Naltrexone and Metabolite - Free (Unconjugated), Serum/Plasma Test (3116SP)

Analysis Code 3116SP 
Test Name Naltrexone and Metabolite - Free (Unconjugated), Serum/Plasma 
Test Includes 6-Beta-Naltrexol - Free [LC-MS/MS], Naltrexone - Free [LC-MS/MS] 
Compound Synonym(s) Depade® Nalorex® Naltrexone Metabolite ReVia® Trexan® Vivitrol® 
Purpose Therapeutic Drug Monitoring 
Category Narcotic Analgesic 
Method(s) High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) 
Specimen Requirements 2 mL Serum or Plasma 
Transport Temperature Refrigerated 
Specimen Container Plastic container (preservative-free) 
Special Handling Serum: Collect sample in Red top tube
Plasma: Collect sample in Lavender top tube (EDTA) or Pink top tube.
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines. 
Light Protection Required Not Required 
Stability Room Temperature: 7 day(s) Refrigerated: 10 day(s) Frozen (-20 °C): 1 month(s) 
Rejection Criteria Polymer gel separation tube (SST or PST). 
Day(s) Test Set-up [LC-MS/MS] Monday Wednesday Friday 3 days 
Suggested CPT Code [LC-MS/MS] 83925 

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