You Have the Right To:
- Obtain relevant, accurate, current and understandable information from your pharmacist concerning your treatment and/or drug therapy.
- Discuss your specific drug therapy, the possible adverse side effects and drug interactions, and to receive effective counseling and education from your pharmacist.
- Expect that all prescribed medications you receive are accurately dosed, effective and in usable condition.
- Choose the pharmacist and pharmacy provider where your prescriptions are filled and to not be pressured or coerced into transferring your prescriptions to another pharmacy or mail order service.
- Confidentiality and privacy of all your patient counseling information contained in your patient record and all your Protected Health Information, as described in the Notice of Privacy Practices (NOPP).
- Receive appropriate care without discrimination in accordance with physician orders.
- Be advised if a medication has been recalled at the consumer level.
- Call 986 Pharmacy with any grievances or complaints about medication or privacy matters and ask for the Pharmacy Manager, or contact us through our website at 986pharmacy.com.
- Voice your grievances or complaints regarding treatment or care or lack of respect, or to recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal, and have your grievances investigated. The pharmacy will respond to complaints within 7 business days if not immediately addressed within 24 hours.
- Identify 986 Pharmacy representatives through proper identification, including name and job title, and to request to speak with a supervisor when needed.
- Choose a healthcare provider.
- Receive information about the scope of care and services provided by 986 Pharmacy directly or through contractual arrangements, as well as any limitations to 986 Pharmacy's care/service capabilities.
- Receive, in advance of care/services being provided, complete oral and written explanations of charges for care, treatment, services and equipment, including the extent to which payment may be expected from Medicare, Medicaid, or any other third-party payer, charges for which you may be responsible, and an explanation of all forms you are requested to sign.
- Be informed of any financial benefits that might accrue when you are referred to an organization.
- Be advised of any change in 986 Pharmacy's plan of service before the change is made.
- Receive information in a manner, format and/or language that you understand.
- Have your property and person treated with respect, consideration, and recognition of client/patient dignity and individuality.
- Be fully informed of your responsibilities.
- Have family members, as appropriate and as allowed by law, and with your authorization or the authorization of your personal representative, be involved in your care and treatment, and/or service decisions affecting you.
- Be informed about generic or other substitutions to prescribed medications.
- Be informed promptly of any manufacturer or FDA recalls affecting your prescribed medications.
- If 986 Pharmacy is found to be “out of network” resulting in higher costs to the patient, the patient will be notified of the cost differential in writing prior to starting services.
- Be informed of patient assistance programs to help with access to medications.
- Redirect your prescription if 986 Pharmacy cannot source the medication.
- Decline participation, revoke consent, or disenroll from 986 Pharmacy's patient management program at any point in time.
- Be informed about the philosophy and the characteristics of 986 Pharmacy's patient management program.
You Have the Responsibility To:
- Adhere to the plan of treatment or service established by your physician.
- Participate in the development of an effective plan of care, treatment, and services.
- Provide, to the best of your knowledge, accurate and complete medical and personal information necessary to plan and provide care or services.
- Ask questions about your care, treatment and/or services, or to have clarified any instructions provided by 986 Pharmacy representatives.
- Communicate any information, concerns, and/or questions related to perceived risks in your services, and any unexpected changes in your condition.
- Notify 986 Pharmacy if you are going to be unavailable for scheduled delivery times.
- Treat 986 Pharmacy personnel with respect and dignity without discrimination as to color, religion, sex, or national or ethnic origin.
- Care for and safely use medications, supplies, and/or equipment, according to instructions provided, for the purpose they were prescribed and only for the individual for whom they were prescribed.
- Notify 986 Pharmacy of any changes in your physical condition, physician's prescription, or insurance coverage. Notify 986 Pharmacy immediately of any address or telephone changes, whether temporary or permanent.
- Pay all invoices upon receipt, and understand that unpaid accounts will be considered in default.
- Understand that 986 Pharmacy acts solely as an agent for you in filling prescriptions through your insurance or other benefits assigned to 986 Pharmacy; understand that 986 Pharmacy assumes no responsibility for ensuring that benefits so assigned will be paid; and understand that your account will only be credited when 986 Pharmacy actually receives payment.
- Submit any forms that are necessary to participate in 986 Pharmacy's patient management program, to the extent required by law.
- Notify your treatment provider of your participation in 986 Pharmacy.