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

When this Notice of Privacy Practices (“Notice”) refers to “we” or “us,” it is referring to REGNR8RX, LLC and all the pharmacists who provide health care services and the employees of our pharmacy. We are required by law to maintain the privacy of your protected health information (“PHI”), to follow the terms of the Notice currently in effect, to give you this Notice setting forth our legal duties and privacy practices concerning your PHI and to notify affected individuals following a breach of unsecured PHI. This Notice describes how we may use and disclose your PHI. Additionally, this Notice explains the rights you have with respect to your PHI, and certain obligations we must abide by in accordance with the law. We reserve the right to amend this Notice. If we make any material revisions to this Notice, we will post a copy of the revised Notice on our website and will offer you a copy of the revised Notice.

I. USE AND DISCLOSURE OF YOUR PHI

A. Treatment

We may use and disclose your PHI in order to provide you with prescription and supply services. We may disclose your PHI to other pharmacists, pharmacy technicians, and health care providers that are involved in your care. You will receive an individual notice and have the opportunity to opt out of any subsidized treatment communications.

B. Payment

We will use and disclose your PHI in order to obtain payment for the health care services we provide to you. We may also need to disclose your PHI to receive prior approval from your health plan or to determine if your health plan will cover a certain prescription or service.

C. Health Care Operations

We may use and disclose your PHI in connection with the management of our pharmacy. For example, this may include quality assessment and improvement, internal compliance audits, and performance evaluations. Additionally, we may use your PHI for our business management and general administrative activities.

D. Prescription Refill Reminders, Treatment Alternatives or Health-Related Benefits

We may use and disclose your PHI to contact you to remind you about prescription refills, to tell you about treatment options or alternatives, or to inform you about health-related benefits or services that may be of interest to you.

E. Family Members, Relatives or Close Friends

Unless you object to such disclosure, we may disclose your PHI to your family members, relatives, or close personal friends, or any other persons identified by you as being involved in the treatment or payment for your medical care. If you are not present to agree or object to our disclosure of your PHI to a family member, relative, or friend, we may exercise our professional judgment to determine whether the disclosure is in your best interest. If we decide to disclose your PHI, we will only disclose the PHI that is relevant to your treatment or payment.

F. Other Permitted and Required Uses and Disclosures

We may use your PHI without obtaining your authorization and without offering you the opportunity to agree or object as follows:

• As required by law, provided however, that the use or disclosure will be made in compliance with applicable law;
• To a public health authority that is authorized by law to collect or receive such information, or to a foreign government agency that is acting in collaboration with a public health authority;
• To a health oversight agency for oversight activities authorized by law;
• For judicial or administrative proceedings purposes in response to a subpoena, court order, discovery request, etc. but only if efforts have been made to inform you about the request or to obtain an order protecting the information requested;
• To law enforcement to report certain injuries, comply with court orders or warrants, or similar process, to identify a suspect, fugitive, missing person or victim, or to report a crime;
• To a coroner or medical examiner to perform duties authorized by law such as identification of a deceased person or determining the cause of death;
• To funeral directors, consistent with applicable law, as necessary to carry out their duties;
• To organ procurement organizations or similar entities for the purpose of facilitating organ, eye, or tissue donation and transplantation;
• For research purposes provided that certain approvals take place and assurances are given;
• To avert a serious threat to health or safety, so long as the disclosure is only to a person who is reasonably able to prevent or lessen such threat;
• For military and veterans activities to assure the proper execution of a military mission and to determine eligibility for benefits;
• For national security and intelligence activities for the purpose of conducting lawful intelligence, counter-intelligence, and other national security activities;
• For protection of the President and other authorized persons or foreign heads of state or to conduct authorized investigations;
• To a correctional institution or law enforcement custodian if you are an inmate or under custody; and
• To the extent necessary to comply with laws relating to workers’ compensation and work-related injuries.

II. YOUR RIGHTS AS OUR PATIENT

As our patient, you have a number of rights associated with your PHI. The following describes your specific rights:

A. Right to Request Restrictions or Limitations

You have the right to request restrictions or limitations on how we use and/or disclose your PHI. However, we do not have to agree to your requested restriction or limitation (except for transactions you paid for in full out-of-pocket).

B. Right to Confidential Communications

You have the right to receive confidential communications concerning your PHI by alternative means or via alternative locations. If you wish to receive communications via alternative means or locations, please submit your request in writing to the Privacy Officer.

C. Right to Access, Inspect and Obtain Copies

You have the right to access, inspect, and obtain a copy of your PHI, including any electronic PHI. To the extent we maintain electronic PHI, upon request we will provide you with a copy in the requested format. If we do not have your PHI, we will provide you with the appropriate contact information.

D. Right to Receive an Accounting of Disclosures

You have the right to receive an accounting of disclosures of your PHI made by us, including disclosures to or by our business associates, for a period of six (6) years prior to the date on which you request an accounting of disclosures.

E. Right to Request Amendment

If you believe your PHI is incorrect or incomplete, you may make a written request to amend it. We will respond to your request in a timely manner and may deny the request if we find the information is accurate and complete.

III. Additional Information/Questions or Complaints

If you need any additional information about this Notice or wish to exercise any of your rights set forth in this Notice, please contact the Privacy Officer at the following email address: [email protected]. If you believe your privacy rights have been violated, you may file a complaint without retaliation with the Privacy Officer of REGNR8RX or with:

Secretary of the Department of Health and Human Services

200 Independence Avenue SW, Washington D.C. 20201