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> Is routine drug testing universally considered acceptable? If I'm going to be a pilot, maybe. For a developer job, I would never consider one that asked for a drug test

Not to mention it would strike many positives thanks to prescription amphetamines being prevalent among developers. Then one would have to disclose psychiatric diagnosis (ADHD) to prove not being a druggie.

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Do you have to disclose that to the employer or only to the lab so they wouldn't include the positive result in the report? I am genuinely curious.

After testing at the lab, the lab reports a potential positive, employer contacts you and says that you need to talk to the lab, and the lab gives a pass upon proof of prescription.

Medical Review Officers actually have access to prescription histories. I'm not entirely clear on how it works as I haven't personally seen that end, but they can verify non-negative results without speaking to the donor and report the result as negative (clean) to the company. They only need to speak to the donor if there's a non-negative result and they have no prescriptions that could cause a false positive for that. Also the MRO contacts the donor directly using the information on the chain of custody; the employer is never made aware that there's something abnormal about the sample.

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