One Source Pharmacy and Medical Supplies, LLC and its affiliates* ("we" or "One Source Pharmacy and Medical Supplies") is committed to protecting your privacy. Therefore, One Source Pharmacy and Medical Supplies has developed policies and procedures to ensure that the information you provide to us through our web site, the www.1sourcepharmacy.com, is collected and maintained in a manner that respects your privacy. This Medical Information Privacy Notice explains these important policies and procedures so that you will be aware of how we collect and use the information you provide us, and how you may modify and/or delete this information.
Because your privacy is important to us, One Source Pharmacy and Medical Supplies does not track or collect personal information unless it is purposefully and knowingly provided to us. In other words, we do not collect your information without your knowledge.
Should you request that we contact you to provide additional information about our products and services, and you have provided us with personal information so that we may do so, we will not use or disclose this information outside of One Source Pharmacy and Medical Supplies without your consent, unless required by law. In the event that you use One Source Pharmacy and Medical Supplies products/services, we may use and/or disclose the information that you provide to us in communications with your treating physician and/or insurance plans.
To summarize, it is our policy: (1) not to collect your personal information without your knowledge and consent; (2) to protect the privacy of any personal information you choose to provide to us; (3) to notify you of our policies and procedures regarding your personal information; and (4) to abide by the terms of this Privacy Statement. We are dedicated to fulfilling this policy.
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.
One Source Pharmacy and Medical Supplies and its Affiliates provide health related products, services and information to patients through mail or package delivery, telephone, and online communications. In order to provide these products, services, and information, One Source Pharmacy and Medical Supplies uses and discloses medical information about patients as described in this Privacy Notice.
One Source Pharmacy and Medical Supplies and its covered entities are required by law to maintain the privacy of legally protected individually identifiable health-related information ("your medical information") about you and to provide you with this notice of our legal duties and privacy practices with respect to this information.
You have a right to inspect, copy and request amendments to your medical information by sending a written request to the Privacy Officer at the address provided below. We may deny requests for access and amendment in certain instances. You have a right to ask that most denials of access be reconsidered, and you have a right to submit a statement disagreeing to a decision to reject a proposed amendment, to which we may respond.
You have a right to request and receive an accounting of disclosures of your medical information that we or our business associates may make to certain third parties without your authorization (for information recorded on or after April 14, 2003) for most purposes other than treatment, payment or health care operations. We may charge a fee if you request more than one accounting during any 12-month period. Your request must specify the time period to be covered in the accounting, up to 6 years.
You have a right to request reasonable arrangements to ensure that communications containing your medical information are provided to you in a confidential manner or to an alternative location.
You have a right to request restrictions on certain uses and disclosures of your medical information, although we are not required to agree to a requested restriction.
You have a right to request and receive a paper copy of this Privacy Notice.
If you believe that your privacy rights have been violated, you have a right to complain to One Source Pharmacy and Medical Supplies, its affiliates or the U. S. Department of Health and Human Services. You may contact One Source Pharmacy and Medical Supplies Privacy Officer at the address or phone number provided below. No adverse action or retaliation will be taken against you for filing a complaint.
We are required to abide by the terms of this Privacy Notice currently in effect. We reserve the right to change the terms of this notice and make the new notice effective for all of the medical information about you that we maintain. Any revised Privacy notice will be posted on our web site, inserted in packages that we send to new customers, and provided in response to written, telephone or e-mail requests.
For further information about our privacy policies and practices, or to exercise any of your
rights as described above, please contact our Privacy Officer by mail at the address shown
below or call our toll free number
One Source Pharmacy and Medical Supplies, LLC
15727 San Pedro Ave
San Antonio, TX 78232
You have the right to request a coverage determination from your Medicare drug plan if you disagree with information provided by the pharmacy. You also have the right to request a special type of coverage determination called an “exception” if you believe:
You or your prescriber can contact your Medicare drug plan to ask for a coverage determination by calling the plan’s toll-free phone number on the back of your plan membership card, or by going to your plan’s website. You or your prescriber can request an expedited (24 hour) decision if your health could be seriously harmed by waiting up to 72 hours for a decision. Be ready to tell your Medicare drug plan:
Your Medicare drug plan will provide you with a written decision. If coverage is not approved, the plan’s notice will explain why coverage was denied and how to request an appeal if you disagree with the plan’s decision.
Refer to your plan materials or call 1-800-Medicare for more information.