SAVCO GENERIC DRUGS NOTICE OF PRIVACY PRACTICES EFFECTIVE APRIL 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HWO YOU CAN GET ACCES TO THE INFORMATION PLEASE REVIEW IT CAREFULLY As part of the Federal Health Insurance Portability and Accountability Act of 1996, known as HIPPA, this pharmacy has created this Notice of Privacy Practices (Notice). This Notice describes this pharmacy?s privacy practices and the rights you, the individual, have as they relate to the privacy of your protected health information (PHI). Your PHI is information about you, or that could be used to identify you, as it related to your past and present physical and mental health care services. The HIPAA regulations require that the pharmacy protect the privacy of your PHI that this pharmacy has received or created. This pharmacy will abide by the terms presented within this Notice. For any uses or disclosures that are not listed below, this pharmacy will obtain a written authorization from you for that use or disclosure, which you will have the right to revoke at any time as explained in more detail below. This pharmacy reserves the right to change its privacy practices and Notice. Revisions of this Notice will be posted in the pharmacy and upon your request, provided to you in paper format. HOW THIS PHARMACY MAY USE AND DISCLOSE YOUR PHI The following is a list of the ways that this pharmacy is permitted, by law, to use and disclose your PHI. Uses and disclosures of PHI for Treatment: We will use the PHI that we receive from you to fill your prescriptions and coordinate or mange your health care. Uses and disclosures of PHI for Payment: This pharmacy will disclose your PHI to obtain payment or reimbursement from insurers for your health care services. Uses and disclosures of PHI for Health Care Operations: This pharmacy will sue your PHI to conduct quality assessments, improvement activities, and evaluate the pharmacy workforce. The following is a list of the additional ways in which the pharmacy is permitted or required to use or disclose PHI about you without your written authorization. Uses and disclosures required by law: The pharmacy is required to use or disclose PHI about you as required by law. Uses and disclosures for Public Health Activities: The pharmacy may use or disclose your PHI to a public health authority that is authorized by law to collect, for the purpose of preventing or controlling disease, injury, or disability. Uses and disclosures about victims of abuse, neglect, or domestic violence: The pharmacy may use or disclose your PHI to a government authority if it is reasonably believed you are a victim of abuse, neglect, or domestic violence. Uses and disclosures for health oversight activities: The pharmacy may use or disclose your PHI to a health oversight agency for oversight activities that it is authorized by law to conduct. Disclosure for judicial and administrative proceedings: The pharmacy may disclose PHI about you in the course of any judicial or administrative proceedings provided the proper documentation is presented to the pharmacy. Disclosures for law enforcement purposes: The pharmacy may disclose your PHI to law enforcement officials for authorized purposes. Uses and disclosures about the deceased: The pharmacy may disclose PHI about the deceased, or prior to, and in reasonable anticipation of an individual?s death, to coroners, medical examiners, and funeral directors. Uses and disclosures for organ donation purposes: The pharmacy may use and disclose PHI for the purpose of procurement, banking, or transplantation of organs. Uses and disclosures for research purposes: The pharmacy may use and disclose your PHI for research purposes with a valid waiver of authorization from the research board. Otherwise, the pharmacy will request a signed authorization by the individual. Uses and disclosures to avert a serious threat to health or safety: The pharmacy may use or disclose your PHI if it is believed in good faith, and is consistent with any applicable law and standards of ethical conduct, to avert a serious threat to health or safety. Uses and disclosures for specialized government functions: The pharmacy may use or disclose your PHI for specialized government functions including military and veterans activities, national security, and intelligence, protective services, department of state functions, and correctional institutions and law enforcement custodial situations. Disclosure for workers? compensation: The pharmacy may disclose your PHI as authorized by and to the extent necessary to comply with worker?s compensation laws or programs established by law. Disclosures for disaster relief purposes: The pharmacy may disclose your PHI as authorized by law to a public or private entity to assist in disaster relief efforts. Disclosures to business associates: The pharmacy may disclose PHI about you to the pharmacy?s business associates for services that they may provide to or for the pharmacy.