24 Panel Drug Test Cup – Med, Alpha-PVP, LSD, Nit, Xyl & More | Free Shipping

24 Panel Drug Test Cup

The 24 Panel Drug Test Cup with Adulteration Testing is the most comprehensive rapid urine screening solution available for workplace testing programs, healthcare providers, rehabilitation facilities, correctional institutions, and professional testing environments. The Serenity Click Cup — available in a large 150 mL format — combines specimen collection, rapid drug screening, temperature verification, and built-in specimen validity testing into a single device, simplifying the testing process without sacrificing accuracy.

This advanced 24 panel drug test screens for traditional drugs of abuse, prescription medications, alcohol metabolites, synthetic cannabinoids, hallucinogens, veterinary sedatives, and several emerging substances — including Medetomidine, Alpha-PVP (Flakka), and Nitrazen (Nitrazepam) — that are increasingly required by modern drug testing programs but absent from standard panels. Three built-in adulteration checks provide an additional layer of confidence by helping identify diluted or tampered specimens.

Results are available in approximately five minutes, making this cup an efficient option for organizations that require fast turnaround without sacrificing coverage.

Why 24 Panels?

Standard 10 or 12 panel drug tests were designed around the SAMHSA-5 and common prescription medications. They leave significant blind spots in today’s testing environment. The 24 panel urine drug test closes those gaps.

• Medetomidine has rapidly replaced xylazine as the dominant adulterant in the illicit fentanyl supply in several U.S. cities, and is not detected by any standard urine panel
• Alpha-PVP (Flakka) is a Schedule I synthetic cathinone not cross-reactive with standard AMP or METH panels
• Kratom and Gabapentin are two of the most commonly misused substances not covered by traditional panels
• 6-MAM provides specific heroin detection that a standard OPI panel cannot reliably confirm at low doses
• K2/Spice synthetic cannabinoids do not trigger standard THC tests
• LSD and Psilocybin use is increasing across all age groups and settings but are absent from virtually every standard screening panel
• ETG alcohol testing extends detection from a few hours (breathalyzer) to approximately 80 hours
• Nitrazen (Nitrazepam) may not be captured reliably by a standard BZO panel cutoff

24 panel drug test – maximum detection capabilities:

& 3 Adulterations ADLTX (Specific Gravity, pH, and Creatinine)

How the 24 Panel Drug Test Cup Works

The Serenity Click Cup is a one-step integrated device requiring no additional equipment, reagents, or laboratory infrastructure.

1. Collect the urine sample directly into the 150 mL cup.
2. Secure the lid according to the manufacturer’s instructions.
3. Activate the test device (Serenity Click mechanism).
4. Wait approximately 5 minutes.
5. Read results through the viewing window. Do NOT read results after 10 minutes.

Reading the Results:

• Negative result: Both the control line (C) and test line (T) appear for each analyte.
• Presumptive Positive: Only the control line (C) appears — the test line is absent.
• Invalid: No control line appears. The test must be repeated with a new cup.

Important:

All non-negative (presumptive positive) results must be confirmed by a certified laboratory using GC/MS or LC/MS confirmation methods before any employment, legal, or clinical determination is made.

Adulterants test

Adulterants testing with these strips is a process that searches for any kind of tampering with a urine sample from the donor.

Those additional ADLTX strips will further increase the minimum chance that the sample can be changed or anyhow tempered with before testing.

Some of the commonly used adulterants in urine drug testing are:

1. Table salt
2. Household vinegar
3. Liquid laundry bleach
4. Lemon juice.
5. Diluted urine (creatinine below 15 mg/mL).
6. Visine eye drops

The urine drug testing cups with adulteration drug test are designed to be user-friendly and reliable.

Reading Adulterants test

Medetomidine: The New Xylazine — Why It Matters Now

Medetomidine is a veterinary alpha-2 adrenergic agonist sedative not approved for human use that began appearing in the illicit U.S. drug supply in 2022 and surged dramatically in 2024–2025. According to the CDC, it was detected in 72% of illegal opioid samples tested in Philadelphia during the final quarter of 2024, actively displacing xylazine — which itself had become the top opioid adulterant. By October 2025, the New York State Department of Health reported medetomidine in 37% of all opioid samples statewide.

Medetomidine withdrawal causes severe, life-threatening autonomic dysfunction — hypertension, tachycardia — that is resistant to standard naloxone and opioid withdrawal protocols. Health providers treating patients without knowledge of medetomidine exposure have faced dangerous gaps in care.

Standard urine drug tests do not detect medetomidine. This 24 panel cup is among the very few rapid point-of-care tests to include a dedicated Medetomidine panel, making it an essential tool for:

• Emergency departments in high-prevalence metro areas
• Harm reduction and needle exchange programs
• Substance use treatment and detox facilities
• Correctional facilities with intake screening protocols
• Any testing program monitoring fentanyl-using populations

Who Uses the 24 Panel Drug Test Cup?

Rehabilitation and Treatment Centers
The 24-panel configuration is increasingly specified by substance use disorder treatment programs that need to monitor for the full range of substances in their patient populations — including emerging adulterants like Medetomidine and Xylazine that standard panels miss entirely.

Correctional Facilities and Probation Programs
Court systems, probation and parole programs, jails, prisons, and juvenile detention facilities require broad, accurate detection. The 24-panel cup supports intake screenings, regular monitoring, and incident-based testing with a single device.

Hospital Emergency Departments
With Medetomidine and Xylazine now appearing in the majority of street fentanyl in several U.S. cities, emergency departments benefit from rapid point-of-care screening that can flag non-opioid adulterant exposure before clinical management decisions are made.

Workplace Drug Testing Programs
Pre-employment, random, post-accident, return-to-duty, and reasonable suspicion testing in safety-sensitive industries including transportation, healthcare, energy, construction, and manufacturing. The expanded panel is particularly relevant for employers in regions with high synthetic drug prevalence.

Pain Management and Addiction Medicine Clinics
Medication compliance monitoring, confirmation of substance abstinence, and detection of unauthorized drug use all require broader screening than standard panels provide. The 24-panel cup supports compliance monitoring for buprenorphine (BUP at 10 ng/mL) and methadone (MTD at 300 ng/mL) alongside unauthorized substance screening.

Harm Reduction Programs
Needle exchanges, syringe services, and community health programs serving people who use drugs need to understand the full scope of substances in their population’s supply — especially Medetomidine, Xylazine, and Fentanyl combinations that require different overdose management approaches.

Product Specifications

Why Choose DrugTestingCup.com?

DrugTestingCup.com is a trusted wholesale supplier of multi-panel drug testing cups, strips, oral swabs, and related supplies serving facilities across the United States from Boynton Beach, Florida.

• Competitive bulk and wholesale pricing — from single cup to 10,000+ unit orders
• Same-day shipping on orders placed before 3:00 PM EST, Monday–Friday
• Free shipping on orders of 100 cups or more
• 5% savings on recurring subscription orders
• B2B and institutional ordering supported
• Dedicated support: 561-879-7718 | info@drugtestingcup.com
• Custom panel configurations available for high-volume accounts

Frequently Asked Questions

Q: What does the 24 panel drug test cup test for?
A: It screens for 24 substances: Medetomidine, Alpha-PVP (Flakka), Nitrazen (Nitrazepam), Xylazine, Psilocybin, LSD, Gabapentin, Kratom, Ketamine, 6-MAM (heroin metabolite), ETG (alcohol), Fentanyl, K2/Spice, Amphetamine, Buprenorphine, Cocaine, MDMA, Methamphetamine, Opiates, Benzodiazepines, Methadone, Oxycodone, THC, and PCP — plus 3 adulteration checks.

Q: Why is Medetomidine included in this panel?
A: Medetomidine is a veterinary sedative that emerged as a major illicit opioid adulterant beginning in 2024. By late 2024, the CDC reported it was detected in 72% of illegal opioid samples in Philadelphia and was actively replacing xylazine in the drug supply. It causes severe withdrawal that is non-responsive to standard naloxone and opioid protocols. Standard urine drug tests do not detect medetomidine, making this panel one of the only rapid point-of-care cups to include it.

Q: What is Alpha-PVP (Flakka) and why test for it?
A: Alpha-PVP, also known as Flakka or Gravel, is a synthetic cathinone and Schedule I stimulant with pharmacology similar to cocaine and MDMA. It is not detected by standard AMP or METH panels. It has emerged in both the illicit stimulant supply and as an adulterant in street drugs, making specific testing increasingly important for treatment programs and workplace testing.

Q: What is Nitrazen and how is it different from a standard BZO test?
A: Nitrazen refers to Nitrazepam, a benzodiazepine-class sedative that is not reliably detected by standard BZO panels at their usual cutoff levels. This panel includes it as a separate analyte to ensure it is not missed — an important distinction for programs serving populations where designer or imported benzodiazepines are prevalent.

Q: Do these drug test cups detect heroin specifically?
A: Yes. The 6-MAM (6-Monoacetylmorphine) panel at 10 ng/mL is the specific metabolite of heroin. Standard OPI panels detect morphine and codeine but can miss heroin use at low doses. The 6-MAM panel at 10 ng/mL provides targeted heroin detection and is considered the gold standard for confirming heroin use.

Q: What is the difference between this 24 panel cup and a standard 12 or 16 panel test?
A: A standard 12-panel test typically covers AMP, OPI, COC, THC, METH, BZO, MTD, OXY, BUP, MDMA, BAR, and PCP. This 24-panel configuration adds 12 additional analytes: Medetomidine, Alpha-PVP, Nitrazen, Xylazine, Psilocybin, LSD, Gabapentin, Kratom, Ketamine, 6-MAM, ETG (alcohol), and K2/Spice — covering virtually every major substance category now encountered in clinical, workplace, and correctional settings.

Q: Does this drug test cup detect alcohol?
A: Yes. ETG (Ethyl Glucuronide) testing is included at a 300 ng/mL cutoff. Unlike breathalyzers that detect current intoxication, ETG can detect alcohol metabolites for up to approximately 80 hours after consumption, making it effective for monitoring alcohol abstinence compliance.

Q: Does this test detect fentanyl?
A: Yes. Fentanyl is included at a 20 ng/mL cutoff — a sensitive threshold appropriate for detecting fentanyl use and fentanyl-adulterated drug supplies.

Q: Does this test detect xylazine?
A: Yes. Xylazine is included at a 1000 ng/mL cutoff. Xylazine is a veterinary sedative that is non-responsive to naloxone and has been widely detected in the illicit fentanyl supply since 2021. Standard drug panels do not include xylazine.

Q: What is the cup’s collection volume?
A: This is a large 150 mL Serenity Click Cup, compared to standard 90 mL cups. The larger volume accommodates easier collection, particularly important for testing populations where specimen volume may be limited.

Q: How does adulteration testing work?
A: The 3 built-in ADLTX strips evaluate Specific Gravity, pH, and Creatinine. These three indicators together help identify specimens that have been diluted with water (low creatinine and specific gravity), substituted with a non-human substance (abnormal pH or specific gravity), or chemically altered. A specimen that falls outside normal human ranges on any of these indicators should be treated as potentially invalid.

Q: Are positive results from this cup considered final?
A: No. All non-negative screening results are presumptive positives and must be confirmed by a certified laboratory using GC/MS or LC/MS methods before any employment, legal, or clinical action is taken.

Q: Is this cup CLIA waived?
A: The standard panels (AMP, COC, THC, METH, OPI, BZO, MTD, OXY, BUP, MDMA, PCP) are typically CLIA waived. Specialty panels including Fentanyl, ETG, K2, LSD, Ketamine, Kratom, Alpha-PVP, Medetomidine, Xylazine, Psilocybin, 6-MAM, and Nitrazen are classified as Forensic Use Only. Contact us to confirm current CLIA waiver status for your specific application.

Q: What industries most commonly use this drug test?
A: Correctional facilities, rehabilitation and treatment centers, hospital emergency departments, pain management clinics, behavioral health programs, probation and parole supervision programs, occupational health services, and employers in safety-sensitive industries are the primary users of comprehensive 24-panel testing.

Q: How long do substances stay detectable in urine?
A: Detection windows vary by substance, frequency of use, dosage, individual metabolism, hydration, and body composition. The detection times in the table above are general estimates. Chronic heavy users typically have longer detection windows than occasional users for most substances.

Q: Is this cup suitable for pre-employment drug testing?
A: Yes, for employers who require expanded coverage beyond the SAMHSA-5 or standard 10-panel. Pre-employment, random, post-accident, return-to-duty, and reasonable suspicion testing are all appropriate applications.

Q: How should the cups be stored?
A: Store between 36°F and 86°F (2°C – 30°C). Keep away from excessive heat, moisture, and direct sunlight. Do not freeze. Each cup has a 24-month shelf life from the date of manufacture.

Q: Can I get custom panel configurations?
A: Yes. DrugTestingCup.com can accommodate custom panel configurations for high-volume orders. Contact us at info@drugtestingcup.com or call 561-879-7718 to discuss your specific testing requirements.