Notice of Privacy Practices

PRIVACY NOTICE: 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.

Physicians Rx Pharmacy LLC, PRxP of CA LLC, and PRxP of New York LLC d/b/a Broadway Family Pharmacy (together, “we,” “us,” or “the Pharmacy”) are required by law to maintain the privacy and security of your Protected Health Information (PHI). We must provide you with this notice of our legal duties and privacy practices. We are bound to follow the terms currently in effect within this notice.

This is a joint notice. The pharmacies named above are affiliated covered entities that share this notice and may share your health information with one another for treatment, payment, and health care operations as described below.

We reserve the right to change the terms of this notice from time to time and to make the revised notice effective for all PHI we maintain. You can always request a written copy of our most current privacy notice, which is available upon request, within the pharmacy, and on our web site.

Part 1: Our Legal Duties and Your Rights

Your Health Information Rights

When it comes to your health information, you have certain rights under federal HIPAA regulations. For all requests, you must submit your request in writing to the Privacy Officer. See Part 3: Contact & Complaints for the Privacy Officer contact information.

• See or get an electronic or paper copy of your medical/prescription record: You can ask to see or get a copy of your prescription history and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your request. If we keep your records electronically, you can ask for an electronic copy, and you can ask us to send a copy to another person you name. We may charge a reasonable, cost-based fee.
• Ask us to correct your record: You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we will tell you why in writing within 60 days.
• Request confidential communications: You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests.
• Ask us to limit what we use or share: You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
• Request a specific restriction for out-of-pocket payments: If you pay for a prescription completely out-of-pocket (without involving your health insurance plan), you have the right to ask that we do not share that specific information with your insurer for the purpose of payment or our operations. We will say “yes” to this request unless a law requires us to share that information.
• Choose someone to act for you: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
• Get a list of those with whom we’ve shared information: You can ask for a list (accounting) of the times we’ve shared your health information for up to six years prior to the date of your request, who we shared it with, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). Your request must state a specific time period for the accounting (e.g., the past three months). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
• Get a copy of this privacy notice: You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
• File a complaint if you feel your rights are violated: You can submit a complaint if you feel we have violated your privacy rights by contacting our Privacy Officer listed in Part 3. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/hipaa/for-individuals/file-complaint/index.html. We will not retaliate against you for filing a complaint.

Our Uses and Disclosures

We typically use and share your health information in the following ways:

• To Treat You: We can use your health information and share it with other professionals who are treating you. Example: A pharmacist may use your profile to check for drug interactions or call your doctor to clarify a prescription.
• To Run Our Organization: We can use and share your health information to run our pharmacy, improve your care, and contact you when necessary. Example: We use health information to manage your prescriptions and look for ways to optimize our workflow. This includes quality assurance, case management, responding to patient comments and complaints, compliance programs, audits, business planning, and administration.
• To Bill for Your Services: We can use and share your health information to bill and get payment from health plans or other entities. Example: We give information about your prescription to your health insurance plan so it will pay for your medication.
• Remind you about refills and support your therapy: We may contact you about refills, adherence support, and treatment options for your condition. Under HIPAA these communications are not marketing, even if a drug manufacturer or other third party helps pay for them, so long as any payment is limited to the cost of making the communication.
• Share with family, friends, or others involved in your care: We may share your health information with a family member, close friend, or other person involved in your care or in paying for your care if you agree, or if you are not able to tell us and we believe it is in your best interest (for example, when someone picks up a prescription for you). You have the right to object.
• Work with our business associates: We share health information with companies that perform services for us, such as delivery, billing, and software vendors, under written agreements that require them to protect your information.

How Else Can We Use or Share Your Health Information?

We are allowed or required to share your information in other ways—usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.

• Help with public health and safety issues: We can share health information about you for certain situations such as preventing disease, helping with product recalls, reporting adverse reactions to medications, or reporting suspected abuse, neglect, or domestic violence.
• Do research: We can use or share your information for health research with your written authorization, when an institutional review board or privacy board has approved the research, or when the information has been de-identified.
• Comply with the law: We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
• Work with a medical examiner or funeral director: We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
• Address workers’ compensation, law enforcement, and other government requests: We can use or share health information about you for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, or for special government functions such as military, national security, and presidential protective services.
• Respond to lawsuits and legal actions: We can share health information about you in response to a court or administrative order. We may also respond to a subpoena or discovery request, but only if we receive the assurances HIPAA requires that you were notified or that a protective order was sought. Substance use disorder records (see below) and, where state law requires, HIV-related and other sensitive information will not be released without your written consent or a court order.

Our Responsibilities

• Breach Notification: We are required by law to let you know promptly if a breach occurs that may have compromised the privacy or security of your protected health information.
• Uses That Require Your Written Authorization: We will not sell your health information, use or share it for marketing, or share psychotherapy notes (if we have them) without your written authorization. Any other use or disclosure not described in this notice will be made only with your written authorization. You may revoke an authorization at any time by writing to our Privacy Officer, except to the extent we have already acted on it.
• Substance Use Disorder Records: If we receive records protected under federal substance use disorder privacy laws (42 CFR Part 2), we will use and disclose them only as Part 2 and this notice permit. We will not use or disclose them in any civil, criminal, administrative, or legislative proceeding against you unless you give written consent or a court orders it after you have had notice and an opportunity to be heard. A subpoena alone is not enough.
• Redisclosure: Health information we disclose about you, including substance use disorder records, may be redisclosed by the person who receives it and may no longer be protected by HIPAA or 42 CFR Part 2, unless that person is also required by law to protect it.
• Fundraising: We do not use your health information for fundraising.

Part 3: Contact & Complaints

To exercise any of your rights listed in this notice, to request a physical copy, or to submit a state-specific records request, please contact our Privacy Officer:

• Privacy Officer: Compliance Officer
• Mailing Address: 1193 Beechwood Blvd., Pittsburgh, PA 15206
• Phone Number: 855-566-3710
• Email Address: privacy@340bpharm.com

We do not discriminate on the basis of race, color, national origin, sex, age, or disability. Our Notice of Nondiscrimination, including how to file a grievance, is available at https://web-demo.pharmalytiq.com/prxp/patients/nondiscrimination-notice/ 

ATTENTION: If you speak a language other than English, free language assistance services and auxiliary aids and services are available to you. Call:

Physicians Rx Pharmacy LLC, Largo, MD    (888) 330-2153 (TTY: 711)

PRxP of New York LLC, New York, NY         (888) 609-2064 (TTY: 711)

PRxP of CA LLC, Ontario, CA                        (888) 505-1485 (TTY: 711)

Spanish: ATENCIÓN: Si habla un idioma distinto al inglés, tiene a su disposición servicios gratuitos de asistencia lingüística y servicios y ayudas auxiliares.

Chinese Mandarin: 注意：如果您使用的语言不是英语，您可以获得免费的语言协助服务以及辅助设施与服务。

Chinese Cantonese: 注意：如果你講英文以外嘅語言，我哋可以免費提供語言協助服務同輔助輔助工具同服務。

Chinese Formosan: 注意：如果您使用的语言不是英语，您可以获得免费的语言协助服务以及辅助设施与服务

Tagalog (Filipino): PAALALA: Kung ikaw ay nagsasalita ng wikang iba sa Ingles, mayroong mga libreng serbisyo sa tulong-wika at mga karagdagang tulong at serbisyo na magagamit mo.

Vietnamese: LƯU Ý: Nếu quý vị sử dụng ngôn ngữ khác ngoài tiếng Anh, quý vị sẽ được cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ cũng như các dịch vụ và phương tiện hỗ trợ bổ sung.

Korean: 알림: 영어 이외의 언어를 사용하시는 경우, 무료 언어 지원 서비스와 보조 도구 및 서비스를 이용하실 수 있습니다.

Russian: ВНИМАНИЕ: Если вы не говорите по-английски, вам доступны бесплатные услуги языковой поддержки, а также вспомогательные средства и услуги.

Arabic: تنبيه: إذا كنت تتحدث لغة غير الإنجليزية، تتوفر لك خدمات المساعدة اللغوية المجانية، بالإضافة إلى الوسائل والخدمات المساعدة.

Haitian Creole: ATANSYON: Si w pale yon lòt lang anplis angle, gen sèvis asistans lengwistik gratis ansanm ak èd ak sèvis oksilyè ki disponib pou ou.

French: ATTENTION : Si vous parlez une autre langue que l’anglais, des services d’assistance linguistique gratuits ainsi que des aides et services auxiliaires sont mis à votre disposition.

Bangla: drishti akarson: aapni jodi engreji chara anno kono bhashay kotha bolen, tabe aapnar jonno binamulye bhasha sahayata porisheba ebong sahayak upokaron o porisheba upolobdho royeche.

Persian (Farsi): توجه: اگر به زبانی غیر از انگلیسی صحبت می‌کنید، خدمات رایگان کمک‌رسانی زبانی و همچنین امکانات و خدمات کمکی در اختیار شما قرار دارد.

Armenian: USHADRUT’YUN․ Yet’e khosum yek’ anglerenits’ bats’i ayl lezvov, DZez hasaneli yen lezvakan ajakts’ut’yan anvchar tsarrayut’yunner, inch’pes nayev ozhandak mijots’ner yev tsarrayut’yunner.

Hindi: dhyan den: yadi aap angrezi ke alava koi anya bhasha bolte han, to aapke liye muft bhasha sahayata sevaen aur atirikt sahayata va sevaen uplabdh han.

Amharic: masasebīya :  ke’inigilīzinya wich’ī lēla k’wanik’wa yemīnageru kehone, net͟s’a yek’wanik’wa digafi āgeligilotochi inidīhumi tech’emarī redati mešarīyawochina āgeligilotochi le’irisiwo yigenyalu.

Yiddish: aoyfmerkzamkeyt: aoyb ir redt an ander shprakh vi english, shteyen far eykh tsu bakumen aumziste shprakh-hilf-dinstn aun tsugob-hilfmitlen aun -dinstn.

Urdu: tojah farmain: agar aap angrizi ke alawah koi or zaban bolte hen, to aap ke liye muft lasani maaunt ki khidmaat or azafi maaun zarai w khidmaat dastyab hen.

Gujarati: dhyan aapo: 3jo tame angrejee sivayni anya koi bhasha bolta hov, to tamara maate mafat bhasha sahay sevaao ane sahayak sadhano tatha sevaao uplabdh chhe.

Italian: ATTENZIONE: Se parla una lingua diversa dall’inglese, sono a Sua disposizione servizi di assistenza linguistica gratuiti, nonché ausili e servizi supplementari.

Polish: UWAGA: Jeśli posługujesz się językiem innym niż angielski, dostępne są dla Ciebie bezpłatne usługi językowe oraz pomocnicze środki i usługi.

Punjabi: Dhi’āna di’ō: Jēkara tusīṁ agarēzī tōṁ ilāvā kō’ī hōra bhāśā bōladē hō, tāṁ tuhāḍē la’ī mufata bhāśā sahā’itā sēvāvāṁ atē sahā’ika sādhana tē sēvāvāṁ upalabadha hana.

Mon-Khmer (Cambodian): saumochreab :  brasenbae lokaanak niyeay pheasaea phsaeng krawpi pheasaeaangklesa  lokaanak ach ttuol ban seva chomnuoy phnek pheasaea  ning ubakar chomnuoy promteang sevakamm neanea daoy itkitathlai .

Japanese: ご注意：英語以外の言語を話される方は、無料の言語支援サービスや補助的手段・サービスをご利用いただけます。

Thai: Reīyn th̀ān p̄hū̂ chı̂ brikār: H̄āk th̀ān chı̂ p̣hās̄ʹā xụ̄̀n thī̀ mị̀chı̀ p̣hās̄ʹā xạngkvs̄ʹ th̀ān s̄āmārt̄h chı̂ brikār ch̀wy h̄elụ̄x d̂ān p̣hās̄ʹā rwm t̄hụng xupkrṇ̒ læa brikār s̄erim t̀āng«dị̂ doy mị̀mī kh̀ā chı̂ c̀āy

Igbo: Rịba ama: Ọ bụrụ na ị na-asụ asụsụ ọzọ na-abụghị Bekee, enwere ọrụ enyemaka asụsụ n’efu yana enyemaka na ọrụ ndị ọzọ dịịrị gị.

Yoruba: ÀKÍYÈSÍ: Tí o bá ń sọ èdè mìíràn yàtọ̀ sí èdè Gẹ̀ẹ́sì, àwọn iṣẹ́ ìrànlọ́wọ́ nípa èdè àti àwọn ohun èlò tàbí iṣẹ́ àfikún wà fún ọ lọ́fẹ̀ẹ́.