PHARMACOGENETIC TESTING
Benefit Code Number
401145
Program of Choice
07 - Medical supplies
Province
Ontario
Prescriber Required
Psychiatrist
Medical Doctor
Recommender Required
No
Limit
$700.00
Frequency
1/LT
Comments
SEE NOTE 15
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES NOTE 15 - PHARMACOGENETIC TESTING MUST BE PERFORMED BY SPECIFIC VAC APPROVED LABS. PROVIDERS SHOULD CONTACT THE MEDICAL AUTHORIZATION CENTRE (MAC) FOR FURTHER DETAILS ON ELIGIBILITY PRIOR TO PROVIDING SERVICES.