EXPRESS RX PHARMACY
The Health Insurance Portability and Accountability Act (“HIPAA”)
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Express RX Pharmacy is required by law to maintain the privacy of Protected Health Information (PHI) and to provide you with a notice of our privacy practices with regards to PHI. PHI refers to personal information that may identify you and that relates to your past, present, or future mental or physical health or conditions and the dispensing pharmaceutical products to you. This Notice discuss how we may use and disclose PHI to carry out health care operations. We are required to provide this notice to you by the Health Insurance Portability and Accountability Act (“HIPPA”).
Express RX wants you to know that maintaining your privacy is important to us. We will not use or disclose your PHI without your written authorization, except as described or permitted by this notice. Our staff is required to protect the confidentiality of your PHI and will disclose your PHI to a person other than you or your personal representative only when permitted under federal or state law.
How We May Disclose Your PHI
Listed below are examples of how Federal law permits use or disclose your PHI:
Treatment – We may use your PHI to provide treatment, medications and services to you. We may contact you to provide treatment-related services, such as refill reminders, available generic products and other health related services that may benefit you.
Payment – We may use your PHI for different payment-related reasons. Example: We may contact your insurer, payor, or other agent to determine whether it will pay for your prescription and the payment amount. We may also contact you about a payment or balance due for prescriptions dispensed to you at Express RX Pharmacy.
Health Care Operations – We may use your PHI to monitor the effectiveness of our services. This information will be used in an effort to continually improve the quality and effectiveness of the health and service we provide. We may also use your PHI to provide you with information about benefits available to you.
We are permitted under federal and applicable state law to use or disclose your PHI for the following purposes:
Individuals Involved in Your Care or Payment for Your Care: We may disclose PHI to a family member, close friend or personal representative involved in your medical care that you identify.
Business Associates: We may disclose PHI to business associates if they need to receive this information to provide a service to us and will agree to abide by specific HIPAA regulations relating to the protection of PHI.
Disclosures to Parents or Legal Guardians: if your are a minor, we may release your PHI to your parents or legal guardians when we are permitted or required under federal and applicable state law.
Worker’s Compensation: We may disclose your PHI to the extent authorized and necessary to comply with laws relating to worker’s compensation or similar programs established by law.
Law Enforcement: We may disclose your PHI for law enforcement purposes as required by law or in response to a court order, subpoena, warrant or summons.
As required by law: We must disclose your PHI when required to do so by applicable federal or state law.
Other Uses and Disclosures of PHI
We will obtain your written authorization before using or disclosing your PHI or purposes other than provided by above (or as otherwise permitted or required by law).
Obtain a paper copy of the Notice upon request: You may request a copy of our current Notice at any time.
Effective Date: This date is effective as of June 2, 2009.
State Specific Provisions – Georgia
Disclosure – Pharmacy Regulations
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