Table Page Test
GeneDrug Generic NameDrug Brand Names(S)SpecialtyCPIC GuidelineCPIC LevelPHARMGKB Level of EvidencePGX on FDA Label
ABCB1AgomelatineValdoxan, Melitor, ThymanaxPsychiatryA/B3
ABCB1AmaxapineAsendinPsychiatryA/B3
ABCB1AmitriptylineElavilPsychiatryA/B3
Left Col Header
GeneDrug Generic NameDrug Brand Names(S)SpecialtyCPIC GuidelineCPIC LevelPHARMGKB Level of EvidencePGX on FDA Label
ABCB1AgomelatineValdoxan, Melitor, ThymanaxPsychiatryA/B3
ABCB1AmaxapineAsendinPsychiatryA/B3
ABCB1AmitriptylineElavilPsychiatryA/B3
Table with 1st column header only
Test NameCNT or NT Panel
CPT Code81355
Collection3-5 Ml
Saliva
StabilitySamples should be received by RPRD
Ordering

Click here to download the Test Requisition Form.

Test NameCNT or NT Panel
CPT Code81355, 81306
CollectionWhole blood (3-5mL peripheral whole blood in ETDA tube) or Saliva in Oragene Dx, Part # OGD-500
LabelingMust label with patient name plus one additional identifier: date of birth, medical record number, or date of collection
StabilitySamples must be received by RPRD within 7 days of collection. Ambient or refrigerated storage is acceptable.
ShippingAmbient temperature. Ship for RPRD receipt on Monday through Friday only.
RejectionBlood sample may be rejected if frozen, hemolyzed, or clotted
References
  1. Relling MV, et al. CPIC Guideline for Thiopurines and TPMT and NUDT15. Clin Pharmacol Ther. 2019 May;105(5):1095-1105.
Training table
Test nameCPT codeDEX-Z code
CNT Panel (CEP72, NUDT15, TPMT)0286UZB80H
NT Panel (NUDT15, TPMT)81335ZB8DT
AC Panel (ACYP2, CEP72)81479Z02HI
NUDT1581306ZB8DU
CEP7281479Z00R0
CYP2C1981225Z00R1
ACYP281479Z02HJ
Precision HealthPGx Panel81418Z00R2
Psych HealthPGx Panel81225, 81226, 81479Z010Q
WPSContact us for more details.N/A