My Store: Store Details (change)

HIPAA North Carolina

SUPERVALU INC.

NOTICE OF PRIVACY PRACTICES

NORTH CAROLINA STATE LAW ADDENDUM

THIS ADDENDUM DESCRIBES STATE LAW THAT IS MORE RESTRICTIVE THAN FEDERAL LAW REGARDING DISCLOSURES OF YOUR MEDICAL INFORMATION IN NORTH CAROLINA. PLEASE REVIEW IT CAREFULLY.

We will not disclose the contents of or provide a copy of your prescription orders on file, except to:

(a)  you (if you are an adult, an emancipated minor, or an unemancipated minor whose consent is sufficient to authorize treatment for the condition for which you received the prescription);

(b)  your parent, legally appointed guardian or, if you are an unemancipated minor, a person acting in loco parentis if you cannot legally consent to the treatment of the condition for which the prescription was issued;

(c)  the licensed practitioner who issued the prescription or who is treating you;

(d)  a pharmacist who is providing pharmacy services relating to your prescription;

(e)  anyone who presents a written authorization for the release of pharmacy information signed by you or your legal representative;

(f)  any person authorized by subpoena, court order or statute;

(g)  any firm, company, association, partnership, business trust, or corporation who by law or by contract is responsible for providing or paying for your medical care;

(h)  any member or designated employee of the Board of Pharmacy;

(i)  the executor, administrator or spouse of a deceased patient for whom the prescription was issued;

(j)  Board-approved researchers, if there are adequate safeguards to protect the confidential information;

(k)  the person who owns the pharmacy or his licensed agent; and

(l)  to investigators of occupational licensing boards overseeing licensees with prescribing authority during the course of an investigation of such licensee as permitted by state or federal law.

Otherwise, the pharmacist will only disclose information about you when he or she reasonably determines that the disclosure is necessary to protect the life or health of any person or, in his or her discretion, if the information relates to Schedule V controlled substances dispensed at the pharmacy to persons over 18 years of age without a prescription.

 

This addendum is effective on September 1, 2013.