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DOT and Non-DOT Consortiums

Lake Regional Occupational Medicine offers DOT and non-DOT services for workers required to participate in a random drug-testing pool. Employers and employees who meet one of the following criteria must comply with DOT drug and alcohol testing:

  • Hold a CDL or commercial driver's license issued by Mexico or Canada
  • Operate a commercial motor vehicle in any state

A vehicle is classified as a CMV if one or more of the following conditions exist:

  • The vehicle has a gross combination or gross vehicle weight rating of 26,001 pounds or more
  • The vehicle has the capacity to carry 16 or more passengers, including the driver
  • The vehicle transports hazardous materials and is required to be placarded


As a consortium member, you will have full access to our knowledgeable staff. We stay up-to-date on federal regulations and will help you comply with drug and alcohol testing requirements. Our services include:

  • Certification as required by federal regulations
  • Pre-employment testing
  • Computerized random selection and certification
  • Supervisor training
  • Quarterly and annual statistical reporting
  • Medical Review Officer review

How the Consortiums Work

Employees at companies contracted with Lake Regional Occupational Medicine are entered into a pool of other CDL or CMV licensees. A computer randomly chooses which employees must report to Lake Regional Occupational Medicine for drug and/or alcohol testing.

After all four consortium pools have been collected for the year, the totals will equal 25 percent of the sample pool for DOT drug testing and 10 percent for DOT alcohol testing.

Non-DOT (Voluntary) Drug and Alcohol Testing Pools

Non-DOT drug and alcohol testing pools also are available through Lake Regional Occupational Medicine. These pools are optional and are not mandated by the U.S. Department of Transportation. Employers often choose to enroll employees in non-DOT pools when they have a mix of both DOT and non-DOT employees.

Sample Screening Policies

Employers who require random drug and/or alcohol screening for their employees should have a policy in place regarding testing. Below are sample policies that may be adapted for your business or company's needs.

Random Drug and Alcohol Testing Ratios

Random Drug Testing Ratio

  • DOT agency: 25 percent.
  • Non-DOT agency: 20 percent.

Random Alcohol Testing Ratio

  • DOT agency: 10 percent.
  • Non-DOT agency: 10 percent.

Consortium Pricing

Annual Fee

The annual fee will be charged at the beginning of the next year at the appropriate rate listed below. Any addition of 1 to 10 employees in the second, third or fourth quarter will incur an additional $25 fee.

 Number of Employees

  • 1 to 10: $50
  • 11 to 20: $75
  • 21 to 30: $100
  • 31 to 40: $125

DOT Services

The prices below include the fee for the drug screen collected from the employees who are pooled. This fee will be billed the month after the designated quarter month. Employees are tested quarterly.

DOT Urine Testing

  • One to two employees: $55
  • Three to four employees: $50
  • Five or more employees: $45

Breath Alcohol Testing

  • One to two employees: $25
  • Three to four employees: $23
  • Five or more employees: $20

Non-DOT Services

The prices below include the fee for the drug screen collected from the employees who are pooled. This fee will be billed the month after the designated quarter month. Employees are tested quarterly.

Non-DOT Urine Testing

  • One to two employees: $50
  • Three to four employees: $45
  • Five or more employees: $40

Breath Alcohol Testing

  • One to two employees: $25
  • Three to four employees: $23
  • Five or more employees: $20

Educational Materials

For Supervisors

  • Two-hour DOT training video: "What DOT Supervisors Need to Know about Reasonable Suspicion Testing." A pamphlet will be given to supervisors after the video is viewed. This will provide documentation and guidelines for future reference.
  • 37-minute non-DOT training video: "Maintaining a Drug-Free Workplace: A How-To Guide for Supervisors."

For Employees

  • Book: What You Need to Know: DOT Alcohol and Drug Testing Rules, Handbook for Safety-Sensitive Employees.
  • 29-minute non-DOT training video: "Maintaining a Drug-Free Workplace: What Every Employee Needs to Know."
  • Our staff also is available to answer any questions you may have regarding drug and alcohol testing.


Employees and supervisors will be charged $10 each for attending an educational video training course. Educational workbooks are $5 to $10 each, depending on costs and shipping.

Enroll Now

To participate in a Lake Regional Occupational Medicine random drug and alcohol testing consortium, print and fill out this enrollment form and fax it to 573.348.8046.

Once the enrollment form has been received, an introductory letter will be emailed or faxed to you. The letter will explain the process to help you prepare for the consortium each quarter. If applicable, file this letter as proof of your enrollment into a DOT consortium.

Note: Access to a secure email address (preferred) or a secure fax machine is required in order to participate in a Lake Regional Occupational Medicine consortium.

Frequently Asked Questions

What drugs does Lake Regional Occupational Medicine test for?

  • Marijuana (THC metabolite)
  • Cocaine
  • Amphetamines
  • Opiates (including heroin)
  • Phencyclidine (PCP)

When are drivers prohibited from driving?

  • While using alcohol
  • If they have a breath alcohol concentration of 0.04 percent or greater
  • Within four hours of consuming alcohol

What if a driver's drug screen is positive?

The driver will be removed from the safety sensitive duty. He or she cannot resume the position until they: 

  • Have been evaluated by a substance abuse professional
  • Have complied with the recommended rehabilitation
  • Have a negative result on a return-to-duty drug test

Follow-up testing also is required to confirm the driver's abstinence from the substance.


U.S. Department of Transportation Office of Drug and Alcohol Policy and Compliance
1200 New Jersey Ave, S.E.
Washington, DC 20590
202.366.3784 | 202.366.3897 (fax)

Federal Motor Carrier Safety Administration: Missouri Division
3219 Emerald Lane
Jefferson City, MO 65109-6936
573.636.3246 | 573.636.8901 (fax)

Substance Abuse and Mental Health Services Administration
P.O. Box 2345
Rockville, MD 20847-2345

Guidelines to Implement Alcohol and Drug Regulations
U.S. Department of Transportation Federal Motor Carrier Safety Administration

Contact Us

Lake Regional Occupational Medicine - Osage Beach
Michael E. Henze Medical Office Building (Building 5)
54 Hospital Drive, Suite 102
Osage Beach, MO 65065
Map and driving directions

Lake Regional Occupational Medicine - Lebanon
441 W. Elm St.
Lebanon, MO 65536
Map and driving directions


Monday through Thursday, 7:30 a.m. to 5 p.m.
Fridays, 8 a.m. to noon (no provider)

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