PharmPix is a Pharmacy Benefit Manager. As part of the services we provide to our clients, with whom we have Business Partner Agreements; we maintain a strong commitment to protect the confidentiality of your health information. A Business Partner is not an employee of PharmPix, therefore PharmPix is not responsible for the use of your information protected by them or their privacy practices. Although PharmPix is not required to monitor such practices, it commits to notify the authorities if becomes aware of a violation of privacy rules regarding your health information.
This section tells you how your health information may be used.
USE OF HEALTH INFORMATION
Here we include the types of uses and disclosures that PharmPix can make in regards to your health information.
In general, as Pharmacy Benefit Managers, we may use and disclose information for everything related to your Pharmacy Benefit as provided by your Plan such as treatment, payment and operation of the pharmacy benefit plan. For example:
Treatment: A health care provider to guide you about the drugs covered by your Plan.
Payment: To pay for covered drugs in a pharmacy plan, determine your eligibility to them; coordinate benefits, premium collection, and other related activities.
Health Care Operations: To audit services, including fraud and abuse detection and compliance, and business administration.
We may use or disclose your health information to another entity related to you and any entity, including governmental entities who implement or execute federal or state rules on confidentiality.
The examples included here are just an example to provide better guidance and should not be construed as exclusive or exhaustive list of all types of uses and disclosures that we can do.
When PharmPix use or disclose your health information or request your health information will be limited to fulfill the purposes of use or disclosure required for treatment, payment and health care operations.
The limitation to use or disclose the minimum necessary is not applicable when required by law or by order of a competent court, and administrative agencies, information provided by the Department of Health, or when there is consent to the use and disclosure if required because i is not related to your treatment, payment or the operation of your pharmacy benefit plan.
Our employees and Business Partners know their responsibilities to protect your health information. Therefore, we have implemented administrative and physical security to maintain the confidentiality of your health information.
You have the right to access your health information and a report of disclosures that have been issued in your health information as provided by law.
You also have the right to request confidential handling of your information, access restrictions or amendments to your health information.
To do this, you must submit your request in writing to your employer or the organization that sponsors your health plan and / or pharmacy benefit plan. We also encourage you to seek the privacy policies and practices of your health plan or the organization sponsoring your health plan and / or pharmacy benefits.
You are entitled to be notified by any mechanism if your health is at risk or was not protected by the technology or methodology outlined and accepted by the federal government.
If you think we have violated or have not protected your health information, you may contact PharmPix, your employer or the organization sponsoring your health plan and / or pharmacy benefits to whom to report how to process your claim.
PharmPix will not retaliate if you choose to file a complaint. PharmPix commitment is to you and to maintain the confidentiality of your health information.