Notice of Privacy Practices

Our Commitment to Your Privacy

Lumen Pharmacy PLLC ("Lumen Pharmacy," "we," "us," or "our") is required by law to maintain the privacy of your protected health information ("health information"), to provide you with this notice describing our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How We May Use & Disclose Your Health Information

For Treatment, Payment, and Health Care Operations

We may use and disclose your health information without your written authorization for the following purposes:

• Treatment — For example, to fill and dispense your prescriptions, to counsel you on your medications, or to coordinate your care with your prescriber or other providers.
• Payment — For example, to bill your insurance plan or pharmacy benefit manager for the medications and services we provide, and to verify your coverage.
• Health Care Operations — For example, for quality assurance, pharmacist training, licensing/accreditation review, and the general business operations of the pharmacy.

Other Ways We May Use or Share Your Information

• Appointment and refill reminders, and information about treatment alternatives or health-related services that may interest you
• As required by law — for example, reporting required by state pharmacy or public health regulations
• Public health and safety activities — such as reporting to public health authorities, or to prevent a serious threat to health or safety
• Health oversight activities — such as audits, inspections, and licensing activities by boards of pharmacy or other regulators
• To avert a serious threat to health or safety, or in connection with judicial and administrative proceedings, law enforcement requests, or as otherwise required by law

Any person or organization we disclose your information to as described above may further disclose it, and at that point it may no longer be protected by this notice.

Uses That Require Your Written Authorization

Other than the uses described above, we will not use or share your health information without your written authorization — including, for example, most uses for marketing purposes or any sale of your health information. If you provide us authorization, you may revoke it in writing at any time, except to the extent we have already acted on it.

Your Rights Regarding Your Health Information

To exercise any of these rights, contact us using the information below. We may ask you to submit your request in writing.

Our Responsibilities

• We are required by law to maintain the privacy and security of your health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your health information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We reserve the right to change the terms of this notice, and to make the revised notice apply to health information we already have as well as any information we receive in the future. If we make a material change, we will post the revised notice on our website and make a paper copy available at the pharmacy.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.

• With us: contact our Privacy Officer using the information below.
• With HHS: U.S. Department of Health & Human Services, Office for Civil Rights — visit hhs.gov/hipaa/filing-a-complaint for current instructions.

Contact & Privacy Officer

Questions about this notice, or requests regarding your health information, can be directed to: