Frequently Asked Questions - Healthcare Practitioners – Inagene Diagnostics Inc.

Frequently Asked Questions - Healthcare Practitioners

General

Who can benefit from Pharmacogenetic testing with Inagene Personalized Insights?

 Inagene Personalized Insights™ is designed for anyone who is interested in understanding which drugs are likely to work best to treat their pain or mental health condition. It can also be particularly helpful for patients with a variety of other conditions (eg. cardiology, oncology, gastroenterology). Personalized Insights™ is also useful for people interested in knowing whether cannabis may be a good treatment option for them (please note the evidence for cannabis recommendations are currently preliminary). Even for those who currently do not take any medication, pharmacogenetics testing may be helpful as a proactive measure by finding out which medications would work best for you based on your genetics.  

Do patients need the test to be ordered by a prescriber?

No, patients can order the test directly from Inagene.com, or purchase it directly from select pharmacies.

Does Inagene offer a payment (installment) plan?

Yes. When completing an Online purchase at Inagene.com provides the option for payment via our two plan providers, Splitit and Four.

Are PGx tests covered by insurers?

Many private insurers are now covering PGx testing, however whether the patient has coverage (and under what circumstances) is typically dependent on the specific plan provided/selected by/from the employer. PGx testing is often covered under Health Care Spending Accounts, and is covered under some paramedical benefits under “diagnostic tests”. For more information and resources click here.

How long does it take to get the results?

Results are posted to Inagene’s secure portal within 7 – 9 days of receipt of the sample at Inagene’s Toronto based lab.

Why are some medications not included in the test?

If a drug is NOT included on our test(s), it is because no drug-gene interaction has been identified that is supported with a sufficient level of evidence. Personalized Insights™ tests include all medications that have recognized gene-drug interactions supported with a sufficient level of evidence.

The PrecisionRx test includes some pain and mental health medications, but not as many as are included in the Precision Pain and Mental Health test – why?

Inagene Personalized Insights™ Precision Pain and Mental Health is designed to provide maximal insights for those being treated for pain and/or mental health-related conditions, and tests for 55 genes and 116 variants specifically linked to responses to the common medications used to treat these conditions, including those that are preliminary in nature.  Including ONLY the genes and variants linked to these conditions allows this test to  provide deeper insights on more medications for pain and mental health than other pharmacogenetic tests.
This test includes some preliminary data, as well as a full cannabis/ cannabinoid panel, and research variants on risk of cannabis and Opioid dependency.Personalized Insights™ PrecisionRx includes only those drugs and recommendations supported with higher levels of evidence (Level 2B and above), resulting in the inclusion of roughly half of the pain and mental health drugs that are included in the Precision Pain and Mental Health test. 

Do any of your tests include cannabis?

Yes, our Pain and Mental Health test (which is also included in the Ultra test package) does include cannabis insights. These insights reveal if you carry any genetic variants that may be useful in determining your response to different CBD to THC ratios, the possibility of increased side effects from cannabinoids, or whether you might have genetic variants possibly associated with an increased risk of cannabis use disorder. Please note that research linking gene-cannabis interactions is considered preliminary at this time. Details in the report may change as the research field evolves and new data is collected. If you still have any questions on this subject, feel free to contact us at info@inagene.com 



How do I open a HCP Portal Account?

Go to patients.inagene.com, click on “Register” and follow the instructions provided. Make sure to select “Healthcare Provider” as your user type. Detailed instructions can also be found here.

How long does counselling of patients on results typically take and what is involved?

Counselling on PGx results can typically be done within 20 – 40 minutes. Inagene’s reports are uniquely designed to be simple for consumers to understand, which helps minimize counselling time required. Inagene provides training support, counselling tools and detailed FAQ documents to streamline the counselling process. Find examples of our patient counseling materials here (links coming soon)

Where do I access training and counselling support tools?

Training resources and counselling support tools can be accessed at anytime via the TOOLKIT section on your Healthcare Provider portal account.

How is patient privacy assured?

Patients must consent to testing being performed, and healthcare providers ordering/registering the test must indicate that they have the patient’s permission to order the test, and that the patient has been provided with access to Inagene’s Privacy and Consent Policy. Healthcare providers sharing results with other HCPs are prompted to confirm that they have the patient’s consent to share access to the results. Patients can view who has access to their online report via the Access Overview, and can remove access at any time.

Can ordering a PGx test affect a patient’s ability to get health insurance?

No. Inagene does not share or sell data to third parties, and comprehensive physical, electronic and procedural safeguards are in place to protect against unauthorized use, access, alteration, duplication, destruction, disclosure, loss or theft of our clients’ personal information. Canadian legislation prevents employers, insurance companies or anyone else from asking individuals to disclose their genetic test results, and prevents test results being used to deny provision of insurance benefits.

If I’m a Prescriber

How would I get the results if my patient ordered a test themselves or from a pharmacist?

It is important to have clear communication with your patients to ensure they inform you about their choice to order one of our tests. Patients can then either share their report with you directly or ask their pharmacist to share access with you. You can also provide your patient with a note (downloadable here Coming Soon) that your patient can share with their pharmacist to give you easy access to their results.

How do I explain to my patient which test will be best for them?

It is important to determine what your patient’s goals are for ordering a pharmacogenetics test.
If your patient is ONLY wanting information on how their genetic profile can impact their response to pain and mental health drugs then they should order the  Personalized Insights™ Precision Pain & Mental Health test. If your patient is looking for a wider class of medication insights, they should order the Personalized Insights™ PrecisionRx test, covering >160 commonly used drugs for multiple therapeutic areas (eg. oncology, cardiology, gastroenterology, mental health and pain are included but less medications). However, the best value for money is to order our Personalized Insights ™PrecisionRx ULTRA which offers BOTH PrecisionRx and Precision Pain & Mental Health at a discounted price. Receive two reports with only one cheek swab test. Additionally, if you have any further questions or concerns you can email our customer service at
info@inagene.com

How do I bring up PGx testing with my patients?

If you have patients who you think might benefit from pharmacogenetics testing, you can provide them with some of our promotional materials. Find examples of the promotional materials we offer here (link to materials Coming Soon).

If I’m a pharmacist

What resources are available for partner pharmacies to promote the pharmacogenetic testing service to clients?

Inagene provides a full suite of promotional tools to support partner pharmacies in promoting their new pharmacogenetic testing service to clients/patients, and to prescribers in the surrounding area. This includes posters, patient handouts, a bank of sample social media posts, and information that can be emailed to prescribers. All materials can be co-branded with your pharmacy’s branding and contact information. Find examples of our partner resources here (link to partner resources coming soon).

How are results shared between the pharmacist/HCP and the patient?

Once results are posted to the Inagene Portal (within 5 – 7 days of receipt of the sample at Inagene’s Toronto based lab). Either the HCP/pharmacist
or the patient registers the test kit on the Inagene Portal (using the unique 14 – digit code found in the test kit). The option is provided to share access
to the results with another party at the time the kit is registered, by including the individual’s name and email address (eg. the pharmacist can cc
the patient or vice versa at the time of kit registration). The individual who registered the kit receives notifications and access to the results when ready,
as does the individual who was cc’d. Results can also be shared at any time by clicking on “Access Overview” and “Add New Access” and filling in the information. The patient can view who has access to their online report via the Access Overview, and can remove access at any time. Please consult this video/ cheat sheet with tips on how to easily share reports (links – coming soon)



How are results shared with prescribers?

Results can be shared with other HCPs involved in the patient’s care at any time once they have been posted to the portal account. A PDF of a “HCP
Report” can be downloaded and emailed or faxed directly from the online report itself. Access to the online report can also be shared from the Reports Page on
the Portal by clicking on “Access Overview” and “Add New Access”, and filling in the person’s contact information. Patients and pharmacists who are sharing
access to the online report are also presented with the option to answer 5 drop-down questions to generate a PERSONALIZED SUMMARY LETTER, directing the
reader to the most pertinent information regarding the patient’s results. Patients can view who has access to their online report via the Access Overview, and can remove access at any time.

What if patients or prescribers have questions that I am unable to answer?

Inagene’s support staff and geneticists are available to support partner pharmacies and clinics with questions as needed. Reach out with questions at anytime at info@inagene.com

Can I offer my patients/clients a discount?

Partner pharmacies are free to use a portion of the referral payment (difference between the wholesale and retail price) provided to offer their patient a discount if desired. Contact info@inagene.com to arrange for an automatic discount on online purchases based on the use of your unique promo code.

My patient wants to discuss the Personalized Insights™ test with their prescriber before ordering. What information can they provide to the prescriber?

Click here to download a Summary for Prescribers (with helpful links and Inagene contact info embedded) that can be provided to the patient to send/take to their prescriber.

Are there are resources available for pre-test counseling?

We are currently working on developing some counseling materials, subscribe to our newsletter to find out when these will be available.