Last Modified: 3/25/2019 4:07:04 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 3.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions: Trough levels are most reproducible

Submission of the minimum volume results in an elevated reporting limit and inability to repeat analysis
Minimum Volume: 0.5 mL
Transport & Storage: Temperature/Stability: 3 days Ambient
Reference Range: 0.5 - 20.0 ng/ml

Detection Limit: 
0.2 ng/ml
Critical Ranges: 40.0 ng/ml
Test Comments:

Expected range for low dose therapy: 0.5 - 2.25 ng/ml
Expected range for high dose therapy: 5.0 - 20.0 ng/ml
Some patients respond well to the lower range of therapy, while other patients require the higher concentrations to achieve desired therapeutic effects.

Methodology: LC/MS/MS
Clinical Significance:  
Custom Panel: No


Other Testing Facility: Medtox
PHL Test Code: PROLX
EPIC Test Code: LAB1067
Send Out Test Code: 52
Alternate Test Names: Prolixin
Included Tests:  
CPT Coding: 80342

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