The Coalition for Excellence in Medication Monitoring (CEMM) is a coalition of the nation’s leading medication monitoring laboratories dedicated to providing high-quality laboratory tests as part of the standard of care for treatment of the millions of Americans who suffer from debilitating chronic pain. CEMM seeks to educate policy-makers about the value, clinical appropriateness, and cost-effectiveness of medication monitoring laboratory tests. CEMM is also working to ensure that physicians, health care professionals and patients have the best available clinical data to make informed decisions about pain medication utilization and compliance.

The Coalition has also developed a Code of Conduct to provide best practices to the industry in setting standards for accurate, safe and ethical practices.

It is estimated that 100 million Americans suffer from chronic pain1, many of whom rely on powerful prescription painkillers for relief. But as the incidence of opioid prescribing has increased, so has the incidence of misuse and abuse. According to the Centers for Disease Control and Prevention, in 2008 poisoning became the leading cause of accidental deaths in the United States — and 40 percent of those deaths involved opioid analgesics.2 Non-medical use and abuse of prescription painkillers costs insurance companies $72.5 billion each year, the CDC estimated.3

Medication monitoring not only helps physicians identify opioid abuse, but also can provide clinicians with critical insights to help them evaluate patient medication adherence and identify potentially dangerous drug-drug interactions.

The coalition’s members Aegis Sciences Corporation, Ameritox, Calloway Lab, Dominion Diagnostics and DRUGSCAN.


1- Committee on Advancing Pain Research, Care, and Education, Institute of Medicine, Relieving Pain in America, A Blueprint for Transforming Prevention, Care, Education and Research, The National Academies Press, 2011, available at:

2- Centers for Disease Control and Prevention, Drug Poisoning Deaths in the U.S. 1980-2008, available at:

3- Centers for Disease Control and Prevention, Prescription Painkiller Overdoses in the U.S., available at: