Seems to be a lot of disparity among medical clearances regarding the use of alcohol. For example, some who say they drink 1-2 times a month can get slammed with tier 2 and called a substance abuser; while others who say they drink more than that don't warrant a Tier 2 and get medically cleared. I'm guessing that other questions on the MMPI are factored into the "at risk" factor, and the alcohol questions don't solely dictate a Tier 2. Your friend most likely answered other questions that, when combined with alcohol use questions, could indicate abuse. He didn't get flagged for Tier 2 and put on a medical hold JUST because he said he drinks 1-2 times per month. If that was the case, the majority of everyone going through the process would be in the same boat. There were likely other questions on the MMPI and in his Tier 2 evaluation that indicated a substance abuse problem.Hello everyone, I have a friend that I used to work with at my old contract tower who was waiting for his FAA medical to go through. He found out he had to go through the tier 2 process and met with the doc. Months passed and now they’re saying the report came back suggesting he had a substance abuse problem. He said he drank once or twice a month.