Effective Date: June 8, 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.
Use and Disclosure of Health Information
Premium Family Pharmacy may use your health information, including protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), for purposes of providing pharmacy services, obtaining payment for services, and conducting healthcare operations. Premium Family Pharmacy has established policies and procedures to protect your health information and limit unnecessary disclosures.
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HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
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To Provide Treatment
Premium Family Pharmacy may use your health information to provide pharmacy services and coordinate your care with healthcare professionals involved in your treatment.
For example, pharmacists may review your prescription history, medication allergies, and health conditions to ensure safe and effective medication therapy. We may communicate with your physician, healthcare providers, caregivers, or other authorized individuals regarding your prescriptions and treatment.
We may also disclose your health information to business associates who assist us in providing pharmacy services. These business associates are required by law and contract to safeguard your information.
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To Obtain Payment
Premium Family Pharmacy may use and disclose your health information to bill and collect payment for products and services provided to you.
For example, we may submit information to your health insurance plan, Medicare, Medicaid, pharmacy benefit manager (PBM), or other payer to obtain reimbursement for prescriptions and pharmacy services.
We may also use your information to determine eligibility, obtain prior authorizations, or resolve claims and payment issues.
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To Conduct Healthcare Operations
Premium Family Pharmacy may use and disclose health information to support our operations and improve the quality of services we provide.
Healthcare operations may include:
- Quality assessment and improvement activities
- Medication therapy management programs
- Staff training and education
- Licensing, accreditation, and certification activities
- Compliance reviews and audits
- Business planning and management
- Legal and administrative activities
- Customer service and patient support programs
- Performance evaluations and quality assurance reviews
For example, we may use information to evaluate pharmacy performance, improve patient care processes, conduct internal audits, or train pharmacy personnel.
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For Appointment and Medication Reminders
Premium Family Pharmacy may use and disclose your health information to contact you regarding:
- Prescription refill reminders
- Medication adherence programs
- Scheduled consultations
- Vaccination reminders
- Other pharmacy-related services
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For Treatment Alternatives and Health-Related Benefits
We may use your health information to inform you about treatment alternatives, medication management programs, wellness services, immunizations, or other health-related products and services that may benefit you.
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OTHER PERMITTED OR REQUIRED DISCLOSURES
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When Required by Law
We may disclose your health information when required by federal, state, or local law.
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Public Health Activities
We may disclose your health information for public health purposes, including:
- Preventing or controlling disease
- Reporting adverse drug reactions
- Reporting product defects
- Conducting product recalls
- Reporting communicable diseases
- Supporting FDA-regulated activities
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Abuse, Neglect, or Domestic Violence
We may disclose health information to authorized government agencies when required or permitted by law regarding suspected abuse, neglect, or domestic violence.
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Health Oversight Activities
We may disclose health information to agencies authorized to oversee healthcare systems, including audits, inspections, investigations, and licensure reviews.
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Judicial and Administrative Proceedings
We may disclose health information in response to a court order, subpoena, discovery request, or other lawful process as permitted by law.
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Law Enforcement
We may disclose health information to law enforcement officials when required or permitted by law.
Examples include:
- Identifying or locating a suspect, witness, or missing person
- Reporting certain injuries or crimes
- Complying with court orders or legal processes
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Coroners, Medical Examiners, and Funeral Directors
We may disclose health information to coroners, medical examiners, and funeral directors as permitted by law.
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Organ and Tissue Donation
We may disclose health information to organizations involved in organ, eye, or tissue donation and transplantation.
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Research
In limited circumstances, health information may be used or disclosed for approved research activities when permitted by law, and appropriate safeguards are in place.
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Serious Threat to Health or Safety
We may disclose health information when necessary to prevent or lessen a serious threat to the health or safety of an individual or the public.
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Specialized Government Functions
We may disclose health information for certain government functions involving:
- Military and veterans activities
- National security
- Protective services
- Correctional institutions
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Workers’ Compensation
We may disclose health information as authorized by workers’ compensation laws and similar programs.
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AUTHORIZATION FOR OTHER USES AND DISCLOSURES
Except as described in this Notice, Premium Family Pharmacy will not use or disclose your health information without your written authorization.
You may revoke an authorization at any time in writing, except to the extent that action has already been taken in reliance upon it.
Most uses and disclosures involving:
- Marketing purposes
- Sale of protected health information
- Psychotherapy notes (when applicable)
require your written authorization.
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SALE OF PROTECTED HEALTH INFORMATION
Premium Family Pharmacy does not sell protected health information.
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YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
Right to Be Notified of a Breach
You have the right to receive notification if your unsecured protected health information is breached.
Right to Request Restrictions
You may request restrictions on certain uses and disclosures of your health information. We are not required to agree to every request, except as required by law.
Right to Request Confidential Communications
You may request that we communicate with you in a specific manner or at a specific location. We will accommodate reasonable requests whenever possible.
Right to Access Your Records
You may request access to and obtain a copy of your protected health information maintained by Premium Family Pharmacy. Reasonable fees may apply as permitted by law.
Right to Request Amendments
You may request correction or amendment of health information you believe is inaccurate or incomplete. Requests must be submitted in writing.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your health information made during the previous six years. The first accounting in a 12-month period is provided without charge. Additional requests may be subject to a reasonable fee.
Right to Obtain a Copy of This Notice
You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
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OUR RESPONSIBILITIES
- Maintain the privacy and security of your protected health information
- Provide you with this Notice of Privacy Practices
- Follow the terms of this Notice
- Notify you following a breach of unsecured protected health information when required by law
We reserve the right to revise this Notice and make the revised Notice effective for all protected health information we maintain.
Updated notices will be available at our pharmacy and on our website.
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COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with Premium Family Pharmacy or with the U.S. Department of Health and Human Services.
You will not be retaliated against for filing a complaint.
Privacy Officer
Privacy Officer
Premium Family Pharmacy
1776 Teasley Ln., Ste. 111
Denton, Texas 76205
Phone: 940-442-6767
Fax: 940-442-6563
Email: info@premiumfamilyrx.comYou may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
https://www.hhs.gov/ocr/privacy/hipaa/complaints/ -
EFFECTIVE DATE
This Notice is effective June 8, 2026.