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No, a drug test used to be required as part of the medical exam, but that requirement has been removed. A doctor could require a drug test during the physical, but it’s not required, and a failure of that test wouldn’t be the same as failing a DOT-required drug test. It might result in medical disqualification, however.
['Physical exam - Motor Carrier', 'Drug and Alcohol Testing - DOT']
['Physical exam - Motor Carrier', 'Drug testing - Motor Carrier']