Patient Medical Information Disclosure & Access Notice

How PharmBlue May Use and Disclose Your Health Information

PharmBlue protects the privacy of your health information. For some activities, we must have your written authorization to use or disclose your PHI. However, the law permits PharmBlue to use or disclose your PHI for the following purposes without your authorization:

For treatment: Example: Information obtained by the pharmacy will be used to dispense prescription medications to you. We may disclose health information about you to pharmacists and other persons who are involved in dispensing your prescription.

For payment: Example: We will contact your insurer or pharmacy benefit manager to determine whether it will pay for your prescription and the amount of your co-payment responsibility. We will bill you or a third-party payer for the cost of prescription medications dispensed to you. The information on or accompanying the bill may include information that identifies you, as well as the prescriptions you are taking.

Communication with individuals involved in your care or payment for your care: Health professionals such as pharmacists, using their professional judgment, may disclose to a family member, other relative, close personal friend or any person you identify, your health information relevant to that person’s involvement in your care or payment related to your care.

As required by law: We will disclose health information about you when required to do so by federal, state or local law.

For health care operations: We may use and disclose health information about you for pharmacy operations. We may send materials related to your health care to your home.

Health oversight activities: We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include audits, investigations, and inspections, as necessary for our licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.

Lawsuits and disputes: If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the requested information.

To avert a serious threat to health or safety: We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

Public health risks: We may disclose health information about you for public health activities. These activities include the following: (1) to prevent or control disease, injury or disability; (2) to report reactions to medications or problems with products; (3) to notify people of recalls of products they may be using; (4) to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; (5) to notify the appropriate government authority if we believe a person has been the victim of abuse, neglect or domestic violence (we will only make this disclosure if you agree and when required or authorized by law).

For specific government functions: We may disclose health information for the following specific government functions: (1) health information of military personnel, as required by military command authorities; (2) health information of inmates, to a correctional institution or law enforcement official; (3) in response to a request from law enforcement, if certain conditions are satisfied; and (4) for national security reasons.

Workers’ Compensation: We may disclose your health information for workers’ compensation or similar programs.

Organ and tissue donation: We may also disclose your PHI to organ –procurement or similar organizations for purposes of donation or transplant.

Coroners and Funeral Directors: We may release your PHI to a coroner or medical examiner, for example, to determine a person’s cause of death. We may also disclose your PHI to funeral directors consistent with applicable law to enable them to carry out their duties.


Your Health Information Rights

PharmBlue’s privacy notice appears in our enrollment materials and, as a new patient of PharmBlue, you will receive the privacy policy in your “Welcome Package.”   Thereafter, patientsreceive notification of any material changes to PharmBlue’s privacy notice and an update to privacy practices at least every two (2) years.  In addition, you may request a written copy of PharmBlue’s privacy notice regarding patient information at any time.

You have the right to request restrictions on our use or disclosure of your health information. PharmBlue is not required to agree to those restrictions. If we do agree to any restriction, we will put the agreement in writing and follow it, except in emergency situations. We cannot agree to limit the uses or disclosures of information that are required by law.

You have the right to inspect and copy your health information as long as PharmBlue maintains the health information. Your health information usually will include prescription and billing records. To inspect or copy your health information, you must submit a written request to PharmBlue. We may charge you a fee for the costs of copying, mailing, or other supplies that are necessary to grant your request. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to your health information, you may request that the denial be reviewed.

 You have the right to request that PharmBlue amend your health information that is incorrect or incomplete. You may request an amendment for as long as we maintain the PHI. In addition, you must include a reason that supports your request. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision.

 You have a right to receive an accounting of disclosures of your health information we have made after September 1, 2003 for most purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures we have made directly to you, disclosures to friends or family members involved in your care, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions, and limitations. Your request must specify the time period, but may not be longer than six years. The first accounting you request within a 12 month period will be provided free of charge, but you may be charged for the cost of providing additional accountings.

You may request communications of your health information by alternative means or at alternative locations. For instance, you may request that we contact you about medical matters only in writing or at a different residence or post office box. Your request must state how or when you would like to be contacted. We will accommodate all reasonable requests.


For More Information or to Report a Problem

If you have questions or would like additional information about PharmBlue privacy practices, or if you would like to exercise any of the rights outlined above, you may contact our Privacy Officer. If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer or with the Secretary of Health and Human Services. To reach our Privacy Officer, please call 724-779-4720 or email us. There will be no retaliation for filing a complaint.