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Test Code LAB000 Acyclovir, Plasma

Additional Codes


Specimen Required

Draw blood in EDTA (lavender top) tube(s) (Plasma gel tube is not acceptable.) Spin down and send 1 mL of plasma refrigerate in preservative-free plastic vial.

Method Name

High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Reporting Name

Acyclovir, Plasma

Specimen Type

Plasma EDTA

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Plasma EDTA Refrigerated (preferred) 30 days
  Frozen  120 days
  Ambient  30 days

Reference Values

Reporting limit determined each analysis.

Usual therapeutic range (vs. Genital Herpes) during chronic oral daily divided dosages of 1200 - 2400 mg:

--Peak: 0.40 - 2.0 mcg/mL plasma

--Trough: 0.14 - 1.2 mcg/mL plasma

Day(s) and Time(s) Performed

Monday - Sunday

Performing Laboratory

NMS Labs

CPT Code Information


LOINC Code Information

Test ID Test Order Name Order LOINC Value
FACYS Acyclovir, Plasma 9416-9


Result ID Test Result Name Result LOINC Value
Z3531 Acyclovir 9416-9

Test Classification

This test was developed and its performance characteristics determined by NMS Labs. It has not been cleared or approved by the U.S. Food and Drug Administration.