Privacy Practices
This notice describes how medical information about you may be used and disclosed, and how you can get access to this information.
Menu
This notice describes how medical information about you may be used and disclosed, and how you can get access to this information.
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. Effective Date: August 15, 2025.
We may also use and disclose health information as follows:
Business Associates. We may disclose your health information to service providers, known as business associates, who perform certain functions or services for us as necessary to perform those services. We require business associates to protect your health information and to use and disclose it only as permitted by our contract with them.
Those Involved in Your Care or Payment for Your Care. We may disclose your health information with your family, close friends, or others involved in your care or payment for your care if you agree or do not object in certain circumstances. If you are not able to tell us your preference, for example if you are unconscious, we may disclose your information if we believe it is in your best interest.
Notification. We may disclose your health information with disaster relief organizations so that your family or other persons responsible for your care can be notified about your condition, status, and location.
Required by Law. We may disclose your health information when required by law to do so.
Public Health Reporting. We may disclose your health information to public health agencies as authorized by law. For example, we may report certain communicable diseases to the state’s public health department.
Reporting Victims of Abuse or Neglect. We may disclose health information to the appropriate government authority if we believe you have been the victim of abuse, neglect, or domestic violence. We only make this disclosure if you agree or when we are required or authorized by law to make the disclosure.
Health Care Oversight. We may disclose your health information to authorities and agencies for oversight activities allowed by law, including audits, investigations, inspections, licensure and disciplinary actions, or civil, administrative, and criminal proceedings, as necessary for oversight of the health care system, government programs, and civil rights laws.
Legal. We may disclose your health information in the course of certain administrative proceedings. or judicial proceedings. For example, we may disclose your health information in response to a court order.
Law Enforcement. We may disclose your health information to a law enforcement official for certain specific purposes, such as reporting certain types of injuries.
Deceased Persons. We may disclose your health information to coroners, medical examiners, or funeral directors so that they can carry out their duties.
Organ and Tissue Donation. We may use and disclose your health information to organizations that handle procurement, transplantation, or banking of organs, eyes, or tissues.
Research. Under certain circumstances, we may disclose your health information to researchers who are conducting a specific research project. For certain research activities, an Institutional Review Board (IRB) or Privacy Board may approve uses and disclosures of your health information.
To Avert a Serious Threat to Health or Safety. If there is a serious threat to your health and safety or the health and safety of the public or another person, we may use and disclose your health information in a very limited manner to someone able to help lessen the threat.
Specialized Government Functions. In certain circumstances, we may use or disclose your health information to authorized federal officials for the conduct of national security activities and other specialized government functions.
Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose your health information to assist in providing your health care and to protect your health and safety or the health and safety of others.
Workers’ Compensation. We may disclose your health information as necessary to comply with laws related to workers’ compensation or other similar programs.
If you change your mind after authorizing a use or disclosure of your health information, you may cancel or revoke your authorization. However, this cancellation will not affect or undo any use or disclosure of your health information that occurred before you notified us of your decision. To cancel an authorization, you must notify us in writing at: Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314.
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.
You have the following rights regarding the health information we maintain about you:
Restrictions on Certain Uses and Disclosures of Health Information. You can ask us not to use or share your health information for treatment, payment, or our operations. We are not required to agree to your request unless you pay for a service or health care item out-of-pocket in full and ask us not to share that information for the purpose of payment or our operations with your health plan. In that case we will agree not to share your health information unless a law requires us to do so. To request a restriction, send a written request to Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314. Your request must include: (a) The information to be restricted, and (b) for what purposes you are asking that we not use or share the information.
Confidential Communications. You can ask that we contact you in a different way or at a different address. For instance, you may request that we contact you about in writing instead of by telephone or at a work address or post office box. To ask for confidential communications, send a written request to Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314. Your request must state how or where you would like to be contacted. We will accommodate all reasonable requests.
Get a Copy of your Health Information. You can ask to see or obtain a copy of the health records we hold about you. This will usually include prescription and billing records. To obtain a copy of your health records, send a written request to Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314. We may charge you a reasonable cost-based fee to fulfill your request. We may deny your request in certain limited circumstances.
Correct your Health Information. If you believe the health information we maintain about you is incomplete or incorrect, you can ask that we amend it. To request an amendment, send a written request to Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314. You must include a reason that supports your request. In certain cases, we may deny your request for amendment.
Accounting of Disclosures. You can ask for an accounting or list of the times we’ve shared your health information for six years prior to the date you ask, with whom we shared it, and why. We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). To ask for an accounting, write to Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314 and state the period for which you want an accounting (up to six years). The first accounting you request within a 12- month period will be provided free of charge, but you may be charged a reasonable cost-based fee for accounting within the same 12- month period.
Get a Copy of this Notice. You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly. To obtain a paper copy, contact us at 1-866-646-1780.
Make a Complaint. You have the right to make a complaint if you feel we have violated your privacy rights. You may make a complaint by contacting us at Proscript Pharmacy Management, LLC, Attention: Privacy Officer, 1441 South Ave Suite 703 Staten Island, NY 10314 or by email at complianceprivacy@proscriptpm.com. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html. We will not retaliate against you for filing a complaint.
If you have questions or concerns about your privacy rights, or the information contained in this Notice, please contact the Privacy Officer at complianceprivacy@prosciptpm.com.
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 on our web site at www.proscriptpm.com or you may obtain a paper copy by contacting us at (866)-646-1780.