MedRx Infusion Clinical Pharmacy

HIPAA Notice of Privacy Practices

Effective Date: April 21, 2025

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.

I. Our Duties Under HIPAA

MedRx Infusion Clinical Pharmacy (referred to as “our” or “we”) is dedicated to maintaining the privacy of your medical information. In providing services to you, we will create and maintain records containing your identifiable medical information, referred to as protected health information (PHI). We may store, use, and disclose PHI in paper form or electronically.

The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) restricts how your PHI may be used and disclosed. This Notice of Privacy Practices (“Notice”) provides important information about how we may use and disclose your PHI, your privacy rights under HIPAA, and our obligations concerning your PHI.

We are required by law to:

• Maintain the privacy of your PHI

• Notify affected individuals in the event of an unsecured breach of PHI

• Provide you with this Notice of our legal duties and privacy practices

• Abide by the terms of the Notice currently in effect

We reserve the right to change the terms of this Notice. Any changes will apply to all PHI we maintain. We will post a copy of the current Notice on our website, and you may request a copy at any time.

II. Permitted Uses and Disclosures of Your PHI Without Your Authorization

HIPAA allows us to use and disclose your PHI without your authorization for the following purposes. Not every possible use or disclosure is listed.

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare. This includes consulting with other healthcare providers and dispensing prescription medications.

Payment

We may use and disclose your PHI to bill and collect payment for services. This may include contacting your insurer, billing you directly, or seeking payment from responsible third parties.

Healthcare Operations

We may use and disclose PHI to operate our business, including quality assurance, business planning, legal services, and care coordination. We may also contact you with reminders or information about health-related services.

Family and Friends

Unless you object, we may disclose your PHI to family members or friends involved in your care or payment.

Required by Law

We will disclose PHI when required by federal, state, or local law.

Public Health

We may disclose PHI to public health authorities or agencies such as the FDA.

Health Oversight Activities

PHI may be disclosed for audits, investigations, inspections, licensure, or compliance monitoring.

Judicial and Administrative Proceedings

We may disclose PHI in response to court orders, subpoenas, or lawful processes, including special protections under 42 CFR Part 2 for substance use disorder records.

Law Enforcement

We may disclose limited PHI to law enforcement officials as permitted by law.

Serious Threats to Health or Safety

We may disclose PHI to prevent or lessen serious threats to health or safety.

Workers’ Compensation

We may disclose PHI for workers’ compensation or similar programs.

Coroners, Medical Examiners, and Funeral Directors

PHI may be disclosed to identify a deceased person or determine cause of death.

Organ or Tissue Donation

We may disclose PHI for organ or tissue donation and transplantation.

Research

PHI may be used or disclosed for research purposes in compliance with federal law.

Health Information Exchanges (HIEs)

We may share PHI electronically with other healthcare providers through HIEs.

Business Associates

We may share PHI with business associates who are legally required to protect it.

Limited or De-identified Data

We may use or disclose de-identified PHI for research, public health, or operations.

Abuse, Neglect, or Domestic Violence

PHI may be disclosed to authorized government agencies when abuse is suspected.

National Security

We may disclose PHI for military or national security activities.

Inmates

PHI of inmates or individuals in custody may be disclosed under certain circumstances.

Additional Restrictions on Reproductive Healthcare Information

HIPAA prohibits the use or disclosure of PHI to investigate, impose liability, or identify individuals for seeking or providing lawful reproductive healthcare. When required, we must obtain written attestations confirming PHI will not be used for prohibited purposes.

III. Uses and Disclosures Requiring Your Authorization

We will obtain written authorization for uses and disclosures not described above. Authorization is required for:

• Most uses of psychotherapy notes

• Marketing purposes

• Sale of PHI

You may revoke authorization at any time by contacting us.

IV. Your Rights Regarding Your PHI

You have the right to:

• Request confidential communications

• Request restrictions on PHI use or disclosure

• Access and obtain copies of your PHI

• Request amendments to your PHI

• Receive an accounting of disclosures

• Obtain a paper copy of this Notice

• File a complaint without retaliation

Requests must generally be submitted in writing, and reasonable fees may apply where permitted by law.

V. Contact Information

MedRx Infusion Clinical Pharmacy

Address: 417 N Oak St, Los Angeles, California 90302

Website: medrxinfusion.com

Phone: (844) 671-2600