Pharmacogenetics is a relatively new area of medicine that studies different ways the body processes medications based on variations in drug metabolizing genes. These genetic differences can change the drug effectiveness or cause some people to have serious adverse reactions. We can identify individuals who may metabolize medications differently by performing genetic testing which can provide more personalized recommendations for medication selection and dosage. List of medications that warrant genetic testing.
It is possible an individual may never need treatment with the specific drugs, but the information from PGx testing will be available for your doctor to reference in the event that you need it and covers several common specialties (among others not listed):
At ACT Genetics we want to give patients and providers up to date information on PGx testing by utilizing the combined skills of genetic counselors and pharmacists. This kind of team approach allows for a more complementary and personalized consultation for a complicated and fast moving field. Our PGx providers are members of the Clinical Pharmacogenetics Implementation Consortium (CPIC) which allows us to stay current on the latest research and participate in development of clinical pharmacogenetics resources. Our policy is to select only drug/gene pairs that have achieved the highest level of evidence by CPIC (https://cpicpgx.org/) as well as PharmGKB (https://www.pharmgkb.org/) because we want to ensure that the information we provide has met a rigorous standard that is most useful for you.
Patients may be self-referred or referred by a provider. However, before any testing can be ordered, patients will need to have established care with a primary care physician. Because of the nature of medication usage, interpretation and communication with a primary care provider will be an essential component of the process. Patients will receive a combined, multidisciplinary consultation including risk communication and counseling with evidence-based recommendations to appropriately modify dosage or suggest alternative drug options if appropriate by our highly qualified providers.
PGx services include the following appointments:
PGx Initial Consultation (60 minutes of counseling with a genetic counselor and pharmacist): This session includes medical record and medication review, education counseling about PGx, potential risks and benefits of PGx testing, and strategies for deciding whether genetic testing is right for you. Testing can be coordinated with you, your doctor, and the genetic testing lab. Please be aware the genetic testing is a separate cost not included in the appointment price. Insurance coverage is variable and will be discussed during the consultation. Cost: $200
Results Consultation (counseling with a genetic counselor and pharmacist): This session includes delivery of results, counseling of recommendations, and documentation for you and your doctor. If you have not previously received pre-test counseling by ACT Genetics or received testing by an outside lab this session may include test review, education about PGx, and recommendations for using your results. On occasion, re-testing may be advised. We do not provide counseling on third party raw data interpretation genetic results. Cost: $100 per 30 minute
At this time we are a direct patient billing service which allows us to eliminate administrative costs and pass those savings on to you. We are happy to provide you with information to send to your insurance company for reimbursement after services are rendered. Several insurers do reimburse for genetic counseling using the CPT 96040 code. We accept all major credit cards and HSA. Payment is due at the time of the appointment. We will provide a full refund for cancellations if made within 48 hours of the appointment. We also offer a payment sliding scale for individuals in need. Please contact us for more information.
If you have any questions or would like to schedule an appointment please fill out the below form and we will get back to you.