HIPAA Privacy Notice

Privacy Officer, Red Lion Pharmacy · (877) 722-2039

Your Information. Your Rights. Our Responsibilities. 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.

Your rights

You have the right to:

• Get a copy of your paper or electronic medical record
• Ask us to correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we've shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

The sections below explain these rights and how to exercise them.

Get a copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary, usually within 30 days of your written request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us, in writing, to correct health information about you that you think is incorrect or incomplete. We may say "no" to your request, but we'll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say "yes" to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for the purpose of payment or our operations. We will say "yes" unless a law requires us to share that information.

Get a list of those with whom we've shared information

You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). One accounting a year is free; we may charge a reasonable, cost-based fee for another within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically. We will provide one promptly.

Choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will confirm the person has this authority before we act.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the information on this page. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights: 200 Independence Avenue S.W., Washington D.C. 20201; 1-877-696-6775; www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

Your choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference in the situations below, tell us, and we will follow your instructions.

You have both the right and the choice to tell us to:

• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation

If you are not able to tell us your preference (for example, if you are unconscious), we may share your information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.

We never share your information without your written permission for:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes (to the extent we hold any)

You may revoke a written authorization at any time, in writing, except to the extent we have already relied on it.

Our uses and disclosures

We typically use or share your health information as we:

Treat you

We use your health information to fill your prescriptions, counsel you about your medications, and coordinate your care. We can share it with other professionals who are treating you, such as your prescriber.

Run our organization

We can use and share your health information to run the pharmacy, including quality review, accreditation activities, staff training, and service improvements. We can also use your health information to contact you when necessary.

Bill for your services

We can use and share your health information to bill and get payment from health plans, pharmacy benefit managers, or other payers, for example, to verify coverage and submit claims.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually for purposes that contribute to the public good. We must meet many legal conditions before sharing for these purposes:

• Help with public health and safety issues: preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse or neglect, and preventing or reducing a serious threat to anyone's health or safety
• Comply with the law: including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law
• Support health oversight: audits, inspections, and licensure activities, such as by boards of pharmacy
• Do research: with your written authorization or as permitted by law
• Respond to organ and tissue donation requests
• Work with a medical examiner or funeral director
• Address workers' compensation, law enforcement, and other government requests: as limited by law
• Respond to lawsuits and legal actions: in response to a court or administrative order, or a subpoena

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you do, you may change your mind at any time. Let us know in writing.

Changes to the terms of this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, at the pharmacy, and on this website.

Effective date: July 31, 2026

For additional information, questions, or comments, contact our Privacy Officer at Red Lion Pharmacy, (877) 722-2039, 8114 Sandpiper Circle STE 215, Nottingham, MD 21236.