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HIPPA Compliance

Offer to Counsel

If you have any questions regarding this prescription or any other medication, please feel free to contact us at or during store counseling hours (Mon - Fri, 9 AM - 6 PM, Eastern Time) at (888) 507-8621.

Health Insurance Portability & Accountability Act

Premier Custom Pharmacy is committed to protecting your privacy. As a healthcare provider, we know that your trust in us is of central importance. This policy discloses our information use and policies and procedures in detail. Please read it to learn more about the ways we protect the information we collect and to find out how you can limit the information about you that is shared. If Premier Custom Pharmacy should change its information practices, we will provide you notice of any material changes.

Strict Security Measures

Premier Custom Pharmacy takes the security of information very seriously and has established security standards and procedures to prevent unauthorized access to patient information. We maintain physical, electronic, and procedural safeguards to comply with federal standards to guard patient information.


The following are ways Premier Custom Pharmacy will Use and Disclosure your Personal Health Information (PHI). Every allowable use or disclosure may not be listed.
  • For Treatment will use and disclose PHI to coordinate and manage your healthcare in order to dispense your prescription medication.

  • For Payment will use and disclose PHI to receive payment for our services. We may disclose your PHI to other HIPAA covered entities or business associates who may need it for their processing of your healthcare payments.

  • For Healthcare Operations will use and disclose PHI for administrative purposes to evaluate and improve the quality of care we provide you.

We may also use or disclose PHI for the following purposes
  • Business associates may provide some services through contracts with HIPAA compliant business associates. The business associates must enter into a confidentiality agreement to protect your PHI from unauthorized use and disclosure.

  • Communication with individuals involved in your care If you do not object, may disclose PHI to a friend or family member who is involved in your care.

  • Parents or legal guardians If you are a minor, we may release your PHI to your parents or legal guardians when we are permitted or required to do so under federal and applicable state law.

  • Health related communications may contact you to provide refill reminders or other health-related services that may be of interest to you as permitted by law.

  • As required by law We may disclose PHI when required to do so by federal, state or local law.

  • Law enforcement We may disclose PHI for law enforcement purposes, in response to a subpoena or other legal process.

  • Public Health As required by law, we may disclose PHI about you to public health authorities to prevent or control a serious threat to the health and safety of another person. We may also disclose PHI for the purpose of reporting adverse events and product recalls

  • Health Oversight Activities We may disclose PHI to an oversight agency for activities authorized by law. These activities would include pharmacy investigations, audits, credentialing and inspections required for our licensure. These are governmental agencies who monitor the health care system who are subject to government regulation and civil right laws.

  • Judicial and administrative proceedings We may disclose your PHI in response to a subpoena, court or administrative order, or other lawful process, but only if efforts were made to notify you about the request or to obtain an order protecting the requested PHI as required by law.

  • Coroners, medical examiners, and funeral directors We may disclose PHI to a coroner or medical examiner. This may be necessary to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors as necessary with applicable laws so they may carry out their duties.

  • Organ, eye and tissue donation We may disclose PHI, consistent with applicable law to organizations who engage in organ procurement or transplant to facilitate the donation.

  • Research Under certain circumstances, we may disclose PHI for research purposes. Before disclosing PHI we would either remove information that personally identifies you or obtain your written authorization.

  • Military and Veterans Under certain circumstances, we may disclose to military authorities PHI or armed forces personnel.

  • National Security We may disclose PHI to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

  • Correctional Institution We may disclose PHI of an inmate to the institution when necessary for your health or the health and safety of others.

  • Workers’ compensation We may disclose your PHI to comply with Workers’ Compensation Laws or other similar programs.

Individual Rights

In most cases, you have the right to look at or get a copy of health information about you that we use to make decisions about your care. You also have the right to receive a list of instances where we have disclosed health information about you for reasons other than treatment, payment, or related administrative purposes. If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct or add the missing information. We will take precautions to prevent inappropriate or non-essential use or distribution of patient information when transmitted via the Internet and while the pharmacy possesses such information. You may request in writing that we not use or disclose your information for treatment payment and administrative purposes except when specifically authorized by you, when required by law, or in emergencies. We will consider your request but are not legally required to accept it.

Other Uses and Disclosures of your PHI

We are required by law to protect the privacy of your information, provide this notice of our information practices, and follow the information practices described in this notice. will request written authorization from you before using or disclosing your PHI for purposes not included in this document or as otherwise permitted or required by law. If you provide authorization and want to revoke this authorization at any time, or have any questions or complaints, this can be done in writing at any time by sending a written request to

Premier Custom Pharmacy
2000 PGA Blvd.
# 5507
Palm Beach Gardens, FL 33408


You may also call if you have any questions or complaints, please contact Tracy L. Christian, at (561) 691-4991

This revocation will not affect any use or disclosure of your PHI allowed by your authorization while it was in effect.

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