What to know
- This is an accessible version of the Clinical Drug Test Dashboard, with data displayed in table format.
- The Clinical Drug Test Dashboard reports fentanyl, heroin, cocaine, and methamphetamine detected in clinical urine drug tests for patients diagnosed with a substance use disorder. This data covers only a small number of people who use illegal drugs.
- Visit the interactive version of the dashboard to learn more about the data and its limitations.

About this dashboard
On this page, you'll find an accessible version of the Clinical Drug Test Dashboard, with data displayed in table format.
This dashboard reports trends in illegal use of fentanyl, heroin, cocaine, and methamphetamine based on results from clinical urine drug tests. Tests are ordered by healthcare professionals as part of a comprehensive treatment plan for adult patients diagnosed with a substance use disorder.
Findings are not generalizable to the U.S. because the data comes from a convenience sample of people in clinical care.A However, the large number of test results may help quickly identify national and regional changes in drug use.
Visit the interactive version of the Clinical Drug Test Dashboard to view the data in a dynamic format and to learn more about the data and its limitations.
You can also visit the Key Findings page for a summary of the latest data trends.
- All tables will responsively adjust to your selections of "Region", "Drug", and "Time Frame" at the top of the dashboard.
- Select a Region: Click on the box to select the desired geographic region from the drop-down. You can select the United States or one of the four United States census regions (Midwest Census Region, Northeast Census Region, South Census Region, and West Census Region).
- Select a Drug: Click on the box to select from a drop-down list of four drug options: fentanyl, heroin, cocaine, or methamphetamine.
- Select Time Frame: Click on the box to select the desired time frame (Quarterly or 6 months). If you select quarterly, the data will display: Jan–Mar (January–March); Apr–Jun (April–June); Jul–Sep (July–September); and Oct–Dec (October–December). If you select 6 Months, data will be displayed for the first half of the year, Jan–Jun (January–June), and second half of the year, Jul–Dec (July–December).
- Analyze Percentage Change: Using the percentage change toggle, you can view the data in two ways. First, if you select "% Chg Off", hovering over the data point will only show the percentage value and the 95% confidence interval. The 95% confidence interval was calculated using Wilson intervals. Second, if you select "% Chg On", the data displayed will vary based on the time frame you select:
- If you select "Time Frame: Quarterly", hovering over the five most recent data points will show "Yearly Change" (this is the change from the selected quarter to the same quarter in the previous year), and "Quarterly Change" (this is the change from the selected quarter to the previous quarter).B Differences between the selected quarter and previous quarter may be affected by seasonal effects. Thus, most comparisons focus on the change from the selected quarter to the same quarter in the previous year.
- If you select "Time Frame: 6 Months", hovering over the three most recent data points will show "Yearly Change" (this is the change from the selected 6-month timeframe to the same 6-month timeframe in the previous year), and "6 Month Change" (this is the change from the selected 6-month timeframe to the previous 6-month timeframe).C Differences between the selected 6-month period and previous 6-month period may be affected by seasonal effects. Thus, most comparisons focus on comparing the selected 6-months to the same 6-month period in the previous year.
Suggested citation
Centers for Disease Control and Prevention. Clinical Drug Test Dashboard - Accessible Version. Atlanta, GA: US Department of Health and Human Services, CDC; [INSERT YEAR, MONTH, DAY]. Access at: www.cdc.gov/overdose-prevention/data-research/facts-stats/cdtd-accessible.html
- The urine drug test data are not representative of people using drugs in the U.S. or in specific census regions because the data are a convenience sample. First, the data only includes urine drug tests analyzed by one company, Millennium Health. Second, the data only includes urine drug tests from people with a substance use disorder under clinical care who receive a urine drug test. The percentage of people testing positive for fentanyl, heroin, cocaine, and/or methamphetamine should not be compared across regions due to differences in the types of patients tested across regions. For instance, higher percentages of specimens testing positive for fentanyl in the West versus Northeast does not mean fentanyl use is more common in the West.
- For quarters other than the five most recent and oldest quarter, only previous quarterly change is reported because data from the previous year is not displayed in the table. For the oldest quarter, change is not reported because data from the previous quarter and the previous year are not displayed in the table. Percentage change from previous quarter (e.g., January – March 2025 to April – June 2025) was calculated using the following formula (percentage positive for drug(s) in current quarter – percentage positive for drug(s) in previous quarter)/(percentage positive for drugs(s) in previous quarter).
- For 6-month time periods other than the three most recent and oldest 6-month time period, only change from the previous half year is reported because data from the previous year is not displayed in the table. For the oldest data point, change is not reported because data from the previous half year and the previous year are not displayed in the table. Percentage change from previous half year (e.g., January – June 2025 to July – December 2025) was calculated using the following formula (percentage positive for drug(s) in current half year – percentage positive for drug(s) in previous half year)/(percentage positive for drugs(s) in previous half year).