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.
At Sav-Rx, we are committed to providing you with premier Pharmacy Benefit Management services backed by our
Personal Touch Customer Service. And while information about you is fundamental to our ability to do this, we
fully recognize the importance of keeping personal and account information secure.
To provide you the full range of Pharmacy Benefit services, Sav-Rx may share information about you both within
Sav-Rx and outside of Sav-Rx with other companies. We want you to understand our information safeguards, what
information we collect, what information we share, and the benefits you receive when we share information about
you.
This notice describes the privacy practices of Sav-Rx Prescription Services, A & A Drug, Inc., Sav-Rx of
Illinois and The Florida Pharmacy LLC (collectively "Sav-Rx"), for pharmacy benefit administration and pharmacy
dispensing governed by the laws of the United States. This notice explains Sav-Rx's information collection and
sharing practices.
Our Security Procedures
Sav-Rx is required by law to maintain the privacy of your protected health information and to provide
you with notice of our legal duties and privacy practices with respect to your protected health information.
Access to information about you is restricted to the people of Sav-Rx who require it to fill, dispense and mail
your prescriptions and the people who support the administration of your prescription benefit. We maintain
physical, electronic and procedural safeguards that comply with federal standards for the security of
information.
When Sav-Rx shares information about you with companies outside of Sav-Rx, we require our Business Associates to
impose safeguards, use it only for a permitted purpose, and to return it to us or destroy it once that purpose
is served. We limit the amount of information shared to what is appropriate to provide administration of
pharmacy benefits efficiently. Sav-Rx requires any company receiving information from Sav-Rx to sign a
Confidentiality Agreement containing these requirements and obligations so that company will protect the
information as we would.
Information We Collect
Sav-Rx collects and uses nonpublic personal information about you to conduct our business and to
consistently deliver the premier Customer Service you expect from us. Sources of information include the
following:
Information we receive from Insurance Companies, Health & Welfare Funds, Self-Insured Employers or
Associations that you have provided to them;
Information from you through your correspondence or communication with us including through the mail, by
telephone, or over the Internet;
Information we receive from Business Associates such as retail pharmacies requesting verification and
adjudication of pharmacy benefits.
Information We Share Within Sav-Rx
We may share all of the information we collect about you with employees of Sav-Rx to provide you with
an accurate and timely pharmacy benefit. The information shared with an employee will vary based on their job
function and the least amount of information they need to efficiently complete their portion of the
administration of your pharmacy benefit. To do so, we allow access to portions of your personal information
based on a unique logon name and password. Each unique name is associated with a job function that has
associated to it and, therefore, has access to, only the personal information required to efficiently completing
their portion of the administration of your pharmacy benefit. This may include identification (such as name and
address), transaction information (such as prescription information), payment information (such as credit card
information and payment transaction information), utilization information (such as drug, strength, dosage, cost
and drug utilization review information) and other information. This information may be used to identify
recommended changes in therapy, drug, strength or dosage for the purposes of increasing efficacy or decreasing
costs.
Information We Share With Others
Sav-Rx shares information outside of Sav-Rx for the purpose of increasing the efficacy of your
pharmacy treatment or to decrease the cost of your pharmacy benefit. Sav-Rx shares information about you with
the following:
Retail and mail order pharmacies to identify abnormalities associated with the administration of a specific
claim submitted, i.e., an interaction with a drug on your profile that you may be taking, refill too soon,
over-medication of a product based on manufacturer guidelines for dosage. Also, specific information regarding
your pharmacy benefit such as dose limitations, copayments and other information.
Pharmaceutical manufacturers to identify and validate the dispensing of a specific product and the utilization
of other drugs in the Therapeutic Category.
Business associates to house electronic claims utilization information that will be shared with Sav-Rx employees
for the purpose of generating summary reports to identify cost saving opportunities.
Insurance Companies, Health & Welfare Funds, Self-Insured Employers or Associations that provide you with
the pharmacy benefit. The information may be claim utilization information to generate claim and administrative
fee billing, summary reports of utilization information to identify high cost benefit trends and may be used to
recommend benefit design changes, specific utilization information may be shared to allow the Insurance Company,
Health & Welfare Fund or Self-Insured Employer providing your pharmacy benefit to approve an exception to a
benefit denial.
You may receive drug therapy information, drug information or alternate therapy educational or promotional
information that you may find useful in increasing the efficacy of your pharmacy benefit or reducing the cost of
the program for you or your program sponsor.
We are also permitted by law to share information about you with other companies in certain circumstances. For
instance, we may share all of the information we collect with companies assisting us in servicing your pharmacy
benefit, pharmaceutical manufacturers who offer alternative therapies or reduced costs for specific products and
with government entities in response to subpoenas or regulatory requirements.
Information About Your Choice
We're dedicated to serving your needs and to respecting your choices related to privacy. Any other
uses or disclosers of your personal health information will only be made upon receipt of your signed and dated
authorization for such disclosure. The authorization will include a description of the information to be used or
disclosed, the individual or group requesting the information, the reason or purpose of the requested use or
disclosure and an expiration date or expiration event that limits the time allowed for the disclosure. There is
potential that the information authorized to be disclosed by Sav-Rx will be redisclosed by the recipient. Sav-Rx
will provide a copy of the written authorization to you upon completion of the authorization form. You may
revoke this authorization by providing Sav-Rx with a signed and dated letter stating that the authorization is
revoked.
You have the right to request restrictions on the use and disclosure of your protected health information.
Sav-Rx may or may not agree to the restrictions dependent only on their impact to the treatment, payment or
operations of your prescription drugs and your prescription drug benefit. You have the right to receive
confidential communications of your protected health information. You have the right to inspect and copy your
protected health information as defined by Section 164.520 and Section 164.524 of the HIPAA Privacy Regulations.
You have a right to amend your protected health information. You have the right to receive an accounting of
disclosures made by Sav-Rx of your protected health information. You have the right to receive a paper copy of
this notification by requesting it from Sav-Rx. This notice updates and replaces any previous notices from
Sav-Rx about privacy, security, and protection of information. Sav-Rx is required by law to abide by the terms
of this notice for as long as they remain in effect. For additional information regarding Sav-Rx's privacy
practices concerning the Internet, and to view the most recent version of this privacy notice, please go to
www.savrx.com and click on "Privacy Notice". You may have other privacy protections under state laws. Sav-Rx
reserves the right to amend this privacy notice at any time. Such changes will be effective for all protected
health information that Sav-Rx maintains and we will inform you of changes through updates on our website, a
paper copy of the new notification included with the first prescription order mailed or delivered to you after
the effective date of the new notification and through personal contact or telephone contact during the normal
course of business.
For further information regarding our Privacy Policies or to file a complaint if you believe that your
privacy rights have been violated, please contact:
The Office of the Privacy Officer
Sav-Rx Prescription Services
224 North Park Avenue
Fremont, NE 68025
(800) 228-2181
All requests and complaints will be handled as efficiently as possible. Sav-Rx will ensure that no retaliation
will occur in response to a complaint filed with Sav-Rx.
