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Cotinine & Nicotine Tests (COT)

A cotinine drug test, also called a COT drug test, checks for cotinine to confirm recent nicotine or tobacco use. MDG's COT test kit gives treatment programs and clinics a fast, reliable nicotine drug test without a lab wait.

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Confirms nicotine use accurately

The dip card screens specifically for cotinine at a 200 ng/mL cutoff. Without a validated test, self-reported tobacco or vape use can't be confirmed.

Built for forensic-grade testing

FUO status means results meet the documentation standard treatment programs, courts, and workplace programs need. A non-FUO test can leave results unusable for compliance decisions.

Fast dip-card results

The lateral flow dip format gives a readable result at the point of collection. Sending samples out for cotinine testing can delay treatment or compliance decisions by days.

Reliable, consistent screening

Every COT test kit is manufactured to a consistent immunoassay standard, so results stay dependable test after test. Inconsistent screening tools undermine program trust.

Frequently Asked Questions

What does a COT drug test detect?
A COT drug test detects cotinine, the compound the body produces when it breaks down nicotine, confirming recent tobacco or vape use.
Is a COT drug test the same as a nicotine test?
Yes, a COT drug test and a nicotine drug test measure the same thing because cotinine is the metabolite nicotine breaks down into in the body.
What cutoff level does the COT drug test use?
MDG's COT drug test dip card uses a 200 ng/mL cutoff for cotinine, the standard threshold for detecting recent nicotine use.
Can I use a COT test for workplace or court-ordered testing?
Yes, the COT test kit is intended for forensic use only, making it suitable for workplace, court-ordered, and treatment program testing that requires documented results.
How long does a COT drug test take to read?
The COT drug test dip card is a lateral flow immunoassay that gives a readable result within minutes of dipping the card into the collected sample.

The Right COT Drug Test Depends on Your Testing Setting

A COT drug test identifies cotinine, the biomarker produced when the body processes nicotine, and confirms recent tobacco or vape use. MDG's COT test kit is a single-panel dip card built for forensic use only, which makes it the right fit for treatment facilities, courts, and workplace programs that need documented, defensible results. Programs running a broader panel alongside cotinine screening can pair this dip card with other drug test dips for a complete picture of substance use. Because the format is a dip card rather than a cup, staff dip the card directly into the collected sample and read results at the point of collection. Choosing the correct format up front avoids delays and keeps testing programs compliant with forensic documentation requirements from day one. MDG ships every COT test kit with clear handling instructions so staff can collect a valid sample on the first try.

 

COT Testing Fits a Wide Range of Screening Programs

Cotinine screening supports settings where confirming tobacco or nicotine use matters for compliance or care. Treatment facilities use COT testing to track a patient's smoking status alongside broader recovery goals, while workplace and forensic programs rely on the dip card format for documented chain-of-custody results. Doctors and clinical staff can add cotinine screening to a visit without changing their existing urine collection process, since the dip card works with a standard collection cup. Programs already running our forensic use only tests for other drugs can add a COT panel to the same workflow without new equipment or training. Whether the goal is confirming smoking cessation, monitoring a treatment plan, or meeting a program's testing policy, a single-panel cotinine dip card gives staff a fast, reliable way to get a documented answer. This flexibility helps programs standardize on one supplier instead of sourcing cotinine screening from a separate vendor.

 

MDG Supports COT Testing Programs With Guides and Direct Support

MDG backs every COT test kit with resources that help programs stay compliant and confident in their results. The FAQ page answers common questions about handling, storage, and interpreting dip card results, and our support team is available by phone for programs that need help matching a testing panel to their setting. Laboratories that need a broader menu beyond single-panel cotinine screening can browse our full lineup of drug testing products for multi-panel cups and additional forensic use only options. Treatment facilities building a full compliance program can also review our who we serve resources to see how COT testing fits alongside other screening tools already in use. Keeping documentation, training, and product selection aligned is what keeps a testing program defensible over time, and MDG is set up to support that from the first order onward. New programs can also request cross-reactivity documentation before their first order to confirm the test meets their protocol.