Notice of Privacy Practices (HIPAA)

Effective Date: March 17, 2026

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.

Our Commitment to Your Privacy

FHP Pharmacy Services (“we,” “our,” or “us”) is required by law — including the Health Insurance Portability and Accountability Act (HIPAA) and applicable Pennsylvania laws — to maintain the privacy and security of your Protected Health Information (PHI).

Pennsylvania law provides additional protections for certain types of health information, which we will follow when applicable.

How We May Use and Disclose Your Health Information

1. Treatment

We use your information to provide and coordinate your care.
Example: Communicating with your physician regarding prescriptions.

2. Payment

We use your information to bill and collect payment.
Example: Submitting claims to your insurance provider.

3. Healthcare Operations

We use your information to improve services and manage operations.
Example: Quality reviews, audits, and staff training.

4. As Required by Law

We disclose your information when required by federal or Pennsylvania law.

5. Public Health Activities

We may disclose PHI for public health purposes, including:

  • Reporting adverse drug reactions

  • Preventing disease

  • FDA reporting

6. Health Oversight

We may share information with licensing boards and regulatory agencies.

7. Law Enforcement

We may disclose information for law enforcement purposes as permitted by law.

8. Serious Threat to Health or Safety

We may disclose PHI to prevent a serious threat to you or others.

9. Business Associates

We may share your information with vendors who help operate our business and are required to protect your data.

Pennsylvania-Specific Privacy Protections

Certain types of information receive extra protection under Pennsylvania law and may require your written authorization before disclosure, including:

  • Mental health treatment records (PA Mental Health Procedures Act)

  • Drug and alcohol treatment records

  • HIV/AIDS-related information

  • Certain minor consent services

When stricter Pennsylvania laws apply, we will follow those laws instead of HIPAA.

Uses and Disclosures Requiring Your Authorization

We will NOT use or disclose your PHI without your written permission for:

  • Marketing purposes

  • Sale of your information

  • Sharing psychotherapy notes (if applicable)

  • Situations where Pennsylvania law requires explicit consent

You may revoke your authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

1. Access Your Records

Request copies of your pharmacy and health records (may be subject to PA fee limits).

2. Request Amendments

Request corrections to your information.

3. Request Confidential Communications

Ask us to contact you in a specific way or location.

4. Request Restrictions

Request limits on how we use or share your information.

5. Accounting of Disclosures

Request a list of certain disclosures of your PHI.

6. Receive a Copy of This Notice

You may request a paper or electronic copy at any time.

7. Designate a Personal Representative

You may authorize someone to act on your behalf (subject to verification under PA law).

Special Protections for Minors (Pennsylvania)

Under Pennsylvania law, minors may have rights to consent to certain healthcare services (such as treatment related to mental health or substance use). In such cases:

  • The minor may control access to their related health information

  • We will comply with applicable Pennsylvania confidentiality laws

Our Responsibilities

We are required to:

  • Maintain the privacy and security of your PHI

  • Notify you in the event of a breach

  • Follow the terms of this Notice

  • Comply with both HIPAA and applicable Pennsylvania laws

Changes to This Notice

We reserve the right to change this Notice. Updates will be posted on our website with a revised effective date.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

FHP Pharmacy Services

Address 550 Locust Street, Saint Michael, PA 15951
Phone : 866-274-2196
Fax : (888) 855-3477 (FHPS)
Email: info@fhprx.com

U.S. Department of Health & Human Services (HHS)

Office for Civil Rights
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized for filing a complaint.

Contact Information

For questions or requests regarding this Notice:

FHP Pharmacy Services
Address 550 Locust Street, Saint Michael, PA 15951
Phone : 866-274-2196
Fax : (888) 855-3477 (FHPS)
Email: info@fhprx.com

Effective Date: March 17, 2026

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.

Our Commitment to Your Privacy

FHP Pharmacy Services (“we,” “our,” or “us”) is required by law — including the Health Insurance Portability and Accountability Act (HIPAA) and applicable Pennsylvania laws — to maintain the privacy and security of your Protected Health Information (PHI).

Pennsylvania law provides additional protections for certain types of health information, which we will follow when applicable.

How We May Use and Disclose Your Health Information

1. Treatment

We use your information to provide and coordinate your care.
Example: Communicating with your physician regarding prescriptions.

2. Payment

We use your information to bill and collect payment.
Example: Submitting claims to your insurance provider.

3. Healthcare Operations

We use your information to improve services and manage operations.
Example: Quality reviews, audits, and staff training.

4. As Required by Law

We disclose your information when required by federal or Pennsylvania law.

5. Public Health Activities

We may disclose PHI for public health purposes, including:

  • Reporting adverse drug reactions

  • Preventing disease

  • FDA reporting

6. Health Oversight

We may share information with licensing boards and regulatory agencies.

7. Law Enforcement

We may disclose information for law enforcement purposes as permitted by law.

8. Serious Threat to Health or Safety

We may disclose PHI to prevent a serious threat to you or others.

9. Business Associates

We may share your information with vendors who help operate our business and are required to protect your data.

Pennsylvania-Specific Privacy Protections

Certain types of information receive extra protection under Pennsylvania law and may require your written authorization before disclosure, including:

  • Mental health treatment records (PA Mental Health Procedures Act)

  • Drug and alcohol treatment records

  • HIV/AIDS-related information

  • Certain minor consent services

When stricter Pennsylvania laws apply, we will follow those laws instead of HIPAA.

Uses and Disclosures Requiring Your Authorization

We will NOT use or disclose your PHI without your written permission for:

  • Marketing purposes

  • Sale of your information

  • Sharing psychotherapy notes (if applicable)

  • Situations where Pennsylvania law requires explicit consent

You may revoke your authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

1. Access Your Records

Request copies of your pharmacy and health records (may be subject to PA fee limits).

2. Request Amendments

Request corrections to your information.

3. Request Confidential Communications

Ask us to contact you in a specific way or location.

4. Request Restrictions

Request limits on how we use or share your information.

5. Accounting of Disclosures

Request a list of certain disclosures of your PHI.

6. Receive a Copy of This Notice

You may request a paper or electronic copy at any time.

7. Designate a Personal Representative

You may authorize someone to act on your behalf (subject to verification under PA law).

Special Protections for Minors (Pennsylvania)

Under Pennsylvania law, minors may have rights to consent to certain healthcare services (such as treatment related to mental health or substance use). In such cases:

  • The minor may control access to their related health information

  • We will comply with applicable Pennsylvania confidentiality laws

Our Responsibilities

We are required to:

  • Maintain the privacy and security of your PHI

  • Notify you in the event of a breach

  • Follow the terms of this Notice

  • Comply with both HIPAA and applicable Pennsylvania laws

Changes to This Notice

We reserve the right to change this Notice. Updates will be posted on our website with a revised effective date.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

FHP Pharmacy Services

Address 550 Locust Street, Saint Michael, PA 15951
Phone : 866-274-2196
Fax : (888) 855-3477 (FHPS)
Email: info@fhprx.com

U.S. Department of Health & Human Services (HHS)

Office for Civil Rights
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized for filing a complaint.

Contact Information

For questions or requests regarding this Notice:

FHP Pharmacy Services
Address 550 Locust Street, Saint Michael, PA 15951
Phone : 866-274-2196
Fax : (888) 855-3477 (FHPS)
Email: info@fhprx.com