Notice of HIPAA Privacy Practices

Eagle Apothecary

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.

Our commitment to privacy

Eagle Apothecary is required by law to protect the privacy of your protected health information (PHI), give you this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect. We will notify you following a breach of your unsecured PHI as required by law.

We reserve the right to change this notice and apply the revised terms to all PHI we maintain, including information we received before the change. The revised notice will be available at our pharmacy and at eagleapothecary.com. You may ask for a paper copy at any time.

How we may use and share your health information

  • Treatment. We may use and share your PHI to fill prescriptions and coordinate your care. For example, we may contact your prescriber about a dose or a potential drug interaction.

  • Payment. We may use and share your PHI to verify coverage, process claims, and collect payment. For example, we may send your health plan information needed to determine whether it covers your medication.

  • Health care operations. We may use and share your PHI to run the pharmacy, review the quality of our services, and conduct audits. For example, we may review dispensing records to improve prescription safety.

  • People involved in your care or payment for your care. We may share information relevant to a family member’s, friend’s, or other person’s involvement if you agree or have an opportunity to object and do not. If you are unavailable or unable to decide, we may share relevant information when our professional judgment indicates that doing so is in your best interest.

  • Business associates. We may share PHI with service providers that perform functions for us, such as billing or technology support. Where required, we enter into agreements that require them to safeguard your information.

  • Other purposes allowed or required by law. Subject to applicable legal conditions, we may share PHI for public health or FDA reporting, reports of abuse or neglect, health oversight, qualifying court orders or other legal processes, law enforcement, organ or tissue donation, and certain research. We may also share information to address a serious threat to health or safety, handle workers’ compensation claims, perform certain government functions, assist coroners or medical examiners, or respond to the U.S. Department of Health and Human Services. We follow any applicable law that provides greater privacy protection.

Uses that require your written authorization

We will obtain your written authorization for most uses or disclosures of psychotherapy notes, uses or disclosures of PHI for marketing that require authorization, and disclosures that constitute a sale of PHI. We will also obtain your written authorization for other uses and disclosures that this notice does not describe unless the law permits or requires them. You may revoke your authorization in writing at any time. Your revocation applies going forward, except to the extent we have already acted in reliance on your authorization.

Additional protections for substance use disorder records

Substance use disorder treatment records we receive from programs subject to 42 CFR Part 2, and testimony describing those records, may be used or disclosed in civil, criminal, administrative, or legislative proceedings against you only with your written consent or a qualifying court order issued after notice and an opportunity to be heard, as provided under Part 2. A court order must be accompanied by a subpoena or other legal requirement compelling disclosure before the requested records are used or disclosed.

Your rights

Contact our Privacy Officer using the information below to exercise these rights or ask how to submit a request.

  1. Inspect or get a copy of your records. You may ask in writing to inspect or receive a paper or electronic copy of the PHI we maintain in your designated record set. We may charge a reasonable, cost-based fee as permitted by law.

  2. Ask us to correct your records. If you believe information is incorrect or incomplete, you may ask us in writing to amend it and explain why. If we deny your request, we will explain the reason in writing.

  3. Ask for an accounting of disclosures. You may ask for a list of certain disclosures we made during the six years before your request. The list excludes disclosures for treatment, payment, or health care operations and certain other disclosures excluded by law.

  4. Ask us to limit how we use or share your information. You may request restrictions on uses or disclosures for treatment, payment, or health care operations, or on disclosures to people involved in your care or payment for your care. We generally do not have to agree. We must agree to a request to withhold information from your health plan for payment or health care operations if the information relates solely to an item or service paid in full out of pocket and the disclosure is not otherwise required by law.

  5. Ask us to contact you confidentially. You may ask us to contact you in a specific way or at a different address or phone number. We will accommodate reasonable requests.

  6. Get a paper copy of this notice. You may request one at any time, even if you previously received it electronically.

  7. Have an authorized person act for you. A person with legal authority to act as your personal representative may exercise your rights on your behalf, subject to applicable law. We will verify their authority before acting on their request.

Text message communications

If you separately opt in to text messages from Eagle Apothecary, we may send messages about prescription refills, pickup or delivery, and appointments, depending on what you agreed to receive. Promotional texts require a separate opt-in. Where HIPAA requires written authorization for use or disclosure of PHI for marketing, we will obtain it.

Message frequency varies. Message and data rates may apply. To stop receiving texts, reply STOP or call 215-735-6337. For help with text messages, call us or email info@eagleapothecary.com.

Questions or complaints

If you have a question about this notice or believe your privacy rights have been violated, contact:

Eagle Apothecary — Privacy Officer
273 S 15th St
Philadelphia, PA 19102
Phone 215-735-6337
Fax 215-790-0355
Email info@eagleapothecary.com

You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services through the Office for Civil Rights Complaint Portal. We will not retaliate against you for filing a complaint.