PHARMACOGENETIC TESTING
Benefit Code Number
401145
Program of Choice
07 - Medical supplies
Province
Alberta
Prescriber Required
Psychiatrist
Medical Doctor
Recommender Required
No
Limit
$700.00
Frequency
1/LT
Provincial Coverage
No
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.