I could go on and on about how much of a money scheme the NJ RAMP program is. When I first started our facilitator told us about the most "current research" of nurse monitoring programs throughout the country and said that 3-year monitoring programs appear to be the right amount of time when it comes to completion of the program and relapse rates. But for some reason NJ has to give every single person 5 years. It does not matter what you're being monitored for.... everyone gets 5 years. Why does someone who is in for alcohol addiction have to spend close to $200 every month for DRUG testing? The Peth blood tests are typically done 4-5 times per year (about $138 dollars including collection fee) or if your urine comes back dilute or "abnormal". Speaking of which, the RAMP guide book states: "Dilute urine means that both the specific gravity and the creatinine are above or below normal limits". However according to the NCSBN "Specific gravity between 1.001 and 1.003 with creatinine < 20 is considered DILUTE". So, RAMP believes that a creatinine and specific gravity level that is above normal constitutes a dilute urine. They also state "This may be considered a positive screen". The reason I harp on this is because if you get an "abnormal urine", the follow-up is a $138 Peth test to check for alcohol. I understand the need for follow-up at times but why are they saying your urine is negative but abnormal and then checking for alcohol? Makes no sense. I have spent over $2,300 in one year in drug tests and over $1,300 for an hour Zoom meeting once a week. It amazes me that there is a program for physicians in NJ for monitoring and they have actual physician oversight. Prescriptions are written for the drug tests so you can submit to insurance. We are human beings with legitimate medical conditions that require treatment long-term. But for nurses..... no medical oversight except for nurse case managers who make all the decisions that have a huge impact on your life. The expenses are absolutely ridiculous.