The emerging practice of personalized medicine, dependent on pharmacogenomic and other biomarkers, is expected to take longer time. With the upcoming availability of proficiency survey program and quality assurance/control from commercial sources, the clinical adaptations will soon be readily achieved by clinical laboratories. NACB guidelines would certainly pave the way. Challenges remain for adequate reimbursement, clinical interpretation, and ethical guidelines. Finally, it would be important to regard pharmacogenomics as an adjunct to biomarkers such as TDM and others in enhancing drug therapy.

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