banner_hospital_3.jpg (copy)

Sample Submission

Submission Form

To submit a sample for Therapeutic Drug Monitoring, please complete our sample submission form and print a copy to accompany your sample.  If the link will not work, please contact us and we can fax or email you one.  All samples submitted to the Clinical Pharmacology Lab require a completed submission form shipped along with the sample. 

Sample Submission Form (PDF)

Typeable Submission Form (PDF w/form fields)

Recommendations for TDM

 

Shipping

Ship samples to:

Clinical Pharmacology Lab
1500 Wire Rd, 214 SRRC
Auburn University, AL 36849

The CPL now has contracts with UPS and FedEx offering approximately 50% off overnight service.  Due to slightly better pricing and no pickup charges when billed to our account, Fedex Standard Overnight is our preferred method of shipping, but if it is more convenient, you are welcome to use UPS Next Day Air Saver.  The easiest way to ship using our account is for us to order you billable stamps.  Please contact us (with Clinic Name, Address, Phone Number, and name of person we can send them to) and we will order them for you. The billable stamps are free to order and the minimum number is 10.  They usually take 5-7 business days to arrive, so order before you are ready to send the sample.  If you use our account to ship, we will add the charges to your invoice.

 

Pricing and Sample Collection Protocols

Updated June 2014

Please note: When serum is requested (see specific test requirements below), please draw in red top tube (no serum separator tubes due to binding of drug), allow time to clot, spin down, draw off and send just the serum.  This provides the cleanest sample and therefore, the most accurate results.

Amikacin - $100 Single Sample; $125 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes), ship in plastic tube because aminoglycosides bind to glass.  Fasting recommended but not required.  No ice needed.  Peak sample: 1.5-2hrs post dose.  Trough sample: Just prior to next dose (12hrs post on 12hr dosing) if goal is to assure concentrations are below that of safety.  If your goal is also to calculate a disappearance half-life then collect 4-6hrs after peak sample.  Run as received (2-3 business day turnaround time). Method: Immunoassay

Benzodiazepines (Diazepam, Chlorazepate, etc.) - $50 Single Sample

*Qualitative Assay (Positive/Negative).  Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Protect from light with aluminum foil.  Fasting recommended but not required.  No ice needed.  Peak sample (recommended): 1hr post dose.  Run as received (2-3 business day turnaround time). Method: Immunoassay.

Bromide (Potassium or Sodium) - $38 Single Sample

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Trough sample (recommended): Just prior to next dose (12hrs post on 12hr dosing).  Run Tuesday and Thursday mornings.  Sample must be received by day before to be included in run.  Method: Gold Chloride

Carvedilol - $75 Single Sample

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  1-2 week turnaround time.  Method: HPLC

Cyclosporine - $50 Single Sample; $90 Peak & Trough; $25 Dilution (Above Assay Range)

Minimum Sample Required: 0.5ml EDTA Whole Blood (purple top tube).  Ship overnight on ice.  Peak sample: 1.5-2hrs post dose.  Trough sample: Just prior to next dose (12hrs post on 12hr dosing).  If greater than 12 hour dosing interval, a 12hr trough may still be needed or concentrations may be non-detectable.  Recommend peak and trough first time to establish half-life.  Run Wednesday and Friday mornings.  Sample must be received by day before to be included in run.  Method: Immunoassay

Digoxin - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Do not store in rubber topped tube as Digoxin will bind to rubber.  Fasting recommended but not required.  No ice needed.  Peak sample: 1.5-2hrs post dose.  Trough sample: 12hrs post dose or prior to next dose.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Enrofloxacin/Ciprofloxacin - $100 Single Sample; $125 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Peak (2hrs post dose) and Trough (8-10hrs post dose) highly recommended.  If only running a single sample, then run 2hr peak sample.  1-2 week turnaround time.  Method: HPLC

Gabapentin - $50 Single Sample; $75 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes). Fasting recommended but not required. No ice needed. Peak sample: 2hrs post dose. Trough sample: Just prior to next dose (8hrs post on 8hr dosing). Recommend peak and trough first time to establish half-life. Recommend trough sample if sending single sample. Run as received (1-2 business day turnaround time). Method: Immunoassay

Gentamicin - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes), ship in plastic tube because aminoglycosides bind to glass.  Fasting recommended but not required.  No ice needed.  Peak sample: 1.5-2hrs post dose.  Trough sample: Just prior to next dose (12hrs post on 12hr dosing) if goal is to assure concentrations are below that of safety.  If your goal is also to calculate a disappearance half-life then collect 4-6hrs after peak sample.  Run as received (1-2 business day turnaround time). Method: Immunoassay

Itraconazole - $75 Single Sample; $100 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Important to supply target organism and other drugs for recommendations.  Fasting recommended but not required.  No ice needed.  Draw time flexible.  1-2 week turnaround time.  Method: HPLC

Leflunomide - $85 Single Sample; $100 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Draw time flexible throughout 24hr dosing interval.  Run weekly (Sample received by Wednesday, Result by Friday).  Method: HPLC

Levetiracetam (Keppra®) - $66.50 Single Sample; $100 Peak & Trough

Minimum Sample Required: 0.5ml Serum (no serum separator tubes or plasma).  Fasting recommended but not required.  No ice needed.  Peak sample: 2-4hrs post dose.  Trough sample: Just prior to next dose (8hrs post on 8hr dosing).  Recommend peak and trough first time to establish half-life. Recommend trough sample if sending single sample. Run Tuesday and Thursday mornings.  Sample must be received by day before to be included in run.  Method: Immunoassay

Lidocaine - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Phenobarbital - $25 Single Sample; $37.50 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting sample required.  No ice needed. Peak sample: 2hrs post dose. Trough sample: Just prior to next dose (12hrs post on 12hr dosing). Recommend peak and trough first time to establish half-life. Recommend trough sample if sending single sample. Run Tuesday, Wednesday, Thursday, and Friday mornings.  Sample must be received by day before to be included in run.  Method: Immunoassay

Phenytoin (Dilantin®) - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Procainamide - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Theophylline - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Peak sample: 1.5-2hrs post dose.  Trough sample: 12hrs post dose or prior to next dose.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Valproic Acid - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Vancomycin - $45 Single Sample; $70 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Run as received (1-2 business day turnaround time).  Method: Immunoassay

Voriconazole - $85 Single Sample; $100 Peak & Trough

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Important to supply target organism and other drugs for recommendations.  Fasting recommended but not required.  No ice needed.  1-2 week turnaround time.  Method: HPLC

Zonisamide - $66.50 Single Sample; $100 Peak & Trough; $32.25 Dilution (Above Assay Range)

Minimum Sample Required: 0.5ml Serum or Plasma (no serum separator tubes).  Fasting recommended but not required.  No ice needed.  Peak sample: 2hrs post dose.  Trough sample: Just prior to next dose (12hrs post on 12hr dosing).  Recommend trough sample if sending single sample.  Run as received (4 business day turnaround time).  Sample must be received by day before to be included in run.  Method: HPLC

Multi-Test Discount

10% Discount when running 2 or more assays on the same patient, same submission.  Peak/Trough count as a single “assay.”  Does not apply to STAT samples.  Does not apply to shipping charges.

STAT Service - $50 Non-HPLC; $150 HPLC

***ALL COSTS SUBJECT TO CHANGE***

Please call 334-844-7187 with any questions regarding pricing or collection protocols.

Auburn University | College of Veterinary Medicine | Auburn, Alabama 36849 | (334) 844-4546
Webmaster | Website Feedback | Privacy | Copyright ©