavy daily use.
  • Cutoffs: 50 ng/mL screen, 15 ng/mL confirmation for THC-COOH (SAMHSA).
  • To separate residual from new use, normalize THC-COOH to creatinine across two specimens ≥24h apart — a stable or falling ratio fits prior use; ≥150% suggests new use.
Interpret a lab report →Compare to prior result →Export PDF →
AI toxicology chat
Lab result interpretation
Result comparison
PDF report export

Who it's for

Built for the professionals who need it most

Healthcare Providers

Understand patient results, medication interactions, and detection window nuances for clinical decisions.

Medical Review Officers

Rapid MRO reference for false positives, chiral analysis, SVT criteria, and DOT 49 CFR Part 40 guidance.

Counselors

Interpret results for treatment clients, explain detection windows, and distinguish use from exposure.

Employers

Understand workplace results, dilute specimens, and when to consult an MRO before taking action.

Judges & Drug Court

Clear, evidence-based explanations for informed rulings in drug court and probation matters.

Attorneys

Challenge or support results with expert-level toxicology context, cutoffs, and error sources.

Features

Everything you need in one place

AI chat with expert toxicology knowledge

Ask any question about detection windows, cutoffs, metabolite ratios, or SVT criteria and get an evidence-based answer instantly.

Lab result interpretation

Upload a PDF, CSV, or image of any lab result and get a full clinical interpretation with red flags and recommendations.

Patient result comparison

Upload two results from the same patient to track changes over time with a side-by-side trend analysis.

PDF report export

Export any conversation as a formatted clinical PDF report with your session details and full interpretation.

Persistent session history

Every conversation is saved and searchable. Resume any past session and continue exactly where you left off.

HIPAA-ready with BAA available

Built for clinical environments with encryption, access controls, and Business Associate Agreements for covered entities.

How it works

Built to be accurate, transparent, and accountable

ToxIQ is a decision-support tool designed to augment professional judgment, never replace it.

Grounded in federal standards

Responses are grounded in SAMHSA workplace testing guidelines and DOT 49 CFR Part 40 framework — the same standards qualified MROs work within.

Human-in-the-loop by design

ToxIQ provides decision support, not determinations. Every regulated result is meant to be adjudicated by a qualified Medical Review Officer. The tool informs your judgment; it never substitutes for it.

Secure and compliant

Patient data is encrypted in transit and at rest, protected by role-based access controls and audit logging. Business Associate Agreements are available for covered entities before any PHI is uploaded.

Randomized testing & compliance

Run a defensible randomized drug testing program

The built-in Randomizer handles the operational side of testing for drug courts, treatment centers, and probation caseloads — fair random selection, patient check-in tracking, automated SMS reminders, and audit-ready compliance reports, all in one place.

Fair random selection

Draw patients for testing on a weekly or monthly schedule with a documented, unbiased selection process.

Check-in tracking

See who was selected, who checked in, and who missed — updated live as patients respond.

Automated SMS reminders

Patients get a text with their check-in code so fewer selections are missed. Consent-based and opt-out ready.

Compliance reports

Export audit-ready reports per caseload for case managers, POs, and the court.

Pricing

Plans built around your practice

Every practice is different, so we price ToxIQ to fit yours. Call for pricing and we'll match you to the right plan — from solo practitioners to full clinics and organizations.

For individual practitioners

Basic

For getting started

Everything one practitioner needs

20 messages/day
5 uploads/day
PDF export
Session history
Most popular

Professional

For daily caseloads

More volume, plus result comparison

100 messages/day
20 uploads/day
PDF export
Result comparison
Priority support

Unlimited

No limits

Full access, org codes & BAA

Unlimited messages
Unlimited uploads
All features included
BAA available
Org access codes
For clinics & organizations

Clinic & Organization Plans

Get your entire clinic on ToxIQ

Individual plans are great for solo practitioners. If you're a clinic, lab, treatment center, or hospital department, we'll set you up with a custom org plan — shared access for your whole team, one bill, one BAA, and a dedicated account manager.

Custom volume pricing

Priced for your team

We'll respond within 1 business day

Unlimited seats

Everyone on your team gets full access under one org account

Org access codes

Share a single code or QR link to onboard your whole team instantly

BAA included

We'll execute a Business Associate Agreement before you upload any patient data

Dedicated support

A real person to help you onboard, train your team, and answer questions

FAQ

Frequently asked questions

What is ToxIQ?

ToxIQ is an AI-powered clinical toxicology assistant that interprets drug test results in seconds. It explains detection windows, cutoff concentrations, metabolite ratios, and specimen validity, with every answer grounded in SAMHSA workplace testing guidelines and the DOT 49 CFR Part 40 framework.

Who uses ToxIQ?

ToxIQ is built for Medical Review Officers (MROs), healthcare providers, substance use counselors, employers, drug court judges, and attorneys — anyone who needs fast, evidence-based interpretation of drug and toxicology test results.

How does ToxIQ interpret a drug test result?

You can ask a question in plain language or upload a lab result as a PDF, CSV, or image. ToxIQ returns a full interpretation that covers detection windows, screening and confirmation cutoffs, metabolite ratios, possible false positives, and specimen validity red flags — with recommendations you can act on.

Is ToxIQ grounded in SAMHSA and DOT guidelines?

Yes. ToxIQ's responses are grounded in SAMHSA workplace drug testing guidelines and the DOT 49 CFR Part 40 regulatory framework — the same standards qualified Medical Review Officers work within.

Can ToxIQ tell the difference between drug use and passive exposure?

ToxIQ helps professionals distinguish likely use from incidental exposure by explaining cutoff concentrations, metabolite ratios, and detection-window context. Final determinations on regulated specimens must still be made by a qualified Medical Review Officer.

Which specimen types and drug classes does ToxIQ cover?

ToxIQ covers six specimen types — urine, oral fluid, hair, blood, sweat, and nails — across more than 50 drug classes, including amphetamines, opioids, benzodiazepines, cannabinoids, cocaine metabolites, and more.

Does ToxIQ replace a Medical Review Officer?

No. ToxIQ is clinical decision support designed to augment professional judgment, not replace it. It does not constitute medical advice, an MRO determination, or a legal opinion. Every regulated specimen result must be adjudicated by a qualified Medical Review Officer licensed under DOT 49 CFR Part 40.

Does ToxIQ help run randomized drug testing programs?

Yes. ToxIQ includes a Randomizer built for drug courts, treatment centers, and probation caseloads. It performs fair, documented random selection of patients on a weekly or monthly schedule, tracks who checked in, sends automated SMS check-in reminders, and exports audit-ready compliance reports for case managers, probation officers, and the court.

Is ToxIQ HIPAA compliant?

ToxIQ is built for clinical environments with encryption in transit and at rest, role-based access controls, and audit logging. A Business Associate Agreement (BAA) is available for covered entities before any protected health information is uploaded.

How much does ToxIQ cost?

ToxIQ offers individual and organization plans priced to fit your practice. Call for pricing or request a demo and our team will match you to the right plan — from solo practitioners to full clinics, labs, and treatment centers.

Still have questions? Email our team or request a demo above.

Clinical Decision Support Only. ToxIQ does not constitute medical advice, MRO determination, or legal opinion. All regulated specimen results must be adjudicated by a qualified Medical Review Officer licensed under DOT 49 CFR Part 40.