CLINICAL DATA PGxHEALTH DIVISION COGENICS DIVISION
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Product Ordering Information
Call or email us to order the test that you are interested in for your patients. Testing kits will be delivered to you by request. Please contact us with any questions you have regarding these products.

Toll Free Customer Service: 1-877-2-PGXHEALTH (877-274-9432)
Fax Number: 203-786-3418

Test Name
Price
 Informed Consent Test Requisition
FAMILION®  

Requisition/ Payment
Authorization Form
and Informed Consent
LQTS Test $ 5,400
HCM Test $5,400
BrS Test $ 2,700
CPVT Test $ 3,248.73
Family-Specific Test $ 900 /
per person
PGxPredict™:RITUXIMAB $ 2,500 Informed
Consent Form		 Requisition / Payment Authorization Form
PGxPredict™:WARFARIN $ 400 Informed
Consent Form		 Requisition / Payment Authorization Form

For general information, please email us at info@pgxhealth.com

1-877-2-PGXHEALTH (877-274-9432)
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