Privacy Policy

Fertility Pharmacy of America is committed to maintaining the privacy of your Protected Health Information (“PHI”), which includes information about you and your medical condition, and the prescriptions, services, and health care products you receive from our company. This Notice describes how we may use and disclose your protected health information and how you may obtain a copy of or control your protected health information.

We are required by law to give you this Notice and to abide by the terms of the version of this Notice that is currently in effect. We may change the terms of our Notice at any time. The new Notice will be effective for all PHI that we maintain at that time. We will post any revised Notices on our website.

Uses and Disclosures: We may use and disclose Health Information about you for the following purposes:

To Provide Products: We may use your PHI to provide you with prescriptions, healthcare products or services. This includes coordination and management of your health care needs with other healthcare providers and those involved in delivery of care or services. For example: Information obtained by the pharmacist will be used to dispense prescription medications to you. We will document in your record information related to the medications dispensed to you and service provided to you. We may use your PHI to counsel you on potential medication side effects or drug interactions.

To Obtain Payment: We may use and disclose health information about you so that the prescriptions, products and/or services you receive from us may be billed to and payment may be collected from you, an insurance company or a third party. For example, we may need to give your health plan information about a product you received from us so your health plan will pay for the product or to determine if the product is covered under your plan or we may bill a clinic or facility who provides you with your medications that are supplied by us.

For Business Operations: We may use and disclose health information about you in order to support our business activities and our organizations operations or as required or permitted by law. These activities would include but not be limited to financial or government audits, outcomes projects, scheduling deliveries, risk management, and quality assessment. We may disclose your PHI to “Business Associates” that perform various activities (e.g., shredding, delivery of goods, legal services) for us. If an arrangement between our business associate and us requires the use or disclosure of your protected health information, we ask the business associate to protect the privacy of your private health information.

Reorder Reminders: We may contact you as a reminder that you need to refill a prescription or reorder supplies. We may call you to find out if you have any questions or problems concerning your medications.

Special Situations: We may use or disclose health information about you without your permission for the following purposes, subject to all applicable legal requirements and limitations:

• To avert a serious threat to health or safety
• When required by law
• Military, veterans, national security and intelligence – If you are or were a member of the armed forces, or part of the national security or intelligence communities, we may be required by military command or other government authorities to release health information about you. We may also release information about foreign military personnel to the appropriate foreign military authority.
• Workers compensation
• Public health risks
• Health oversight activities – These disclosures may be necessary for certain state and federal agencies to monitor the health care system, government programs, or compliance with civil rights.
• Lawsuits and disputes
• Law enforcement – Subject to all applicable legal requirements.

Information Not Personally Identifiable: We may use or disclose health information about you in a way that does not personally identify you or reveal who you are.

Family and Friends: Unless you object, we may disclose your protected health information to a member of your family, a relative, or your close friend who is directly involved in your care or payment related to your purchases.

Other Uses and Disclosures of Health Information: We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific written Authorization. You may revoke that Authorization, in writing, at any time. If you revoke your Authorization, we will no longer use or disclose information about you for the reasons covered by your written authorization, but we cannot take back any uses or disclosures already made with your permission.

Your Rights Regarding Health Information We Have About You:

Right to Inspect and Copy: You have the right to request a copy and inspect your PHI we have received. We may deny your request to inspect and/or copy in certain limited circumstances. If you are denied access to your health information, you may ask that the denial be reviewed. If such a review is required by law, we will select a licensed health care professional to review your request and our denial. The person conducting the review will not be the person who denied your request, and we will comply with the outcome of the review.

Right to Amend: If you believe health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment as long as the information is kept by this office. We may deny your request for an amendment and if this occurs, you will be notified of the reason for the denial. Right of an Accounting of Disclosures: You have the right to request an “accounting of disclosures”. This is a list of the disclosures we may make of medical information about you for purposes other than provision of prescription drugs or products, payment and business operations where an authorization was not required. Right to

Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for the provision of prescription drugs or products, payment or business operations. You also have a right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your purchases, like a family member or friend. For example, you could ask that we not use or disclose information about prescriptions you receive. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.

Right to Request Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way. For example, you can ask that we only contact you at work or by mail. We will accommodate all reasonable requests only if the request is submitted in writing and the written request includes a mailing address where you will receive bills for your purchases. We reserve the right to contact you by other means if you fail to respond to communications from us that require a response.

Right to a Paper Copy of This Notice: You have the right to a paper copy of the current copy of this notice. You may ask us to give you a copy at any time, even if you have agreed to receive it electronically. Changes to This Notice: We reserve the right to change this notice and to make the revised or changed notice effective for the PHI we already have about you as well as any information we receive in the future. We will post a summary of the current notice on our website and include the effective date. You are entitled to a copy of the notice currently in effect.

COMPLAINTS: You may complain to us ore to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint at the phone number or address below. We will not retaliate against you for filing a complaint.

For questions about this notice, or a copy of the complete version of our Privacy Practices or to file a complaint, please contact Privacy Officer at 5233 Harding Pl Suite 5259A, Nashville, TN 37217 or call (844) 449-8767