Pricing and Sample Collection Protocols A minimum of 0.5 mL of serum or plasma is needed for each test required. Download a Sample Submission Form (form filled out by hand) Download a Sample Submission Form  (form filled out online) Sample Pricing Potassium Bromide Single sample $34.00 Phenobarbital Single Sample Peak & Trough $21.00 $32.50 Amikacin Single Sample Peak & Trough $36.00 $60.00 Carvedilol Single Peak & Trough $75.00 $100.00 Gentamicin Single Sample Peak & Trough $36.00 $60.00 Cyclosporine Single Sample Peak & Trough $46.00 $80.50 Digoxin Single Sample Peak & Trough $39.50 $70.00 Zonisamide/Keppra (most HPLC tests) Single Sample Peak & Trough $62.50 $100.00 Theophylline Single Sample Peak & Trough $39.50 $72.00 Benzodiazepine (valium, chlorazepate) Single Sample Peak & Trough $50.00 $90.00 STAT Fee $25.00 DHL Overnight Fee Acct #135704650 $10.50 (Do not request 10:30 am delivery or Saturday delivery, these cost extra and do not get samples here faster) Prices as of January 1, 2008 (Prices are Subject to Change) Sample Protocol Drug Weekdays Samples are Run Peak (hs post dose) Trough(hrs post dose) Collecting/Shipping Phenobarbital or Primidone Tuesday Thursday 5 12 or PTND Serum, no ice needed. Potassium Bromide Monday Wednesday Friday --- 12 or PTND Serum, no ice needed. Digoxin      Oral      IV As received 1.5 - 2.0 1.5 - 2.0 12 or PTND Serum, no ice needed. Do not store in Monoject tubes.3 Amikacin As received 1.5 - 2.0 PTND If goal is to assure concentrations are below that of safety.  If your goal is ALSO to calculate a disappearance half-life then collect 4-6 hrs after  peak sample. Serum, no ice needed. Ship in plastic tube.1 Carvedilol As received 1-2 PTND or 8 hours Serum, no ice needed. Gentamicin As received 1.5 - 2.0 PTND see Amikacin Serum, no ice needed. Ship in plastic tube.1 Benzodiazepines(Chlorazepate, Diazepam) As received 5 12 Serum, no ice needed. Protect from light (aluminum foil) Theophylline As received 2 12 or PTND Serum, no ice needed. Cyclosporine (FPIA analysis) Tuesday Friday 1.5 - 2.0 PTND or 12-18 hrs Whole blood in EDTA tube, no ice needed. Zonisamide Thursday or Friday (Need to receive by Wednesday) 2.0 PTND Serum or heparin plasma, no ice needed. Keppra/Levetiracetam Thursday or Friday (Need to receive by Wednesday) 2 - 4 PTND; if sending single sample collect trough level Serum or plasma, no seperator tubes, no ice needed.  ALL COST SUBJECT TO CHANGE The following drugs are also available upon special request, but please call (334) 844-7187 for pricing and sample collection requirements. Acetylsalicylic Acid (Aspirin) Metronidazole Quinidine Procainamide Tobramycin Acetominophen Dilantin (Phenytoin) Tricyclic Antidepressants (i.e.: Amitriptyline, Imipramine) Additional Notes PTND = prior to next dose If collecting single sample collect trough level. 1 Aminoglycosides bind to glass.  Do not store aminoglycosides in glass tubes for long periods of time.  It is better to spin down and remove serum to a plastic container. 2 Do not use serum separator tubes.  Many drugs bind to the gel leading to lower concentrations in the measured sample. 3 Do not store Digoxin samples in Monojet tubes as the drug binds to the rubber stoppers.