Patient Privacy Practices Notice

This notice informs you how your private health information may be used and
disclosed and how you can find out about this information.
Please review this notice carefully.

This Notice is for Health Mart Pharmacy customers. We will give a copy of this Notice to you
or another person who is involved in your healthcare. The other person may be a parent,
guardian; agent, under a power of attorney for healthcare. or conservator.
Call your Health Mart pharmacy with questions about this Notice.

Our Promise about your health information

As your Health Mart pharmacy, we maintain a paper or electronic record of your private
health information that we create. We get information from you or other healthcare
providers. This information helps us fill your prescriptions and give you proper instruction on
how to successfully use your medications.

Your Health Mart pharmacy will keep your private health information safe

This Notice tells you about:
* How your Health Mart pharmacy may use and disclose your private health information
* Your privacy rights
* What your Health Mart pharmacy will do about use, release, and safety of your private health information

The law requires that your Health Mart pharmacy:
* Protect your health information.
* Give you this Notice to tell you about our privacy practices.
* Keep the promises we make in our current Notice of Privacy Practices.

How we may use and release your health information

Your Health Mart pharmacy may use and disclose, which is “release,“ “give” or “share,” your
private health information to others. We may talk to your doctor or medical insurance carrier
about your prescription drugs. The law generally lets us share information about your
healthcare with doctors, nurses, or medical insurance carriers without asking you.
Some uses and releases of your health information will need your written approval, also
known as “authorization.” Your Health Mart pharmacy will follow Federal Health Insurance
Portability and Accountability Act (HIPAA) law to decide if it needs your written approval
unless your State law is stricter. We will follow the law in your State when it is stricter than
HIPAA law. Your Health Mart pharmacy will usually follow State law for releases of
information about minor children unless HIPAA law is stricter.
Your Health Mart pharmacy will not release HIV/AIDS/ARC-related information without
written approval unless Federal or State law requires the release.

Here are more examples of uses and releases of health information:

Uses or Releases for Treatment, Payment, or Healthcare Operations

Your treatment
We may ask your doctor, nurse, or other healthcare providers to share your health
information. This is for the purpose of filling your prescription(s). We may also share health
information from our records with other healthcare workers for the same reason.

Billing or payment
We may use or give your private health information to:
* Send a bill to your medical insurance unless you choose to pay for the bill.
* Call or write your medical insurance carrier to get paid for your prescriptions.

For example, we may give information to Medicaid, Medicare, or a private health insurer. We
will restrict the release of information about Medicaid patients to purposes directly
connected with the administration of the Medicaid Program.

Healthcare operations
We may use or give your private health information to others. We must do this to manage
our pharmacy business. For example, we may use your health information to:
* Make sure we give you medications that are right for you.
* Remind you to renew your prescription medication.
* Teach you about your medications.
* Have our billing, administrative, quality assurance, or compliance staff, review our
work. We do this to give you good service and obey state and federal laws.

Uses or releases that need your approval
We will get your written approval for:
* Uses and releases that are not for treatment, payment and business operations.
* Releases that are restricted by tougher state law.
You can stop an approval when you no longer want to give the information. When you stop
an approval we will no longer use or release the health information listed in the approval.
We cannot stop uses and releases that were already done before you told us to stop.

Here are some exceptions:

Uses or Releases That Do Not Need Your Approval

When required by law
Your private health information may be released when the law tells us we must give
information about:
* Possible abuse, neglect, or domestic violence
* Possible criminal activities

We may release your private information if there is a court order. We may give private
health information to state or federal authorities that check how well we obey the privacy
rules we have told you about in this Notice.

For public health activities
We may release health information about:
* Disease or injury
* Reported problems about medications

For health oversight activity
We may give health information to:
* Protection or advocacy agencies
* Other agencies that evaluate healthcare systems for their reporting or investigation
of unusual events

Related to death
We may release health information:
* About a death to coroners, medical examiners, or funeral directors.
* To organ procurement organizations about organ, eye, or tissue donations or

We may release your private health information to help medical or pharmaceutical research.
A privacy board will help make decisions about these releases.

Stop threat to health or safety
We may give your health information to police or other persons to stop a serious threat to
health or safety. This is to reasonably stop or lessen the threat of harm.

Certain government functions
We may need to give the health information of military personnel and veterans. We may
need to give information to jails or prisons, to government programs for eligibility and
enrollment, and for national security reasons, such as protecting the President.

Workers’ Compensation
We may release your health information for workers’ compensation or programs like it.
These programs give you benefits for some injuries or illness that happen at work.

Uses and Releases Where You Can Complain

Family and friends or others who know about your healthcare
Information may be given to family, friends, or others who help with your healthcare or
medical bills. You can tell us if you don’t want a friend or family member to have your
private health information.

Your rights regarding health information about you

You can ask us not to use or release information
You can ask us to limit how we use or release your private health information:
* We will consider your request.
* The law says that we do not have to give you what you want.

If we agree to not use or release your health information:
* We will put the agreement in writing.
* We will honor the agreement unless there is an emergency.
We can not agree to limit uses or releases that are required by law.

You can choose how we communicate with you
You can ask us to send you information at a different mailing address. We also can send
you information by email. We must agree to what you ask if it is easy to do.

You can ask to read and copy your health information
You can see your health information if you ask us in a letter. We will talk to you about your
letter within 10 to 30 days depending on the law in your state. We will tell you what the law
in your state requires.

There may be times when you can not see your health information. This may be for a legal
or health reason. If we will not let you see your health information we will:
* Tell you why in a letter.
* Tell you how you can have your letter of request looked at by someone

We may ask you to pay for a copy of your health information. You can choose what part of
your health information to copy. We will tell you if you have to pay and how much. You will
not be asked to pay more than is allowed by the state where you live.

You can ask for changes to your health information
You can send us a letter asking us to fix your health record if you believe it contains wrong
or missing information. We will talk to you within 60 days of getting your letter. We will not change
your record if we believe the health information is correct. We will send you a letter telling you how
you can get your letter, your Health Mart pharmacy refusal, and any other letter you write us added
to your health record. Sometimes a private health record is created by another pharmacy or healthcare
provider and is not part of our record. We cannot change records that do not belong to us. We will
always tell you why we will not change your record. If we agree with what you ask to change in your
record we will change or add the information. We will tell you about the change. We will also tell other
people that need to know about the change.

You can find out about releases that were made
You can get a list of when, to whom, for what reason, and what part of your health
information has been released except for releases where you gave us approval.
The list will not give you releases made:
* For national security reasons
* To police
* To jails or prisons
* Before April 14, 2003

We will talk to you within 60 days of getting your letter.
You can ask for a release of information for up to six years. You do not have to pay for one
list a year. You may have to pay if you ask for more than one list in the same year.

You can get a copy of this notice
You can get a paper or electronic copy of this Notice when you ask.

Changes to your Health Mart pharmacy privacy practices
Your Health Mart pharmacy may change its privacy practices and the content of this Notice.
We can make the Notice change effective for all your private health information. We will
have a copy of the current Notice at our pharmacy locations.
The effective date of the Notice is at the top of the first page. You may ask for a copy of the
most current Notice when you visit your Health Mart pharmacy.

Your Health Mart pharmacy welcomes your comments
You can get more information about this Notice if you believe we have violated your privacy
rights. If you do not agree with a decision we made about your private health information
you can write a letter of complaint to the Secretary of the U.S. Department of Health and
Human Services:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Washington, D.C. 20201
(202) 619-0257
Toll Free: 1-877-696-6775