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 Notice of Privacy Practices (the “Notice”) describes the
privacy practices of Esplanade Pharmacy including Esplanade Pharmacy and
esplanadepharmacy.com.
Esplanade Pharmacy wants you to know that nothing is more
central to our operations than maintaining the privacy of your health
information (“Protected Health Information” or “PHI”). PHI is information about
you, including basic information that may identify you and relates to your
past, present, or future health or condition and the dispensing of
pharmaceutical products to you. We take this responsibility very seriously.
Our Pledge Regarding Your Health Information
We are required by federal and applicable state law, regulations, and other
authorities to protect the privacy of your health information and to provide
you with this Notice. Our pharmacy staff is required to protect the
confidentiality of your PHI and will disclose your PHI to a person other than
you or your personal representative only when permitted under federal or state
law. This protection extends to any PHI that is oral, written, or electronic,
such as prescriptions transmitted by facsimile, modem, or other electronic
device. This Notice describes how we may use and disclose your PHI. In some
circumstances, as described in this Notice, the law permits us to use and
disclose your PHI without your express permission. In all other circumstances,
we will obtain your written authorization before we use or disclose your PHI.
This Notice also describes your rights and the obligations we have regarding
the use and disclosure of your PHI. Under federal and applicable state law, we
are required to follow the terms of the Notice currently in effect.
How We May Use and Disclose Your PHI Without Your Permission
Below are examples of how Federal law permits use or disclosure of your PHI for
these purposes without your permission:
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Treatment: Dispensing medications. PHI obtained by
Esplanade Pharmacy will be used to dispense prescription medications. We will
document information related to the medications dispensed and services provided
in your record. Patient Contacts. We may contact you to provide
treatment-related services, such as refill reminders, treatment alternatives
(e.g., available generic products), and other health related benefits and
services that may be of interest to you.
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Payment: We may contact your insurer, payor, or other agent
and share your PHI with that entity to determine whether it will pay for your
prescription and the payment amount. We may also contact you about a payment or
balance due for prescriptions dispensed to you at Esplanade Pharmacy.
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Health care operations: Service. Your PHI may be used
to monitor the effectiveness of our services. Transfer. Your PHI may be
transferred for purposes of carrying out the pharmacy services if we buy or
sell pharmacy locations. Benefits/Research. We may also use your PHI to
tell you about opportunities that may be of interest to you, such as benefits
for preferred Esplanade Pharmacy customers or clinical research projects.
We are permitted under federal and applicable state law to use or disclose your
PHI without your permission only when certain circumstances may arise, as
described below.
We are likely to use or disclose your PHI for the following purposes:
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Business associates: We
provide some services through other companies termed “business associates.”
Federal law requires us to enter into business associate contracts to safeguard
your PHI as required by Esplanade Pharmacy and by law.
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Individuals involved in your care or payment for care:
We may disclose your PHI to a friend, personal representative, or family member
involved in your medical care. For example, if we can reasonably infer that you
agree, we may provide prescriptions and related information to your caregiver
on your behalf.
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