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Alias Names: Vivactil
Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry (HPLC/MS/MS)
Edit Date: 11/17/2010
Performed: Daily
Released: 24-48 hours after setup at PeaceHealth Laboratories’ reference lab.
CPT Code: 80299-90
Specimen Collection Details
Collection: One 5 mL red top tube. Do not use a separator tube (SST or PST). Also acceptable: One 4 mL green top tube (heparin), one 4 mL lavender top tube (EDTA), or one 4 mL grey top tube (sodium fluoride/potassium oxalate).
Handling: Allow to clot, centrifuge and separate serum or plasma into a plastic vial. Freeze.
Stability: 5 days ambient, 5 days refrigerated, or 6 months frozen.
Standard Volume: 2 mL serum or plasma
Minimum Volume: 0.5 mL serum or plasma
Transport: Frozen on dry ice.
Rejection Criteria: Use of SST or PSAT.
This test may require insurance company prior authorization before ordering.
Please check the prior authorization list
Failure to gain preauthorization may result in denial of coverage.

Therapeutic Range: 70-240 ng/mL
Toxic: >400 ng/mL

PeaceHealth Laboratories