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Standard 12-panel cups miss the two substances many programs now care about most: fentanyl, the synthetic opioid driving overdose deaths, and EtG, the alcohol metabolite that reveals drinking up to 80 hours after the fact. Cups that combine both in one device let recovery programs, sober living homes, and monitoring agencies run a single specimen

Harm reduction programs buy fentanyl test strips differently than individuals do. Cost per strip matters at the thousands-of-units scale, restock speed matters when outreach kits empty out mid-week, and clear instructions matter because strips get handed to people who have never used one. The programs doing this work — syringe service programs, overdose prevention teams,