Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.  Please review it carefully.

Pharmacare Drugs 3 Inc will ask you to sign an Acknowledgement that you have received this Notice of Privacy Practices(Notice). This Notice describes how Pharmacare Drugs 3 Inc may use and disclose your protected health information in accordance with the HIPAA Privacy Rule.  It also describes your rights and Pharmacare Drugs 3 Inc’s duties with respect to protected health information about you.  

Uses and Disclosures of Protected Health Information

1.                 Treatment, Payment and Health Care Operations

  1. We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

a.      We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

b.      We will use your health information to obtain payment.  This will include sending claims for payment to your insurance or third-party payer.  It may also include providing health information to the payer to resolve issues of claim coverage.

c.       We will use your health information for our healthcare operations necessary to run the pharmacy. This may include monitoring the quality of care that our employees provide to you and for training purposes.

2.                 Permitted or Required Uses and Disclosures

a.      Our pharmacists, using their professional judgment maydisclose your protected health information to a family member, other relative,close personal friend or other person you identify as being involved in yourhealth care.  This includes allowing suchpersons to pick up filled prescriptions, medical supplies or medical records onyour behalf.

b.      We also have contracts with entities called BusinessAssociates that perform some services for us that require access to yourprotected health information.  Examplesmay include companies that route claims to your insurance company or thatreconcile the payments we receive from your insurance. We require our BusinessAssociates to safeguard any protected health information appropriately.

c.       Under certain circumstances Pharmacare Drugs 3 Inc maybe required to disclose health information as required or permitted by federalor state laws.  These include, but arenot limited to:

                                                              i.     To the Secretary of Health and Human Services forinvestigations into our compliance with HIPAA rules and to respond to patientcomplaints.

                                                            ii.     To the Food and Drug Administration (FDA) relating toadverse events regarding drugs, foods, supplements and other health products orfor post-marketing surveillance to enable product recalls, repairs orreplacement.

                                                           iii.     To public health or legal authorities charged withpreventing or controlling disease, injury or disability.

                                                           iv.     To law enforcement agencies as required by law or inresponse to a valid subpoena or other legal process.

                                                             v.     To health oversight agencies (e.g., licensing boards)for activities authorized by law such as audits, investigations and inspectionsnecessary for Pharmacare Drugs 3 Inc’s licensure and for monitoring of healthcare systems.

                                                           vi.     In response to a court order, administrative order,subpoena, discovery request or other lawful process by another person involvedin a dispute involving a patient, but only if efforts have been made to tellthe patient about the request or to obtain an order protecting the requestedhealth information.

                                                         vii.     As authorized by and as necessary to comply with lawsrelating to worker’s compensation or similar programs established by the law.

                                                        viii.     Whenever required to do so by law.

                                                           ix.     To a Coroner or Medical Examiner when necessary.  Examples include: identifying a deceasedperson or to determine a cause of death.

                                                             x.     To Funeral Directors to carry out their duties

                                                           xi.     To organ procurement organizations or other entitiesengaged in procurement, banking or transplantation of organs for the purpose oftissue donation and transplant.

                                                          xii.     To notify or assist in notifying a family member,personal representative or another person responsible for the patient’s care ofthe patient’s location or general condition.

                                                        xiii.     For certain research purposes.

                                                        xiv.     To a correctional institution or its agents if apatient is or becomes an inmate of such an institution when necessary for thepatient’s health or the health and safety of others.

                                                          xv.     When necessary to prevent a serious threat to thepatient’s health and safety or the health and safety of the public or anotherperson.

                                                        xvi.     As required by military command authorities when thepatient is a member of the armed forces and to appropriate military authorityabout foreign military personnel.

                                                       xvii.     To authorized officials for intelligence,counterintelligence and other national security activities authorized by law.

                                                     xviii.     To authorized federal officials so they may provideprotection to the president, other authorized persons or foreign heads of stateor to conduct special investigations.

                                                        xix.     To a government authority, such as social service orprotective services agency, if Pharmacare Drugs 3 Inc reasonably believes thepatient to be a victim of abuse, neglect or domestic violence but only to the extentrequired by law, if the patient agrees to the disclosure or if the disclosureis allowed by law and we believe it is necessary to prevent serious harm to thepatient or to someone else or the law enforcement or public official that is toreceive the report represents that it is necessary and will not be used againstthe patient.

d.      During an emergency or disaster relief situation, ifyou are unconscious or unable to tell us your preference, we may shareinformation to lessen a serious and imminent threat to health or safety.

e.      We may contact you for fundraising efforts, but youcan request that we not contact you again.

3.                 Authorized Use and Disclosure

a.      Use or disclosure other than those previously listedor as permitted or required by law, will not be made unless we obtain your written Authorization in advance.  Youmay revoke any such Authorization in writing at any time.  Upon receipt of a revocation, we will cease usingor disclosing protected health information about you unless we have alreadytaken action based on your Authorization.

b.      Your authorization is always required for Marketingpurposes, Sale of your information, and any sharing of Psychotherapy notes.

4.                 More Stringent Laws

a.      Some states may have laws that are more stringent thanHIPAA.  Please refer to the end of theNotice for the laws that may apply.

1.                 Treatment, Payment and Health Care Operations

a.      We will use your health information to provide treatment.  This may involve receiving orsharing information with other health care providers such as yourphysician.  This information may bewritten, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispenseprescription medications.  We may alsoshare information with other health care providers who are treating you tocoordinate the different things you need, such as medications, lab work orother appointments. We may also contact you to provide treatment-relatedservices, such as refill reminders, treatment alternatives and other healthrelated services that may be of benefit to you.

b      We will use your health information to obtain payment.  This will include sending claims for payment to your insurance or third-party payer.  It may also include providing health information to the payer to resolve issues of claim coverage.

c.      We will use your health information for our healthcare operations necessary to run the pharmacy. This may include monitoring the quality of care that our employees provide to you and for training purposes.

2.                 Permitted or Required Uses and Disclosures

a.      Our pharmacists, using their professional judgment maydisclose your protected health information to a family member, other relative,close personal friend or other person you identify as being involved in yourhealth care.  This includes allowing suchpersons to pick up filled prescriptions, medical supplies or medical records onyour behalf.

b.      We also have contracts with entities called BusinessAssociates that perform some services for us that require access to yourprotected health information.  Examplesmay include companies that route claims to your insurance company or thatreconcile the payments we receive from your insurance. We require our BusinessAssociates to safeguard any protected health information appropriately.

c.      Under certain circumstances Pharmacare Drugs 3 Inc maybe required to disclose health information as required or permitted by federalor state laws.  These include, but arenot limited to:                                                         
i.     To the Secretary of Health and Human Services forinvestigations into our compliance with HIPAA rules and to respond to patientcomplaints.                                                           
ii.     To the Food and Drug Administration (FDA) relating toadverse events regarding drugs, foods, supplements and other health products orfor post-marketing surveillance to enable product recalls, repairs orreplacement.                                                           
iii.     To public health or legal authorities charged withpreventing or controlling disease, injury or disability.                                                           
iv.     To law enforcement agencies as required by law or inresponse to a valid subpoena or other legal process.                                                              
v.     To health oversight agencies (e.g., licensing boards)for activities authorized by law such as audits, investigations and inspectionsnecessary for Pharmacare Drugs 3 Inc’s licensure and for monitoring of healthcare systems.                                                            
vi.     In response to a court order, administrative order,subpoena, discovery request or other lawful process by another person involvedin a dispute involving a patient, but only if efforts have been made to tellthe patient about the request or to obtain an order protecting the requestedhealth information.                                                          
vii.     As authorized by and as necessary to comply with lawsrelating to worker’s compensation or similar programs established by the law.                                                         
viii.     Whenever required to do so by law.                                                           
ix.     To a Coroner or Medical Examiner when necessary.  Examples include: identifying a deceasedperson or to determine a cause of death.                                                              
x.     To Funeral Directors to carry out their duties                                                           
xi.     To organ procurement organizations or other entitiesengaged in procurement, banking or transplantation of organs for the purpose oftissue donation and transplant. xii.     To notify or assist in notifying a family member,personal representative or another person responsible for the patient’s care ofthe patient’s location or general condition. xiii.     For certain research purposes.                                                        
xiv.     To a correctional institution or its agents if apatient is or becomes an inmate of such an institution when necessary for thepatient’s health or the health and safety of others.                                                           
xv.     When necessary to prevent a serious threat to thepatient’s health and safety or the health and safety of the public or anotherperson.                                                         
xvi.     As required by military command authorities when thepatient is a member of the armed forces and to appropriate military authorityabout foreign military personnel.  xvii.     To authorized officials for intelligence,counterintelligence and other national security activities authorized by law.                                                     
xviii.     To authorized federal officials so they may provideprotection to the president, other authorized persons or foreign heads of stateor to conduct special investigations. xix.     To a government authority, such as social service orprotective services agency, if Pharmacare Drugs 3 Inc reasonably believes thepatient to be a victim of abuse, neglect or domestic violence but only to the extentrequired by law, if the patient agrees to the disclosure or if the disclosureis allowed by law and we believe it is necessary to prevent serious harm to thepatient or to someone else or the law enforcement or public official that is toreceive the report represents that it is necessary and will not be used againstthe patient.

d.      During an emergency or disaster relief situation, ifyou are unconscious or unable to tell us your preference, we may shareinformation to lessen a serious and imminent threat to health or safety.

e.     We may contact you for fundraising efforts, but you can request that we not contact you again.

3.                 Authorized Use and Disclosure

a.      Use or disclosure other than those previously listedor as permitted or required by law, will not be made unless we obtain yourwritten Authorization in advance.  Youmay revoke any such Authorization in writing at any time.  Upon receipt of a revocation, we will cease usingor disclosing protected health information about you unless we have alreadytaken action based on your Authorization.

b.      Your authorization is always required for Marketingpurposes, Sale of your information, and any sharing of Psychotherapy notes.

4.                 More Stringent Laws

a.      Some states may have laws that are more stringent than HIPAA.  Please refer to the end of the Notice for the laws that may apply.

Patient’s Rights

1.                 Treatment, Payment and Health Care Operations

  1. We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

a.      We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

b.      We will use your health information to obtain payment.  This will include sending claims for payment to your insurance or third-party payer.  It may also include providing health information to the payer to resolve issues of claim coverage.

c.       We will use your health information for our healthcare operations necessary to run the pharmacy. This may include monitoring the quality of care that our employees provide to you and for training purposes.

2.                 Permitted or Required Uses and Disclosures

a.      Our pharmacists, using their professional judgment maydisclose your protected health information to a family member, other relative,close personal friend or other person you identify as being involved in yourhealth care.  This includes allowing suchpersons to pick up filled prescriptions, medical supplies or medical records onyour behalf.

b.      We also have contracts with entities called BusinessAssociates that perform some services for us that require access to yourprotected health information.  Examplesmay include companies that route claims to your insurance company or thatreconcile the payments we receive from your insurance. We require our BusinessAssociates to safeguard any protected health information appropriately.

c.       Under certain circumstances Pharmacare Drugs 3 Inc maybe required to disclose health information as required or permitted by federalor state laws.  These include, but arenot limited to:

                                                              i.     To the Secretary of Health and Human Services forinvestigations into our compliance with HIPAA rules and to respond to patientcomplaints.

                                                            ii.     To the Food and Drug Administration (FDA) relating toadverse events regarding drugs, foods, supplements and other health products orfor post-marketing surveillance to enable product recalls, repairs orreplacement.

                                                           iii.     To public health or legal authorities charged withpreventing or controlling disease, injury or disability.

                                                           iv.     To law enforcement agencies as required by law or inresponse to a valid subpoena or other legal process.

                                                             v.     To health oversight agencies (e.g., licensing boards)for activities authorized by law such as audits, investigations and inspectionsnecessary for Pharmacare Drugs 3 Inc’s licensure and for monitoring of healthcare systems.

                                                           vi.     In response to a court order, administrative order,subpoena, discovery request or other lawful process by another person involvedin a dispute involving a patient, but only if efforts have been made to tellthe patient about the request or to obtain an order protecting the requestedhealth information.

                                                         vii.     As authorized by and as necessary to comply with lawsrelating to worker’s compensation or similar programs established by the law.

                                                        viii.     Whenever required to do so by law.

                                                           ix.     To a Coroner or Medical Examiner when necessary.  Examples include: identifying a deceasedperson or to determine a cause of death.

                                                             x.     To Funeral Directors to carry out their duties

                                                           xi.     To organ procurement organizations or other entitiesengaged in procurement, banking or transplantation of organs for the purpose oftissue donation and transplant.

                                                          xii.     To notify or assist in notifying a family member,personal representative or another person responsible for the patient’s care ofthe patient’s location or general condition.

                                                        xiii.     For certain research purposes.

                                                        xiv.     To a correctional institution or its agents if apatient is or becomes an inmate of such an institution when necessary for thepatient’s health or the health and safety of others.

                                                          xv.     When necessary to prevent a serious threat to thepatient’s health and safety or the health and safety of the public or anotherperson.

                                                        xvi.     As required by military command authorities when thepatient is a member of the armed forces and to appropriate military authorityabout foreign military personnel.

                                                       xvii.     To authorized officials for intelligence,counterintelligence and other national security activities authorized by law.

                                                     xviii.     To authorized federal officials so they may provideprotection to the president, other authorized persons or foreign heads of stateor to conduct special investigations.

                                                        xix.     To a government authority, such as social service orprotective services agency, if Pharmacare Drugs 3 Inc reasonably believes thepatient to be a victim of abuse, neglect or domestic violence but only to the extentrequired by law, if the patient agrees to the disclosure or if the disclosureis allowed by law and we believe it is necessary to prevent serious harm to thepatient or to someone else or the law enforcement or public official that is toreceive the report represents that it is necessary and will not be used againstthe patient.

d.      During an emergency or disaster relief situation, ifyou are unconscious or unable to tell us your preference, we may shareinformation to lessen a serious and imminent threat to health or safety.

e.      We may contact you for fundraising efforts, but youcan request that we not contact you again.

3.                 Authorized Use and Disclosure

a.      Use or disclosure other than those previously listedor as permitted or required by law, will not be made unless we obtain your written Authorization in advance.  Youmay revoke any such Authorization in writing at any time.  Upon receipt of a revocation, we will cease usingor disclosing protected health information about you unless we have alreadytaken action based on your Authorization.

b.      Your authorization is always required for Marketingpurposes, Sale of your information, and any sharing of Psychotherapy notes.

4.                 More Stringent Laws

a.      Some states may have laws that are more stringent thanHIPAA.  Please refer to the end of theNotice for the laws that may apply.

1.              Restriction Requests

a.      You have a right to request a restriction be placed onthe use and disclosure of your protected health information for purposes ofcarrying out treatment, payment or health care operations.  Restrictions may include requests for notsubmitting claims to your insurance or third-party payer or limitations onwhich persons may be considered personal representatives.

b.     Pharmacare Drugs 3 Inc is not required to accept restrictionsother than payment related uses not required by law that have been paid in fullby the individual or representative other than a health plan.

c.     If we do agree to requested restrictions, they shall be binding until you request that they be terminated.

d.    Requests for restrictions or termination of restrictions must be submitted in writing to the Privacy Officer listed in Section D of this Notice.  

2.                 Alternative Means of Communication

a.      You have a right to receive confidentialcommunications of protected health information by alternate methods or atalternate locations upon reasonable request. Examples of alternatives may besending information to a phone or mailing address other than your home.  

b.     Pharmacare Drugs 3 Inc shall make reasonable accommodationto honor requests.

c.      Requests must be submitted in writing to the Privacy Officer listed in Section D of this Notice.                                                     

3.              Access to Health Information

a.     You have a right to inspect and copy your protectedhealth information.  The designatedrecord set will usually include prescription and billing records.  You have the right to request the protectedhealth information in the designated record set for as long as we maintain yourrecords.

b.      You have the right tohave requested records provided to you in a timely fashion.

c.     You have the right to request that your protected health information be provided to you in your preferred format, including anelectronic format if available.  

d.     You have the right to have your information disclosedto another person or third-party that you choose.

e.     Requests may be submitted in writing to the PrivacyOfficer listed in Section D of this Notice.

f.      Any costs or fees associated with copying, mailing or preparing the requested records will be charged prior to granting your request.

g.      Pharmacare Drugs 3 Inc may deny your request forrecords in limited circumstances.  Incase of denial, you may request a review of the denial for most reasons.  Requests for review of a denial must also besubmitted to the Privacy Officer listed in Section D of this Notice.

4.                 Amendments to Health Information

a.      If you believe that your protected health informationis incomplete or incorrect, you may request an amendment to your records.  You may request amendment to any records foras long as we maintain your records.

b.     Requests must be submitted in writing to the PrivacyOfficer listed in Section D of this Notice.

c.     Requests must include a reason that supports theamendment to your health information.

d.     Pharmacare Drugs 3 Inc may deny amendment requests incertain cases.  In case of denial, youhave the right to submit a Statement of Disagreement.  We have the right to provide a rebuttal to your statement.

5.                 Accounting of Uses and Disclosures

a.     You have the right to request an accounting of usesand disclosures that are not for treatment, payment or health care operations. Thisaccounting may include up to the six years prior to the date of request andwill not include an accounting of disclosures to yourself, your personalrepresentatives or anything authorized by you in writing.  Other restrictions may apply as required inthe Privacy Rule.

b.     Requests must be submitted in writing to the Privacy Officer listed in Section D of this Notice.

c.     The first accounting in any 12-month period will beprovided to you at no cost.  Anyadditional requests within the same 12-month period will be charged a fee tocover the cost of providing the accounting. This fee amount will be provided to you prior to completing therequest.  You may choose to withdraw yourrequest to avoid paying this fee.  

6.               Notice of Privacy Practices

a.     You have a right to receive a paper copy of this Notice even if you previously agreed to receive a copy electronically.  

b.   You have a right to request a revised or updated copy of this notice.

c.    Please submit a request to the Privacy Officer listed in Section D of this Notice.

Pharmacare Drugs 3Inc’s Duties

1.                 Treatment, Payment and Health Care Operations

  1. We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

a.      We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

b.      We will use your health information to obtain payment.  This will include sending claims for payment to your insurance or third-party payer.  It may also include providing health information to the payer to resolve issues of claim coverage.

c.       We will use your health information for our healthcare operations necessary to run the pharmacy. This may include monitoring the quality of care that our employees provide to you and for training purposes.

2.                 Permitted or Required Uses and Disclosures

a.      Our pharmacists, using their professional judgment maydisclose your protected health information to a family member, other relative,close personal friend or other person you identify as being involved in yourhealth care.  This includes allowing suchpersons to pick up filled prescriptions, medical supplies or medical records onyour behalf.

b.      We also have contracts with entities called BusinessAssociates that perform some services for us that require access to yourprotected health information.  Examplesmay include companies that route claims to your insurance company or thatreconcile the payments we receive from your insurance. We require our BusinessAssociates to safeguard any protected health information appropriately.

c.       Under certain circumstances Pharmacare Drugs 3 Inc maybe required to disclose health information as required or permitted by federalor state laws.  These include, but arenot limited to:

                                                              i.     To the Secretary of Health and Human Services forinvestigations into our compliance with HIPAA rules and to respond to patientcomplaints.

                                                            ii.     To the Food and Drug Administration (FDA) relating toadverse events regarding drugs, foods, supplements and other health products orfor post-marketing surveillance to enable product recalls, repairs orreplacement.

                                                           iii.     To public health or legal authorities charged withpreventing or controlling disease, injury or disability.

                                                           iv.     To law enforcement agencies as required by law or inresponse to a valid subpoena or other legal process.

                                                             v.     To health oversight agencies (e.g., licensing boards)for activities authorized by law such as audits, investigations and inspectionsnecessary for Pharmacare Drugs 3 Inc’s licensure and for monitoring of healthcare systems.

                                                           vi.     In response to a court order, administrative order,subpoena, discovery request or other lawful process by another person involvedin a dispute involving a patient, but only if efforts have been made to tellthe patient about the request or to obtain an order protecting the requestedhealth information.

                                                         vii.     As authorized by and as necessary to comply with lawsrelating to worker’s compensation or similar programs established by the law.

                                                        viii.     Whenever required to do so by law.

                                                           ix.     To a Coroner or Medical Examiner when necessary.  Examples include: identifying a deceasedperson or to determine a cause of death.

                                                             x.     To Funeral Directors to carry out their duties

                                                           xi.     To organ procurement organizations or other entitiesengaged in procurement, banking or transplantation of organs for the purpose oftissue donation and transplant.

                                                          xii.     To notify or assist in notifying a family member,personal representative or another person responsible for the patient’s care ofthe patient’s location or general condition.

                                                        xiii.     For certain research purposes.

                                                        xiv.     To a correctional institution or its agents if apatient is or becomes an inmate of such an institution when necessary for thepatient’s health or the health and safety of others.

                                                          xv.     When necessary to prevent a serious threat to thepatient’s health and safety or the health and safety of the public or anotherperson.

                                                        xvi.     As required by military command authorities when thepatient is a member of the armed forces and to appropriate military authorityabout foreign military personnel.

                                                       xvii.     To authorized officials for intelligence,counterintelligence and other national security activities authorized by law.

                                                     xviii.     To authorized federal officials so they may provideprotection to the president, other authorized persons or foreign heads of stateor to conduct special investigations.

                                                        xix.     To a government authority, such as social service orprotective services agency, if Pharmacare Drugs 3 Inc reasonably believes thepatient to be a victim of abuse, neglect or domestic violence but only to the extentrequired by law, if the patient agrees to the disclosure or if the disclosureis allowed by law and we believe it is necessary to prevent serious harm to thepatient or to someone else or the law enforcement or public official that is toreceive the report represents that it is necessary and will not be used againstthe patient.

d.      During an emergency or disaster relief situation, ifyou are unconscious or unable to tell us your preference, we may shareinformation to lessen a serious and imminent threat to health or safety.

e.      We may contact you for fundraising efforts, but youcan request that we not contact you again.

3.                 Authorized Use and Disclosure

a.      Use or disclosure other than those previously listedor as permitted or required by law, will not be made unless we obtain your written Authorization in advance.  Youmay revoke any such Authorization in writing at any time.  Upon receipt of a revocation, we will cease usingor disclosing protected health information about you unless we have alreadytaken action based on your Authorization.

b.      Your authorization is always required for Marketingpurposes, Sale of your information, and any sharing of Psychotherapy notes.

4.                 More Stringent Laws

a.      Some states may have laws that are more stringent thanHIPAA.  Please refer to the end of theNotice for the laws that may apply.

Pharmacare Drugs 3 Inc is required by law to maintainthe privacy of protected health information, to provide individuals with noticeof its legal duties and privacy practices with respect to protected healthinformation, and to notify affected individuals following a breach of unsecuredprotected health information.

Pharmacare Drugs 3 Inc is required to abide by theterms of this Notice.  We reserve the rightto change the terms of this Notice and to make the new notice provisionseffective for all protected health information that we maintain. Any suchrevised Notice will be made available upon request.

Contacting Us

1.                 Treatment, Payment and Health Care Operations

  1. We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

a.      We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

b.      We will use your health information to obtain payment.  This will include sending claims for payment to your insurance or third-party payer.  It may also include providing health information to the payer to resolve issues of claim coverage.

c.       We will use your health information for our healthcare operations necessary to run the pharmacy. This may include monitoring the quality of care that our employees provide to you and for training purposes.

2.                 Permitted or Required Uses and Disclosures

a.      Our pharmacists, using their professional judgment maydisclose your protected health information to a family member, other relative,close personal friend or other person you identify as being involved in yourhealth care.  This includes allowing suchpersons to pick up filled prescriptions, medical supplies or medical records onyour behalf.

b.      We also have contracts with entities called BusinessAssociates that perform some services for us that require access to yourprotected health information.  Examplesmay include companies that route claims to your insurance company or thatreconcile the payments we receive from your insurance. We require our BusinessAssociates to safeguard any protected health information appropriately.

c.       Under certain circumstances Pharmacare Drugs 3 Inc maybe required to disclose health information as required or permitted by federalor state laws.  These include, but arenot limited to:

                                                              i.     To the Secretary of Health and Human Services forinvestigations into our compliance with HIPAA rules and to respond to patientcomplaints.

                                                            ii.     To the Food and Drug Administration (FDA) relating toadverse events regarding drugs, foods, supplements and other health products orfor post-marketing surveillance to enable product recalls, repairs orreplacement.

                                                           iii.     To public health or legal authorities charged withpreventing or controlling disease, injury or disability.

                                                           iv.     To law enforcement agencies as required by law or inresponse to a valid subpoena or other legal process.

                                                             v.     To health oversight agencies (e.g., licensing boards)for activities authorized by law such as audits, investigations and inspectionsnecessary for Pharmacare Drugs 3 Inc’s licensure and for monitoring of healthcare systems.

                                                           vi.     In response to a court order, administrative order,subpoena, discovery request or other lawful process by another person involvedin a dispute involving a patient, but only if efforts have been made to tellthe patient about the request or to obtain an order protecting the requestedhealth information.

                                                         vii.     As authorized by and as necessary to comply with lawsrelating to worker’s compensation or similar programs established by the law.

                                                        viii.     Whenever required to do so by law.

                                                           ix.     To a Coroner or Medical Examiner when necessary.  Examples include: identifying a deceasedperson or to determine a cause of death.

                                                             x.     To Funeral Directors to carry out their duties

                                                           xi.     To organ procurement organizations or other entitiesengaged in procurement, banking or transplantation of organs for the purpose oftissue donation and transplant.

                                                          xii.     To notify or assist in notifying a family member,personal representative or another person responsible for the patient’s care ofthe patient’s location or general condition.

                                                        xiii.     For certain research purposes.

                                                        xiv.     To a correctional institution or its agents if apatient is or becomes an inmate of such an institution when necessary for thepatient’s health or the health and safety of others.

                                                          xv.     When necessary to prevent a serious threat to thepatient’s health and safety or the health and safety of the public or anotherperson.

                                                        xvi.     As required by military command authorities when thepatient is a member of the armed forces and to appropriate military authorityabout foreign military personnel.

                                                       xvii.     To authorized officials for intelligence,counterintelligence and other national security activities authorized by law.

                                                     xviii.     To authorized federal officials so they may provideprotection to the president, other authorized persons or foreign heads of stateor to conduct special investigations.

                                                        xix.     To a government authority, such as social service orprotective services agency, if Pharmacare Drugs 3 Inc reasonably believes thepatient to be a victim of abuse, neglect or domestic violence but only to the extentrequired by law, if the patient agrees to the disclosure or if the disclosureis allowed by law and we believe it is necessary to prevent serious harm to thepatient or to someone else or the law enforcement or public official that is toreceive the report represents that it is necessary and will not be used againstthe patient.

d.      During an emergency or disaster relief situation, ifyou are unconscious or unable to tell us your preference, we may shareinformation to lessen a serious and imminent threat to health or safety.

e.      We may contact you for fundraising efforts, but youcan request that we not contact you again.

3.                 Authorized Use and Disclosure

a.      Use or disclosure other than those previously listedor as permitted or required by law, will not be made unless we obtain your written Authorization in advance.  Youmay revoke any such Authorization in writing at any time.  Upon receipt of a revocation, we will cease usingor disclosing protected health information about you unless we have alreadytaken action based on your Authorization.

b.      Your authorization is always required for Marketingpurposes, Sale of your information, and any sharing of Psychotherapy notes.

4.                 More Stringent Laws

a.      Some states may have laws that are more stringent thanHIPAA.  Please refer to the end of theNotice for the laws that may apply.

1.                 Additional Questions, Submitting Requests or Complaints

a.      If you have questions about this Notice or how PharmacareDrugs 3 Inc uses and discloses your protected health information please contactour Privacy Officer below.  

b.     You may obtain forms needed for request submissionfrom our pharmacy or from our Privacy Officer.

c.   If you believe your privacy rights have been violated you may file a complaint with our Privacy Officer or with the Secretary of Health and Human Services.  You will not be retaliated against for filing a complaint.

2.                 Privacy Officer

Ali Charara
Pharmacare Drugs
3 Inc3439 East Grand River
Howell, Mi, 48843
517-518-8940

3.             Secretary of Health and Human Services,Office for Civil Rights

a.    For online complaint forms and contact information forthe Regional OCR offices: http://www.hhs.gov/ocr/privacy/index.html

b.      Email: OCRComplaint@hhs.gov for assistance or questions about complaint forms

c.     You have the right to request that your protected health information be provided to you in your preferred format, including anelectronic format if available.  

d.     You have the right to have your information disclosedto another person or third-party that you choose.

e.     Requests may be submitted in writing to the PrivacyOfficer listed in Section D of this Notice.

f.      Any costs or fees associated with copying, mailing or preparing the requested records will be charged prior to granting your request.

g.      Pharmacare Drugs 3 Inc may deny your request forrecords in limited circumstances.  Incase of denial, you may request a review of the denial for most reasons.  Requests for review of a denial must also besubmitted to the Privacy Officer listed in Section D of this Notice.

State Specific Requirements

1.                 Treatment, Payment and Health Care Operations

  1. We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

a.      We will use your health information to provide treatment.  This may involve receiving or sharing information with other health care providers such as your physician.  This information may be written, verbal, electronic or via facsimile. This will include receiving prescription orders so that we may dispense prescription medications.  We may also share information with other health care providers who are treating you to coordinate the different things you need, such as medications, lab work another appointments. We may also contact you to provide treatment-related services, such as refill reminders, treatment alternatives and other health related services that may be of benefit to you.

b.      We will use your health information to obtain payment.  This will include sending claims for payment to your insurance or third-party payer.  It may also include providing health information to the payer to resolve issues of claim coverage.

c.       We will use your health information for our healthcare operations necessary to run the pharmacy. This may include monitoring the quality of care that our employees provide to you and for training purposes.

2.                 Permitted or Required Uses and Disclosures

a.      Our pharmacists, using their professional judgment maydisclose your protected health information to a family member, other relative,close personal friend or other person you identify as being involved in yourhealth care.  This includes allowing suchpersons to pick up filled prescriptions, medical supplies or medical records onyour behalf.

b.      We also have contracts with entities called BusinessAssociates that perform some services for us that require access to yourprotected health information.  Examplesmay include companies that route claims to your insurance company or thatreconcile the payments we receive from your insurance. We require our BusinessAssociates to safeguard any protected health information appropriately.

c.       Under certain circumstances Pharmacare Drugs 3 Inc maybe required to disclose health information as required or permitted by federalor state laws.  These include, but arenot limited to:

                                                              i.     To the Secretary of Health and Human Services forinvestigations into our compliance with HIPAA rules and to respond to patientcomplaints.

                                                            ii.     To the Food and Drug Administration (FDA) relating toadverse events regarding drugs, foods, supplements and other health products orfor post-marketing surveillance to enable product recalls, repairs orreplacement.

                                                           iii.     To public health or legal authorities charged withpreventing or controlling disease, injury or disability.

                                                           iv.     To law enforcement agencies as required by law or inresponse to a valid subpoena or other legal process.

                                                             v.     To health oversight agencies (e.g., licensing boards)for activities authorized by law such as audits, investigations and inspectionsnecessary for Pharmacare Drugs 3 Inc’s licensure and for monitoring of healthcare systems.

                                                           vi.     In response to a court order, administrative order,subpoena, discovery request or other lawful process by another person involvedin a dispute involving a patient, but only if efforts have been made to tellthe patient about the request or to obtain an order protecting the requestedhealth information.

                                                         vii.     As authorized by and as necessary to comply with lawsrelating to worker’s compensation or similar programs established by the law.

                                                        viii.     Whenever required to do so by law.

                                                           ix.     To a Coroner or Medical Examiner when necessary.  Examples include: identifying a deceasedperson or to determine a cause of death.

                                                             x.     To Funeral Directors to carry out their duties

                                                           xi.     To organ procurement organizations or other entitiesengaged in procurement, banking or transplantation of organs for the purpose oftissue donation and transplant.

                                                          xii.     To notify or assist in notifying a family member,personal representative or another person responsible for the patient’s care ofthe patient’s location or general condition.

                                                        xiii.     For certain research purposes.

                                                        xiv.     To a correctional institution or its agents if apatient is or becomes an inmate of such an institution when necessary for thepatient’s health or the health and safety of others.

                                                          xv.     When necessary to prevent a serious threat to thepatient’s health and safety or the health and safety of the public or anotherperson.

                                                        xvi.     As required by military command authorities when thepatient is a member of the armed forces and to appropriate military authorityabout foreign military personnel.

                                                       xvii.     To authorized officials for intelligence,counterintelligence and other national security activities authorized by law.

                                                     xviii.     To authorized federal officials so they may provideprotection to the president, other authorized persons or foreign heads of stateor to conduct special investigations.

                                                        xix.     To a government authority, such as social service orprotective services agency, if Pharmacare Drugs 3 Inc reasonably believes thepatient to be a victim of abuse, neglect or domestic violence but only to the extentrequired by law, if the patient agrees to the disclosure or if the disclosureis allowed by law and we believe it is necessary to prevent serious harm to thepatient or to someone else or the law enforcement or public official that is toreceive the report represents that it is necessary and will not be used againstthe patient.

d.      During an emergency or disaster relief situation, ifyou are unconscious or unable to tell us your preference, we may shareinformation to lessen a serious and imminent threat to health or safety.

e.      We may contact you for fundraising efforts, but youcan request that we not contact you again.

3.                 Authorized Use and Disclosure

a.      Use or disclosure other than those previously listedor as permitted or required by law, will not be made unless we obtain your written Authorization in advance.  Youmay revoke any such Authorization in writing at any time.  Upon receipt of a revocation, we will cease usingor disclosing protected health information about you unless we have alreadytaken action based on your Authorization.

b.      Your authorization is always required for Marketingpurposes, Sale of your information, and any sharing of Psychotherapy notes.

4.                 More Stringent Laws

a.      Some states may have laws that are more stringent thanHIPAA.  Please refer to the end of theNotice for the laws that may apply.

Version # 2387579-PAAS-2021-3.0

Effective Date
This Notice of Privacy Practices is effective as of 3/21/2024 

Questions & Answers

Is free same-day delivery available for everyone?

Yes! We offer our free same-day delivery service for everyone within a 20 mile radius.

How can my doctor send over my script?

Just let your doctor know that you'd like your script sent over to Pharmacare Drugs on 3439 East Grand River in Howell. They may also visit our website to E-scribe or fax over a script.

What insurance do you take?

We accept most of the major insurance providers. To see if your insurance is included, you may give us a call.

Are there any fees?

We charge no additional service fees. Delivery is always free within our 20 mile radius policy.

Can I contact you with more questions?

Please do! Fill out our contact form or call us at 517-518-8940 and we'll be happy to assist you.

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