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22636 Fluphenazine (Prolixin®) (52)

Fluphenazine (Prolixin®) (52)
Test Code: MISC
Synonyms/Keywords
Prolixin®​
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Serum​ ​Red Top Tube (RTT) ​ ​3 mL ​0.3 mL ​
​Plasma ​Lithium-heparin Green Top Tube or Sodium-heparin Green Top Tube (GTT) ​ 3 mL​ ​0.3 mL ​
Collection Processing Instructions
Trough levels are most reproducible​
Specimen Stability Information
Specimen Type Temperature Time
​Serum or Plasma ​ Ambient temperature is acceptable for shipping and/or short-term storage ​ 3 days​
Specimen may also be refrigerated or frozen for longer storage.​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Medtox Laboratories​ Performed daily​ ​5-9 days
Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)​
Reference Lab
Medtox Laboratories
Reference Range Information
Performing Location Reference Range
Medtox Laboratories​
Report Limit
0.2 ng/ml
Reference Range
0.5 - 20.0 ng/ml
Critical Value - High
40.0 ng/ml
Interpretation
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. Analysis performed by liquid chromatography/tandem mass spectrometry (LC/MS/MS).​
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​80342 ​ ​1 ​ ​
G0480​ ​ ​1 ​ Medicare/MA​
Synonyms/Keywords
Prolixin®​
Ordering Applications
Ordering Application Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
Serum​ ​Red Top Tube (RTT) ​ ​3 mL ​0.3 mL ​
​Plasma ​Lithium-heparin Green Top Tube or Sodium-heparin Green Top Tube (GTT) ​ 3 mL​ ​0.3 mL ​
Collection Processing
Trough levels are most reproducible​
Specimen Stability Information
Specimen Type Temperature Time
​Serum or Plasma ​ Ambient temperature is acceptable for shipping and/or short-term storage ​ 3 days​
Specimen may also be refrigerated or frozen for longer storage.​
Reference Range Information
Performing Location Reference Range
Medtox Laboratories​
Report Limit
0.2 ng/ml
Reference Range
0.5 - 20.0 ng/ml
Critical Value - High
40.0 ng/ml
Interpretation
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. Analysis performed by liquid chromatography/tandem mass spectrometry (LC/MS/MS).​
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Medtox Laboratories​ Performed daily​ ​5-9 days
Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)​
Reference Lab
Medtox Laboratories
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​80342 ​ ​1 ​ ​
G0480​ ​ ​1 ​ Medicare/MA​
For most current information refer to the Marshfield Laboratory online reference manual.