SAMHSA & DOT 49 CFR Part 40 grounded

Hours of toxicology cross-referencing,
answered in seconds.

ToxIQ gives MROs, clinicians, counselors, and legal professionals rapid toxicology decision support for drug test results — detection windows, cutoffs, metabolite ratios, and specimen validity — with clear boundaries between HHS federal-civilian, DOT, and clinical-laboratory contexts.

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Focused
Toxicology scope
6
Specimen types
SAMHSA
& DOT 49 CFR
11
Client guides

See it in action

Ask in plain language, get an evidence-based answer

Ask a toxicology question or upload a supported lab result. ToxIQ explains cutoffs, detection windows, metabolite ratios, and validity findings to support professional review without making the final MRO determination.

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 assess residual excretion versus new use, compare creatinine-normalized THC-COOH results with a validated, time-interval-specific model. A rising ratio may support new use, but is not determinative by itself.
Interpret a lab report →Compare to prior result →Export PDF →
AI toxicology chat
Lab result interpretation
Result comparison
PDF report export

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.

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 what a workplace result or dilute specimen means. MRO review and any employment action stay with your MRO and your counsel.

Judges & Drug Court

Plain-language background on cutoffs, detection windows, and error sources. Background reading only — not evidence, testimony, or a substitute for a qualified expert.

Attorneys

Toxicology background for case preparation — cutoffs, detection windows, known error sources. ToxIQ cannot serve as an expert witness; testimony requires your own retained expert.

Features

Everything you need in one place

AI toxicology chat

Ask in-scope questions about detection windows, cutoffs, metabolite ratios, or SVT criteria and receive concise decision support.

Lab result interpretation

Upload a supported PDF, CSV, or image lab result and receive a structured analysis of findings, limitations, and issues requiring professional review.

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 designed to apply current HHS federal-workplace and DOT 49 CFR Part 40 sources when relevant, while distinguishing those rules from non-regulated clinical testing.

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.

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.

Call (503) 899-9291 or contact@toxiq.us, or leave your details below and we'll come to you.

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

Everything in Basic, plus the Randomizer suite

100 messages/day
20 uploads/day
PDF export
Randomizer suite
Priority support

Unlimited

No limits

Everything in Professional, at scale

Unlimited messages
Unlimited uploads
Randomizer suite
BAA available
Priority support
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 code or QR link so teammates can request access for an admin to review

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 decision-support assistant. It explains detection windows, cutoff concentrations, metabolite ratios, and specimen validity, and is designed to apply current HHS federal-workplace and DOT 49 CFR Part 40 sources when they govern the question.

Who uses ToxIQ?

ToxIQ is built for Medical Review Officers (MROs), healthcare providers, substance use counselors, employers, drug court personnel, and attorneys — anyone who needs fast, evidence-based background on drug and toxicology test results. For each of them it is a reference and preparation tool, not a substitute for the MRO, clinician, or retained expert whose judgment the decision actually rests on.

How does ToxIQ interpret a drug test result?

You can ask an in-scope toxicology question in plain language or upload a supported lab result as a PDF, CSV, or image. ToxIQ returns decision support covering detection windows, screening and confirmation cutoffs, metabolite ratios, possible interferences, specimen-validity findings, and issues that require qualified professional review.

Is ToxIQ grounded in SAMHSA and DOT guidelines?

ToxIQ is designed to apply current HHS federal-workplace guidance and the DOT 49 CFR Part 40 framework when relevant, and to distinguish those regulated programs from clinical laboratories that use their own methods and cutoffs. Users should verify the current governing source and reporting laboratory before acting on a result.

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 common toxicology categories 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, legal advice, or expert testimony. Every regulated specimen result must be adjudicated by a qualified Medical Review Officer who meets the requirements of 49 CFR § 40.121. ToxIQ also does not decide whether MRO review is required in a given case — that is set by the governing program and by federal, state, and local requirements that vary by jurisdiction, so confirm it with your program administrator or legal counsel.

Can an attorney use a ToxIQ analysis as expert testimony?

No. ToxIQ is a research and case-preparation tool. An AI system cannot be qualified as an expert witness, and a ToxIQ analysis is not sworn testimony, an affidavit, or admissible expert opinion. An attorney who intends to rely on the interpretation of a drug test in a proceeding must retain a qualified toxicologist or physician to review the result independently and to testify to it.

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? Call (503) 899-9291, email our team, or request a demo above.

Clinical Decision Support Only. ToxIQ does not constitute medical advice, an MRO determination, legal advice, or expert testimony, and it does not determine whether MRO review is required in your program or jurisdiction — confirm that with your program administrator or counsel. All regulated specimen results must be adjudicated by a qualified Medical Review Officer who meets the requirements of 49 CFR § 40.121. Any opinion offered in litigation or a hearing must come from a qualified human expert.