Collierville Compounding Pharmacy

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

This Privacy Notice outlines the privacy practices of Collierville Compounding Pharmacy in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Protected Health Information (PHI) refers to information collected to provide services, including your personal details, health information, medical history, and prescriptions. 

We are legally obligated to safeguard your PHI's privacy and provide you with this Notice explaining our legal responsibilities and privacy procedures concerning your PHI. This Notice outlines how we may utilize and disclose your PHI, providing examples but not an exhaustive list. Additionally, it delineates your rights and our obligations regarding PHI use and disclosure. Our employees and workforce members must adhere to this Notice and any subsequent changes. We also adhere to state privacy laws if they afford greater protection to your PHI than federal law. Some sensitive PHI types, like HIV information or mental health records, may have further confidentiality protections under state or federal law. For more details on state law protections or additional restrictions on sensitive PHI use or disclosure, please contact us.

Uses and Disclosures of Your PHI for Treatment, Payment, and Health Care Operations 

Your Protected Health Information (PHI) may be utilized and disclosed for treatment, payment, and health care operations without necessitating your written authorization. Below are categories outlining some examples of how we may use and disclose your PHI for these purposes:

Treatment: Your PHI may be used and disclosed to facilitate and coordinate the treatment, medication, and services you receive. For instance:

· Providing and coordinating treatment, medication, and services at Collierville Compounding Pharmacy.

· Sharing your PHI with other parties like pharmacies, doctors, hospitals, or health care providers to aid in your care or care coordination. In certain cases, these uses and disclosures of your PHI may occur through a Health Information Exchange or similar shared platform.

· Contacting you for treatment-related services such as refill reminders, adherence communications, or presenting treatment alternatives like available generic products.

Health Care Operations: Your PHI may be used and disclosed for health care operations, which are essential for running our health care business. For example:

· Monitoring the quality of our health care services, providing customer support, addressing complaints, and coordinating your care.

· Transferring or receiving your PHI in the event of buying or selling pharmacy locations.

· Contacting you regarding health-related products, services, or opportunities that might interest you.

· Sharing your PHI with other HIPAA Covered Entities that have provided services to you, enabling them to enhance the quality and effectiveness of the health care services they deliver or for their own health care operations.

· Utilizing your PHI to generate de-identified data, devoid of any personal identification, which can be used or disclosed for analytics, business planning, or other purposes

Other Uses and Disclosures of Your PHI that Do Not Require Authorization 

We are permitted or obligated to share your PHI without requiring your authorization in specific situations or under certain conditions.

Business Associates: When we engage third-party service providers, such as consultants, to perform certain services for us, known as Business Associates, they may require access to your PHI to carry out these services. By law and through their agreements with us, they are obligated to safeguard your PHI in the same manner that we do.

Individuals Involved in Your Care or Payment for Your Care: We may disclose your PHI to a friend, personal representative, family member, or any other person you designate as a caregiver, who is involved in your care or the associated payment. For instance, we may provide prescriptions and relevant information to your caregiver on your behalf. These disclosures may continue after your death unless they conflict with any prior expressed preferences documented by Collierville Compounding Pharmacy. Following your demise, we may disclose your PHI to an administrator, executor, or other authorized individual acting on behalf of your estate. If you are a minor, we may release your PHI to your parents or legal guardians as permitted or required by law.

Workers' Compensation: We may disclose your PHI as necessary to adhere to laws pertaining to workers' compensation or similar programs.

Law Enforcement: Your PHI may be disclosed to law enforcement officials as permitted or mandated by law. For example, we may utilize or disclose your PHI to report certain injuries or instances of criminal conduct on our premises. Additionally, we may disclose your PHI in response to a court order, subpoena, warrant, or similar written request from law enforcement officials.

Required by Law: We will disclose your PHI as required to comply with federal, state, or local laws.

Judicial and Administrative Proceedings: Your PHI may be disclosed in compliance with a court or administrative order, subpoena, discovery request, or any other lawful process.

Public Health and Safety Purposes: In specific circumstances where required or permitted by law, we may disclose your PHI to address public health and safety concerns. Examples include preventing disease transmission, reporting adverse reactions to medications, notifying suspected abuse, neglect, or domestic violence, and mitigating threats to individuals' health or safety.

Health Oversight Activities: Your PHI may be disclosed to oversight agencies for activities such as audits, investigations, inspections, licensure or disciplinary actions, and civil, administrative, or criminal proceedings. These disclosures are necessary for the oversight of the health care system, government programs, or compliance with civil rights laws.

Coroners, Medical Examiners, and Funeral Directors: We may disclose PHI to coroners, medical examiners, or funeral directors to facilitate their responsibilities.

Organ or Tissue Donation: Your PHI may be disclosed to organ procurement organizations for organ or tissue donation purposes.

Notification: We may use or disclose your PHI to notify or aid in notifying family members, personal representatives, or individuals responsible for your care regarding your location, general condition, or death. Additionally, disclosures may be made to disaster relief organizations to inform your family or caregivers of your status in the event of a disaster.

Correctional Institution: If you are incarcerated, we may disclose your PHI to the correctional institution or its agents to support your health care, ensure your well-being, or protect the health and safety of others.

Specialized Government Functions: Your PHI may be disclosed to authorized federal officials for military, national security activities, or other specialized government functions.

Uses or Disclosures Requiring Your Authorization:

We will only utilize or disclose your PHI for other purposes with your written authorization. Without your authorization, we will not:

· Use or disclose your PHI for marketing purposes.

· Sell your PHI to third parties, except in cases of transferring a business to another health care provider required to comply with HIPAA.

· Share psychotherapy notes (to the extent we possess any).

We will seek your written authorization before utilizing or disclosing your PHI for purposes other than those outlined in this Notice or permitted by law. You have the right to revoke your authorization at any time by submitting a written notice to Collierville Compounding Pharmacy. Your revocation will take effect upon receipt; however, it will not nullify any previous use or disclosure of your PHI made before you notified us or any actions taken based on your authorization.

Your Health Information Rights:

Obtain a Copy of the Notice: You have the right to receive a paper copy of our current Notice at any time. You can do so by visiting our website, www.colliervillecompoundingpharmacy.com, or by contacting us at the store, 901-861-3000.

Inspect and Obtain a Copy of Your PHI:With a few exceptions, you have the right to view and obtain a copy of the PHI we maintain about you. You may request access to your PHI electronically. To inspect or obtain a copy of your PHI, submit a written request to Collierville Compounding Pharmacy. You may also request that we provide a copy of your PHI to another individual or entity. We may charge a reasonable fee for fulfilling your request, as permitted under HIPAA and/or state law.

Request an Amendment: If you believe that the PHI we maintain about you is incomplete or inaccurate, you may request that we amend it. For example, if your date of birth is incorrect, you may request a correction. To request an amendment, submit a written request to Collierville Compounding Pharmacy, including a reason supporting your request. If we deny your request for an amendment, we will provide a written explanation for the denial.

Receive an Accounting of Disclosures: You have the right to request an accounting of disclosures we make of your PHI for purposes other than treatment or health care operations. Please note that certain disclosures are excluded from the accounting we provide. To obtain an accounting, submit a written request to Collierville Compounding Pharmacy. We will provide one accounting per 12-month period free of charge, but you may be charged for subsequent accountings. We will notify you in advance of any associated costs, allowing you to withdraw or modify your request if desired.

Request Confidential Communications: You have the right to request that we communicate with you in a specific manner or at a particular location. For instance, you may request written communication only to a designated address. To request confidential communication of your PHI, submit a written request to Collierville Compounding Pharmacy, specifying your preferred method, location, or timing of communication. We will accommodate all reasonable requests.

Notification of Breach: You have the right to be notified in the event of a breach of your unsecured PHI as defined by HIPAA.

To Report a Problem:

If you believe your privacy rights have been violated, you can file a complaint with us or with the Secretary of the United States Department of Health and Human Services. All complaints must be submitted in writing. You will not face any penalty or retaliation for filing a complaint.

Changes to this Notice:

We reserve the right to modify this Notice as permitted by law, with the revised Notice taking effect for both existing PHI and any future information as of the effective date of the revision. If significant changes are made to our privacy practices, we will promptly update our Notice and provide a revised copy upon request. We will also display the revised Notice in our retail stores and on our website at www.colliervillecompoundingpharmacy, making copies available at our facilities and locations where you receive health care products and services from us.

Effective Date:

This Notice is effective as of August 9, 2023.