NOTICE OF PRIVACY PRACTICES
MISSOURI STATE LAW ADDENDUM
THIS ADDENDUM DESCRIBES STATE LAW THAT IS MORE RESTRICTIVE THAN FEDERAL LAW REGARDING DISCLOSURES OF YOUR MEDICAL INFORMATION IN MISSOURI. PLEASE REVIEW IT CAREFULLY.
Unless specifically authorized by you, we will not release your prescription records, physician orders, or other records that the pharmacy maintains related to your care or your medical condition(s) to anyone other than:
(a) you or any other person authorized by you to receive the information;
(b) the authorized prescriber who issued the prescription order, a health care provider involved in treating you, or the health care provider’s agent, so long as they are legally qualified to administer your medications and treatments;
(c) in response to lawful requests from a court or grand jury;
(d) a person authorized by a court order;
(e) to transfer medical or prescription information between pharmacists as provided by law;
(f) government agencies acting within the scope of their statutory authority; or
(g) a person or entity to whom such information may be disclosed under HIPAA.
We will restrict disclosure of your information to purposes directly related to your treatment, for promotion of improved quality of care, and to assist with an investigation, prosecution, or civil or criminal proceeding related to the administration of the Medicaid program.
We will not disclose any HIV/AIDS-related information, except in situations where the subject of the information has provided us with a written authorization allowing the release or where we are authorized or required by state or federal law to make the disclosure.
This addendum is effective on September 1, 2013.