HIPAA Notice of Privacy Practices

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.

Liberty Compounding Pharmacy is 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 notify you following a breach of unsecured PHI, and to follow the terms of the notice currently in effect.

PHI is information that identifies you and relates to your health, your treatment, or payment for your care — including your prescriptions, the medications we compound for you, and your contact and insurance details.

For treatment

We use your PHI to compound and dispense your prescriptions and to coordinate your care. We may disclose it to your prescriber, other pharmacists, treating clinicians, or a caregiver involved in your treatment — for example, contacting your prescriber to clarify a dose or discuss an appropriate base for a preparation.

For payment

We may use and disclose your PHI to bill and collect payment from you, your insurer, a pharmacy benefit manager or another payer — including to verify coverage, obtain prior authorization and process claims.

For health care operations

We may use your PHI for quality assessment and improvement, potency and sterility testing records, staff training and competency review, licensing and accreditation, business management, and resolving grievances.

Other permitted uses

• Business associates who perform services for us, under written contracts requiring them to safeguard your PHI.
• Appointment, refill and pickup reminders, and information about treatment alternatives or health-related benefits and services.
• Individuals involved in your care — a family member, friend or personal representative — of information relevant to their involvement, and to notify them of your location or general condition. Where you are present and able, we will give you the chance to object first.
• As required by law, including to the U.S. Food and Drug Administration about product quality, safety or adverse events; to public health authorities for disease control and prescription drug monitoring; and to health oversight agencies and pharmacy boards for audits, inspections and investigations.
• Judicial and law enforcement purposes, in response to a court order, subpoena, warrant or other lawful process, and to report suspected abuse, neglect or domestic violence.
• To avert a serious threat to your health or safety or that of the public.
• Workers' compensation, military and veteran activities, national security, correctional institutions, coroners, medical examiners, funeral directors and organ procurement organizations, as authorized by law.
• Research, when an institutional review board has approved the study and established protections for your information.

Your written authorization is required before we may:

• use or disclose your PHI for marketing purposes;
• sell your PHI;
• use or disclose psychotherapy notes, if any;
• use or disclose your PHI for any purpose not described in this notice or otherwise permitted by law.

You may revoke an authorization in writing at any time. Revocation stops future uses and disclosures but does not undo any action already taken in reliance on it.

Right to inspect and copy

You may inspect and obtain a copy of your PHI, including an electronic copy of records we keep electronically, in the form and format you request if we can readily produce it. We will respond within 30 days and may charge a reasonable, cost-based fee. In limited circumstances we may deny a request, and you may have that denial reviewed.

Right to request an amendment

If you believe your PHI is incorrect or incomplete, you may ask us in writing to amend it, with the reason for the request. We may deny the request if the record is accurate and complete or was not created by us, and we will explain the denial in writing and describe how you may respond.

Right to an accounting of disclosures

You may request a list of disclosures we made of your PHI, other than those for treatment, payment and health care operations and certain others excluded by law, for up to six years before your request.

Right to request restrictions

You may ask us to restrict how we use or disclose your PHI for treatment, payment or operations, or to a person involved in your care. We are not required to agree to most restrictions. We must agree if you pay for a service in full out of pocket and ask us not to disclose that information to your health plan, except as otherwise required by law.

Right to confidential communications

You may ask us to communicate with you at an alternative address or by an alternative means — for example, to a work address rather than your home. We will accommodate reasonable requests and will not ask you to explain why.

Right to a paper copy of this notice

You may request a paper copy of this notice at any time, even if you agreed to receive it electronically. Ask any staff member or call the pharmacy.

Right to breach notification

You have the right to be notified if we discover a breach of your unsecured PHI.

Right to choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian, that person may exercise your rights and make choices about your PHI. We will verify their authority before acting.

To exercise any right, submit a written request to the Privacy Officer using the contact details below.

We are required by law to protect the privacy of your PHI, to provide this notice, to abide by the terms of the notice currently in effect, and to notify you of breaches of unsecured PHI.

We reserve the right to change this notice and to make the revised notice effective for PHI we already hold as well as information we receive in the future. If we make a material change, we will post the revised notice in the pharmacy and on this page and make paper copies available on request. Each notice shows its effective date. This notice is effective August 5, 2026.

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at Liberty Compounding Pharmacy, 1000 Park Centre Blvd, #136, Miami, FL 33169, or by calling (888) 448-0549.

You may also file a complaint directly with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or online at hhs.gov/ocr/privacy/hipaa/complaints. A complaint must generally be filed within 180 days of when you knew the act occurred.

We will not retaliate against you, and will not require you to waive any right, for filing a complaint or exercising any right described in this notice.