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.
This notice applies to The Medicine Shoppe Pharmacy (Lancaster, Bucyrus and Baltimore, Ohio) and to each of our stores:
- Store 1018, 900 E Main St, Lancaster, OH 43130, (740) 653-7779
- Store 1088, 345 N Sandusky Ave, Bucyrus, OH 44820, (419) 562-4222
- Store 2000, 114 N Main St, Baltimore, OH 43105, (740) 862-4240
We are required by law to maintain the privacy of your protected health information (PHI), to give you this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you if a breach of your unsecured PHI occurs.
How we may use and disclose your health information
Treatment
We use your health information to fill your prescriptions, check for interactions and allergies, counsel you, and coordinate your care. We may share it with your doctors, nurses, other pharmacies and other providers involved in your care.
Payment
We use and share your information to bill and collect payment from you, your insurance plan, or other payers, including to confirm coverage and to obtain prior authorizations.
Health care operations
We may use your information to run the pharmacy: quality checks, training, licensing, audits, and business planning. We may contact you with refill reminders, medication synchronization reminders, and information about treatment alternatives or health-related services we offer.
Business associates
Some services are provided by contractors, such as our pharmacy software vendor, our payment processor and our delivery and packaging suppliers. They must protect your information under a written agreement with us.
People involved in your care
Unless you object, we may share information with a family member, friend or caregiver who is involved in your care or who picks up a prescription for you.
Uses and disclosures required or permitted by law
- When required by federal, state or local law, including to the Ohio Board of Pharmacy and the Ohio prescription monitoring program (OARRS).
- For public health activities, such as reporting adverse drug reactions or recalls, and to the FDA.
- To report suspected abuse, neglect or domestic violence as the law requires or permits.
- For health oversight activities such as audits, inspections and licensure.
- In response to a court order, subpoena or other lawful process.
- To law enforcement in limited circumstances defined by law.
- To coroners, medical examiners and funeral directors.
- For organ and tissue donation, research approved by a privacy board, to avert a serious threat to health or safety, for specialized government functions, and for workers' compensation.
Uses that require your written authorization
We will not use or share your information for marketing, sell your information, or share psychotherapy notes without your written permission. Other uses not described in this notice also require your written authorization. You may revoke an authorization at any time in writing, except for actions we have already taken.
Your rights
- Get a copy of your records. You may ask to see or get a copy of your prescription records, on paper or electronically. We may charge a reasonable, cost-based fee.
- Ask us to correct your records. If you believe information is wrong or incomplete, you may ask us to amend it. We may say no, in writing, and tell you why.
- Request confidential communications. You may ask us to contact you in a specific way, for example only by mobile phone or only at a certain address. We will honor reasonable requests.
- Ask us to limit what we use or share. We are not required to agree, except that if you pay for a prescription in full out of pocket, you may ask us not to share that information with your health plan, and we will honor that request.
- Get a list of those we've shared information with. You may ask for an accounting of disclosures for the six years before your request, other than those for treatment, payment, health care operations and certain other exceptions.
- Get a copy of this notice. You may ask for a paper copy at any time, even if you agreed to receive it electronically.
- Choose someone to act for you. A person with medical power of attorney or a legal guardian can exercise your rights and make choices about your information.
- File a complaint. If you feel your rights have been violated, you may complain to us using the contact below, or to the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue SW, Washington, DC 20201, by calling 1-877-696-6775, or online at www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.
Changes to this notice
We may change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, in our stores and on our website.
Contact
Privacy Officer, The Medicine Shoppe Pharmacy (Lancaster, Bucyrus and Baltimore, Ohio)
900 E Main St, Lancaster, OH 43130
(740) 653-7779
Effective date November 9, 2026