When this Notice of Privacy Practices ("Notice") refers to "we" or "us," it is referring to HealthRX and all the pharmacists who provide health care services and the employees of our pharmacy. We are required by law to maintain the privacy of your protected health information ("PHI"), to follow the terms of the Notice currently in effect, to give you this Notice setting forth our legal duties and privacy practices concerning your PHI, and to notify affected individuals following a breach of unsecured PHI. This Notice describes how we may use and disclose your PHI. Additionally, this Notice explains the rights you have with respect to your PHI, and certain obligations we must abide by in accordance with the law. We reserve the right to amend this Notice. If we make any material revisions to this Notice, we will post a copy of the revised Notice in the pharmacy, on our website, and will offer you a copy of the revised Notice.
I. Use and Disclosure of Your PHI
We will use and disclose your PHI for treatment, payment and health care operations. We may also use your PHI for other purposes that are permitted and/or required by law and pursuant to your written authorization. Any other uses not described in this Notice will only be made with your explicit written authorization, which you may revoke at any time by providing us with written notice of your revocation.
A. Treatment
We may use and disclose your PHI in order to provide you with prescription and supply services. We may disclose your PHI to other pharmacists, pharmacy technicians and health care providers that are involved in your care. You will receive an individual notice and have the opportunity to opt out of any subsidized treatment communications.
B. Payment
We will use and disclose your PHI in order to obtain payment for the health care services we provide to you. We may also need to disclose your PHI to receive prior approval from your health plan or to determine if your health plan will cover a certain prescription or service.
C. Health Care Operations
We may use and disclose your PHI in connection with the management of our pharmacy. For example, this may include quality assessment and improvement, internal compliance audits, and performance evaluations. Additionally, we may use your PHI for our business management and general administrative activities.
D. Prescription Refill Reminders, Treatment Alternatives or Health-Related Benefits
We may use and disclose your PHI to contact you to remind you about prescription refills, to tell you about treatment options or alternatives, or to inform you about health-related benefits or services that may be of interest to you.
E. Family Members, Relatives or Close Friends
Unless you object to such disclosure, we may disclose your PHI to your family members, relatives or close personal friends, or any other persons identified by you as being involved in the treatment or payment for your medical care. If you are not present to agree or object to our disclosure of your PHI to a family member, relative or friend, we may exercise our professional judgment to determine whether the disclosure is in your best interest. If we decide to disclose your PHI, we will only disclose the PHI that is relevant to your treatment or payment.
F. Other Permitted and Required Uses and Disclosures
We may use your PHI without obtaining your authorization and without offering you the opportunity to agree or object as follows:
- As required by law, provided that the use or disclosure will be made in compliance with applicable law;
- To a public health authority that is authorized by law to collect or receive such information, or to a foreign government agency acting in collaboration with a public health authority, for activities including preventing or controlling disease, reporting deaths, reporting adverse effects of medications, notification of communicable disease, and reporting abuse or neglect under certain circumstances;
- To a health oversight agency for oversight activities authorized by law, including audits and inspections, and civil, administrative or criminal investigations, proceedings or actions;
- For judicial or administrative proceedings purposes in response to a subpoena, court order, or discovery request, but only if efforts have been made to inform you about the request or to obtain an order protecting the information requested;
- To law enforcement to report certain injuries, comply with court orders or warrants, identify a suspect, fugitive, missing person or victim, or to report a crime;
- To a coroner or medical examiner to perform duties authorized by law such as identification of a deceased person or determining the cause of death;
- To funeral directors, consistent with applicable law, as necessary to carry out their duties;
- To organ procurement organizations or similar entities for the purpose of facilitating organ, eye or tissue donation and transplantation;
- For research purposes provided that certain approvals take place and assurances are given;
- To avert a serious threat to health or safety, so long as the disclosure is only to a person who is reasonably able to prevent or lessen such threat;
- For military and veterans activities to assure the proper execution of a military mission and to determine eligibility for benefits;
- For national security and intelligence activities;
- For protection of the President and other authorized persons or foreign heads of state;
- To a correctional institution or law enforcement custodian if you are an inmate or under custody;
- To the extent necessary to comply with laws relating to workers' compensation and work-related injuries.
II. Your Rights as Our Patient
As our patient, you have a number of rights associated with your PHI. The following describes your specific rights.
A. Right to Request Restrictions
You have the right to request restrictions or limitations on how we use and/or disclose your PHI; however, we do not have to agree to your requested restriction or limitation (except for transactions you paid for in full out-of-pocket). Your written request must specify: (1) if you would like to restrict or limit our use and/or disclosure; (2) what information you want restricted or limited; and (3) to whom the restriction or limitation applies (e.g., spouse).
B. Right to Confidential Communications
You have the right to receive confidential communications concerning your PHI by alternative means or via alternative locations. If you wish to receive confidential communications via alternative means or locations, please submit your request in writing to the Privacy Officer. We will accommodate all reasonable requests.
C. Right to Access and Obtain Copies
You have the right to access, inspect and obtain a copy of your PHI, including any electronic PHI; provided, however, you are not entitled to access certain PHI exempted under HIPAA. If you request a copy of your PHI, you will receive a response in a timely fashion but may be charged a reasonable, cost-based fee to cover copy costs and postage.
D. Right to Accounting of Disclosures
You have the right to receive an accounting of disclosures of your PHI made by us, including disclosures to or by our business associate(s), for a period of six (6) years prior to the date on which you request an accounting of disclosures, or such lesser period as you indicate. You will receive one request annually free of charge.
E. Right to Request Amendment
If you believe we have PHI about you that is incorrect or incomplete, you may make a written request to us stating the reasons to support any requested amendment. We may deny your request for amendment if, for example, we determine that the PHI you requested was not created by us or is already accurate and complete.
F. Right to Paper Copy of Notice
You have the right at any time to obtain a paper copy of this Notice, even if you receive this Notice electronically. Please send your request in writing to the Privacy Officer at the address listed below.
G. Right to Opt-Out of Fundraising
You have the right to opt-out of fundraising. Your PHI will not be used for fundraising purposes or sold without your prior authorization.
III. Additional Information / Questions or Complaints
A. Contact Information
If you need any additional information about this Notice or wish to exercise any of your rights set forth in this Notice, please contact the Privacy Officer at the following address:
HealthRX
30 N Gould St Ste R
Sheridan WY 82801
If you believe your privacy rights have been violated, you may file a complaint without retaliation with the Privacy Officer of the pharmacy or with:
Secretary of the Department of Health and Human Services
200 Independence Avenue SW
Washington D.C. 20201