15 – 9. Specimens requiring review by a medical review officer by Department of Defense policy Medical Review Officer (MROs) are authorized to check the State Prescription Monitoring Program (PMP) to determine Authorized Use, prior to any of these steps. If authorized use is determined, MRO will notify the ASAP office immediately. Lack of documented prescription information in the PMP cannot be used to determine Illicit Use. a. Upon receipt of a presumptive positive drug result, ARNG commanders will (1) Notify Soldiers within 30 calendar days of receipt of the presumptive positive drug test result. (2) Document the notification procedure used. (3) Forward the documentation to the SAP office. b. If unable to notify the Soldier telephonically or in person, ARNG commanders will (1) Mail the notification by certified mail, return, and/or return receipt requested. (2) Complete an affidavit of mail. (3) Forward the affidavit of mail and return receipt to the SAP office. c. If the notification memorandum is mailed and the Soldier fails to acknowledge receipt, or fails to submit a reply within 30 calendar days of the postmarked date, administrative separation actions will proceed. d. ARNG Soldiers must provide any legitimate prescription information or documentation within 30 calendar days after receiving notification on a presumptive positive drug test result to the SAP office. e. Requests for an extension for good cause maybe submitted to the SAP office for approval. f. Unless an extension is granted, failure to deliver the proper documentation within 30 calendar days of the date of notification of a presumptive positive drug test may constitute a determination of illegitimate use and result in initiation of administrative separation actions. g. The SAP office will ensure that the MRO receives test results for review and proper prescription documentation within 15 calendar days of SAP office receipt. h. The MRO will provide a formal determination and complete DAMIS input and forward to the SAP office within 15 days of receiving positive test result documentation. Within 15 days of receiving the MRO determination, the SAP office will notify the Soldier’s commander for action and decision. i. Total process for MRO review should take no greater than 90 calendar days from result posting to completion of DAMIS input.