Normally, they have to be testing for it. Drug testing is pretty expensive so most companies use the cheapest tests they can which are the sort of instant tests that work similar to a pregnancy test. So they're pretty limited but they can also be unreliable. So I don't know what might happen but it is possible for one drug, even a legal prescription drug, to be "read" as another. These tests don't test for drugs directly as far as I know, but for their metabolites.

If either company, the employer or the health insurance uses a commercial lab then all bets are off.

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If you act sanctimonious I will just list out your logical fallacies until you get pissed off and spew blasphemous remarks.