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NOTICE OF PRIVACY PRACTICE

Effective Date: August 21, 2026

THIS NOTICE DESCRIBES HOW MEDICAL AND PRESCRIPTION INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

 

Our Commitment to Your Privacy

Medicine Care Pharmacy II is dedicated to protecting the privacy of your health information. We are a long-term care pharmacy that provides pharmacy services to residents of assisted living, memory care, residential care, and special needs communities. This Notice explains our legal duties and privacy practices regarding your protected health information ("PHI") and describes your rights concerning that information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, 45 CFR Part 160 and Part 164, Subparts A and E.

We are required by law to maintain the privacy of your PHI, to provide you with this Notice describing our legal duties and privacy practices, and to abide by the terms currently in effect.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for the following purposes without your written authorization:

  • Treatment — to fill and manage your prescriptions, coordinate care with your prescribes and the facility where you reside, and consult with other health care providers about your care.

  • Payment — to bill and collect payment from you, your insurance plan (including Medicare Part D and Medicaid), or another third party for medications and services provided to you.

  • Health Care Operations — for internal activities such as quality assurance, staff training, licensing and accreditation (including state Board of Pharmacy and NABP requirements), and business management.

  • As Required by Law — including public health reporting, health oversight activities, judicial and administrative proceedings, law enforcement purposes, and to avert a serious threat to health or safety.

  • To the Facility — where you reside, to the extent necessary to coordinate your medication administration and care.

Any use or disclosure not described in this Notice will be made only with your written authorization, which you may revoke at any time in writing.

Your Rights Regarding Your Health Information

  • Right to Inspect and Copy — You may request to inspect and obtain a copy of your PHI that we maintain.

  • Right to Request Amendment — You may ask us to amend your PHI if you believe it is incorrect or incomplete.

  • Right to an Accounting of Disclosures — You may request a list of certain disclosures of your PHI made in the six years prior to your request.

  • Right to Request Restrictions — You may ask us to restrict how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree, except where the disclosure is to a health plan for payment or operations and you have paid out of pocket in full.

  • Right to Request Confidential Communications — You may ask us to communicate with you about your PHI by alternative means or at an alternative location.

  • Right to a Paper Copy — You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.

  • Right to File a Complaint — If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized for filing a complaint.

Our Duties

We are required by law to maintain the privacy of your PHI, provide you with this Notice of our legal duties and privacy practices, and notify you if a breach of your unsecured PHI occurs. We will not use or disclose your PHI other than as described here without your written authorization.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any information we receive in the future. The current Notice will be posted at www.medicinecarepharmacy.com and will be available at our pharmacy upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer using the contact information below, or with the Secretary of the U.S. Department of Health and Human Services at:

Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue SW, Washington, D.C. 20201 — www.hhs.gov/hipaa

Contact Us

If you have questions about this Notice or wish to exercise any of the rights described above, please contact:

Privacy Officer

Medicine Care Pharmacy II

1685 E. Main St, Suite 101

El Cajon, CA 92021

Phone: (619) 401-7077

Fax: (619) 749-4927

www.medicinecarepharmacy.com

Call 

123-456-7890 

Email 

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© 2018 by Medicine Care Pharmacy.

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