SULLIVAN'S PHARMACY AND MEDICAL SUPPLY
NOTICE OF PRIVACY PRACTICES
Effective 04/10/03

This notice describes how your PHI (protected health information) may be used and disclosed and how you can get access to this information. Please review this carefully.

OUR PLEDGE REGARDING YOUR PRIVATE HEALTH INFORMATION

We at Sullivan's Pharmacy and Medical Supply, Inc. are concerned about the privacy of your protected health information, which must be collected in order to give optimal services. The type of information in which we collect and the types of information we may disclose to others are described below.

Documenting and collecting protected health information is required in order to provide the services which our customers need. It is our pledge to keep your protected health information secure and confidential and use this information only as a means to provide necessary services. We agree to abide by your wishes as required by state and federal laws in the use and release of your protected health information.

Sullivan's Pharmacy and Medical Supply is required by law to maintain the privacy of protected health information. Sullivan's Pharmacy and Medical Supply reserves the right to change the privacy practice and the terms of the notice as allowed by law. Sullivan's Pharmacy and Medical Supply agrees to abide by the notice that is currently in effect.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION

• Sullivan's Pharmacy and Medical Supply will safeguard and maintain confidentiality of protected health information you share with us about you or your child/ward.
• Sullivan's Pharmacy and Medical Supply will only collect and use protected health information required to provide the needed services.
• Sullivan's Pharmacy and Medical Supply will only allow authorized staff to have access to your protected health information. This staff will be trained in the proper handling of protected health information.
• Sullivan's Pharmacy and Medical Supply will not disclose your protected health information to any external organization without the written consent of the parent or guardian except as permitted by law.
  • Treatment We may disclose your protected health information for providing, coordinating and/or managing your healthcare related services. For example: If your primary care physician writes a prescription and you are covered by insurance, we can provide the needed health care information required to the insurance company. We may also disclose protected health information to Sullivan's Pharmacy and Medical Supply staff and others outside the facility that are involved with your care and treatment, such as family members, physicians or others we use to provide services that are part of your care.
  • Payment We may disclose your protected health information to obtain payment for services that are provided to you. This may include certain activities that your health insurance plan may undertake before it approves or pays for health services recommended for you. Such as making a determination for eligibility or coverage from your health insurance provider or for utilization review. For example, we may need to share your protected health information by submitting an electronic request for payment with a third party billing service.
  • Healthcare Operations We may disclose your protected health information to support the business activities of Sullivan's Pharmacy and Medical Supply, which may include but are not limited to: licensing, review of compliance activity, and quality improvement. For example, we may have to share your protected health information with state auditor who is reviewing Sullivan's Pharmacy and Medical Supply for regulation compliance.

USES AND DISCLOSURE OF PROTECTED HEALTH INFORMATION THAT REQUIRES YOUR AUTHORIZATION

• Sullivan's Pharmacy and Medical Supply will not disclose your protected health information without your written consent unless otherwise permitted or required by law. We recognize that you have the right to revoke written authorization to disclose protected health information at anytime except to the extent that action has already been taken or if the authorization was obtained as a condition of obtaining insurance coverage.

YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION

• You have the right to request restrictions on certain uses and disclosures of protected health information. However, Sullivan's Pharmacy and Medical Supply in some circumstances is not required to agree to the requested restriction.
• You have the right to receive confidential communications by alternative means if applicable.
• You have the right to inspect and copy your protected health information.
• You have the right to amend protected health information.
• You have the right to receive an accounting of disclosure of protected health information.
• You have the right to obtain a paper copy of the notice from Sullivan's Pharmacy and Medical Supply upon request.

Sullivan's Pharmacy and Medical Supply recognizes that you have the right to make a complaint to Sullivan's Pharmacy and Medical Supply if you believe your privacy rights have been violated. You are protected by law against retaliation for filing a complaint. For more information about the complaint process, contact Sullivan's Pharmacy and Medical Supply at 617-323-6544.

HOW TO REVIEW AND CORRECT YOUR PROTECTED HEALTH INFORMATION

Requests made in writing will be honored except documents as protected by law, i.e. documents related to claims, lawsuits, etc.

• Requests to review your record at Sullivan's Pharmacy and Medical Supply should be made in writing and received by Sullivan's Pharmacy and Medical Supply. If you believe any of the information in your record is incorrect, please notify Sullivan's Pharmacy and Medical Supply in writing and we will investigate. If errors are found, they will be corrected. If Sullivan's Pharmacy and Medical Supply determines the information is correct, you may file a statement with us that disputes the information in client files. We will send this statement to anyone who received or will receive the original information.

Privacy Statement regarding online refills.

PRIVACY ISSUES

Your refill and product order is sent to the Pharmacy by FAX transmission. Information submitted via the 'send refill' button is encrypted. No computer system is completely secure. It is possible that someone with the proper equipment, software and motivation can intercept your information. There is no acceptable way of completely securing any web or fax transmission at this time and therefore, the Pharmacy and the Web site administrators make no promises or representations whatsoever to the security of the website. The decision to use this site is your choice. Regarding your e-mail address: Your e-mail address will not be distributed to anyone. The Pharmacy may occasionally use it to send you an email to inform you of special promotions or health related alerts and other matters.

WARRANTIES AND GUARANTEES

The Pharmacy makes NO warranties as to the effectiveness of the prescription drugs your doctor orders for you. The Pharmacist warrants that your prescription order will be filled promptly and accurately.

You acknowledge that the site contains information, data, software, photographs, graphics, videos, text, images, typefaces, sounds, and other material (collectively "Content") that are protected by copyrights, trademarks, or other proprietary rights, and that these rights are valid and protected in all forms, media and technologies existing now or hereinafter developed. All Content is copyrighted as a collective work under the U.S. copyright laws, and we own a copyright in the selection, coordination, arrangement, and enhancement of such Content. You may not modify, remove, delete, augment, add to, publish, transmit, participate in the transfer or sale of, create derivative works from, or in any way exploit any of the Content, in whole or in part. If no specific restrictions are displayed, you may make copies of select portions of the Content, provided that the copies are made only for your personal, information and non-commercial use and that you do not alter or modify the Content in any way, and maintain any notices contained in the Content, such as all copyright notices, trademark legends, or other proprietary rights notices. Except as provided in the preceding sentence or as permitted by the fair use privilege under the U.S. copyright laws (see e.g. 17 U.S.C. Section 107), you may not upload, post, reproduce, or distribute in any way Content protected by copyright, or other proprietary right, without obtaining permission of the owner of the copyright or other proprietary right. In addition to the foregoing, use of any software Content shall be governed by the software license agreement accompanying such software, if any. All material on this site is copyrighted to Sullivan's Pharmacy, Roslindale MA 02131

DISCLAIMER

All information contained on the Site, including information relating to medical and health conditions, products and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals or any information contained on or in any product packaging or labels. YOU SHOULD NOT USE THE INFORMATION CONTAINED ON THE SITE FOR DIAGNOSING A HEALTH PROBLEM OR PRESCRIBING A MEDICATION. YOU SHOULD CAREFULLY READ ALL INFORMATION PROVIDED BY THE MANUFACTURERS OF THE PRODUCTS ON OR IN THE PRODUCT PACKAGING AND LABELS BEFORE USING ANY PRODUCT PURCHASED ON THE SITE. YOU SHOULD ALWAYS CONSULT YOUR OWN PHYSICIAN AND MEDICAL ADVISORS. INFORMATION AND STATEMENTS REGARDING DIETARY SUPPLEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION AND ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.

Further, we explicitly disclaim any responsibility for the accuracy, content, or availability of information found on sites that link to or from the Site from third parties not associated with us. We encourage discretion when browsing the Internet using our or anyone else's service. Because some sites employ automated search results or otherwise link you to sites containing information that may be deemed inappropriate or offensive, we cannot be held responsible for the accuracy, copyright compliance, legality, or decency of material contained in third-party sites, and you hereby irrevocably waive any claim against us with respect to such sites.

LIMITATION OF LIABILITY

UNDER NO CIRCUMSTANCES SHALL WE OR ANY OTHER PARTY INVOLVED IN CREATING, PRODUCING, OR DISTRIBUTING THE SITE BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES FOR LOSS OF PROFITS, GOOD WILL, USE, DATA OR OTHER INTANGIBLE LOSSES (EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES) THAT RESULT FROM (i) THE USE OF OR INABILITY TO USE THE SITE, (ii) THE COST OF PROCUREMENT OF SUBSTITUTE GOODS AND SERVICES RESULTING FROM ANY GOODS, DATA, INFORMATION OR SERVICES PURCHASED OR OBTAINED OR MESSAGES RECEIVED OR TRANSACTIONS ENTERED INTO THROUGH OR FROM THE SERVICE; (iii) UNAUTHORIZED ACCESS TO OR ALTERATION OF YOUR TRANSMISSIONS OR DATA; (iv) STATEMENTS OR CONDUCT OF ANY THIRD PARTY ON THE SITE; OR (v) ANY OTHER MATTER RELATING TO THE SERVICE. YOU HEREBY ACKNOWLEDGE THAT THIS PARAGRAPH SHALL APPLY TO ALL CONTENT, MERCHANDISE, AND SERVICES AVAILABLE THROUGH THE SITE. BECAUSE SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, IN SUCH STATES LIABILITY IS LIMITED TO THE FULLEST EXTENT PERMITTED BY LAW.

You agree to indemnify and hold us, and our subsidiaries, affiliates, officers, directors, agents, co-branders or other partners, and employees, harmless from any claim or demand, including reasonable attorneys' fees, made by any third party due to or arising out of Content you submit, post to or transmit through the Site, your use of the Site, your connection to the Site, your violation of the Terms of Use, or your violation of any rights of another.