None of my meds showed up in toxasure urine test doc won't fill ansiety or pain meds that I have been on 20 years what do I do?

See another doc. Urine drug tests are designed to detect ONLY those drugs the test is made to test. They do not detect all meds, substances, drugs, etc. If you feel your anxiety and pain issues are not adequately treated, my try another doctor. Find someone who will do more than prescribe meds to treat/control symptoms but rather work with you to get to root cause of your anxiety/pain issues and heal them.