FORM UPDATED | 04/07/20 Pharmacology 865-974-5646 Diagnostic Laboratory Service For lab Date Received: # of Samples Received: vetmed.tennessee.edu/vmc/dls use only Institution/Practice: ASSAYS CURRENTLY AVAILABLE Veterinarian: Aciclovir Gabapentin Address: Amoxicillin Galliprant Bromide Ganciclovir Bupivacaine Hydromorphone Butorphanol Itraconazole & Hydroxyitraconazole Carboplatin Ivermectin Phone: Caffeine Ketamine & Norketamine Fax: Carprofen Ketoprofen Carvedilol Lidocaine & metabolites Type of Sample: Ceftiofur Meloxicam No. of Samples: Ceftiofur Equivalents Midazolam & Hydroxmidazolam Cefovecin Metronidazole Date &Time Dosed: Chloramphenicol Moxidectin Citrate (urine only) Omeprazole Date & Time Collected: Deracoxib Oxalate (urine only) Dosage Amount: Diazepam and Nordiazepam Oxytetracycline Famciclovir/Penciclovir Piroxicam Dosage Formulation: Fenbendazole Praziquantil Route: Fentanyl Prednisolone Firocoxib Propofol Sample Identification Info: Flunixin Robenacoxib Species: Canine Feline Equine Fluconazole Terbinafine Other:__________________________________________________________ Fluoroquinolones: Thiafentanil Medication History (All medications the animal is currently on or has recently received): Ciprofloxacin Tramadol and metabolites Enrofloxacin M1, M2, M4, & M5 Fleroxacin Uric Acid Marbofloxacin Valciclovir Moxifloxacin Voriconazole Furosemide Requested Assay: If you are interested in drugs not listed, contact the laboratory with questions about assay development and cost. Ship Samples to: UTCVM Pharmacology Laboratory 2407 River Drive, Room A305 | Knoxville, TN 37996-4543 865-974-5646 865-974-5640 [email protected] Contact the lab for the appropriate sample type and amount for the assay requested. vetmed.tennessee.edu/vmc/dls/pharmacology Ship samples on dry ice for overnight delivery Label all samples legibly with ink that will not wash or rub off easily. For the most up-to-date test listings, lab forms, pricing, submission guidelines, Labels and tape can still fall off. *See Sample Submission Procedures* and shipping instructions visit vetmed.tennessee.edu/vmc/dls.