Triavil®, Serum/Plasma Test (4541SP)

Analysis Code 4541SP 
Test Name Triavil®, Serum/Plasma 
Test Includes Amitriptyline [GC], Nortriptyline [GC], Perphenazine [GC] 
Compound Synonym(s) Amitriptyline Metabolite Aventyl® Elavil® Endep® Pamelor® Trilafon® 
Purpose Therapeutic Drug Monitoring 
Category Antidepressant 
Method(s) Gas Chromatography (GC) 
Specimen Requirements 7 mL Serum or Plasma 
Transport Temperature Refrigerated 
Specimen Container NMS Labs has no experimental or literature-based data regarding the choice of specific specimen collection containers for this test. 
Special Handling 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: 14 day(s) Frozen (-20 °C): 12 month(s) 
Rejection Criteria Polymer gel separation tube (SST or PST). 
Day(s) Test Set-up [GC] Monday Wednesday Friday 3 days [GC] Monday-Friday 3 days 
Suggested CPT Code [GC] 82491 [GC] 80152 

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