What Is Fentanyl?
What it is
Fentanyl is a highly potent synthetic opioid driving the current opioid crisis.
Why it matters
Fentanyl screening is critical due to its potency and prevalence as an adulterant.
Specimen
Urine
Cut-off
Low ng/mL (assay-dependent)
Interpretation
Positive = fentanyl detected (presumptive). Negative = below cut-off.
Limitations
Does not detect all fentanyl analogs; confirm positives by LC-MS/MS.
Related test: Fentanyl (FYL) Rapid Test — specimen: Urine
Frequently Asked Questions
Does a fentanyl test detect all analogs? No — some analogs are not detected; confirm positives by LC-MS/MS.
Related knowledge
References
- SAMHSA. Drug testing guidelines; confirmatory LC-MS/MS per CLIA standards.
Last reviewed: 2026-09-12