Effective Date: August 27, 2025
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.
Introduction
TelyRx Dallas, LLC (the “TelyRx,” “we,” or “our”) is a licensed pharmacy that may share or use Protected Health Information (“PHI”). TelyRx applies privacy and security practices consistent with Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) in the handling of patient health information. Our pharmacy will safeguard your information under HIPAA-compliant policies and procedures.
This Notice of Privacy Practices (the “Notice”) describes how we may use and disclose your Protected Health Information (“PHI”), and your rights regarding your PHI. PHI is information that identifies you and relates to your past, present, or future health condition, treatment, or payment for healthcare services.
How We May Use and Disclose Your PHI
Treatment
We may use your PHI to fill prescriptions and provide other pharmacy services. We may also disclose your PHI to healthcare providers involved in your treatment—for example, to your prescribing physician to clarify a prescription.
Payment
We may use and disclose your PHI to receive payment for the pharmacy services we provide to you.
Healthcare Operations
We may use or disclose your PHI for pharmacy operations, such as quality improvement, audits, compliance activities, staff training, and business planning.
Other Uses and Disclosures Permitted or Required by Law
We may also use or disclose your PHI without your authorization for:
- Public health activities (e.g., reporting adverse drug events or recalls).
- Regulatory oversight (e.g., pharmacy boards, DEA, FDA).
- Reporting abuse, neglect, or domestic violence.
- Legal proceedings (e.g., responding to court orders, subpoenas).
- Law enforcement purposes (e.g., responding to warrants).
- Coroners, medical examiners, funeral directors, organ donation agencies.
- Research (in limited circumstances, and as permitted by law).
- Workers’ compensation programs.
- Military, national security, or government functions as required by law.
Certain types of sensitive information, such as HIV status, mental health records, genetic information, or substance use disorder records, may be subject to additional protections under state or federal law. We will comply with those laws where applicable.
Uses and Disclosures Requiring Your Authorization
We will not use or disclose your PHI for purposes not described in this Notice unless you give us written authorization. For example, we will not sell your PHI or use it for marketing without your written authorization. You may revoke an authorization at any time in writing, except to the extent we have already relied on it.
Your Rights Regarding Your PHI
- Right to Access: You may request to review or obtain copies of your PHI, including pharmacy and billing records. Reasonable fees may apply for paper copies. One free electronic copy is available upon request.
- Right to Amend: If you believe your records are incorrect or incomplete, you may request an amendment. We may deny your request, but we will explain our decision in writing.
- Right to an Accounting of Disclosures: You may request a list of certain disclosures of your PHI made in the past six years, excluding disclosures for treatment, payment, and healthcare operations.
- Right to Request Restrictions: You may ask us not to use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to most restrictions, but we must comply with your request not to disclose PHI to your health plan if you paid out-of-pocket in full for the related services.
- Right to Confidential Communications: You may request that we communicate with you in a specific way (e.g., at an alternate phone number or address).
- Right to Designate a Representative: If you have given someone medical power of attorney or if a guardian has been appointed, that person may exercise your rights on your behalf.
- Right to a Copy of this Notice: You may request a paper copy of this Notice at any time.
Our Duties
- We follow privacy and security practices designed to protect your health information consistent with HIPAA requirements.
- We must follow the terms of this Notice as long as it is in effect.
- We will notify you if a breach occurs that may have compromised the privacy or security of your PHI.
Changes to This Notice
We may change this Notice at any time. If we make significant changes, we will post the revised Notice in our pharmacies and provide it upon request. The revised Notice will apply to PHI we already maintain as well as PHI we receive in the future.
Questions or Complaints
If you have questions about this Notice or believe your privacy rights have been violated, please contact:
Privacy Officer
TelyRx Dallas, LLC
8113 Ridgepoint Dr, Suite 214
Irving, TX 75063
Email: [email protected]
Phone: (800) 878-1660