Notice of Privacy Practices

I. Our Commitment to Your Privacy

QualgenRx (“we,” “us,” or “our”) is required by law to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our legal duties and privacy practices regarding your PHI, and to notify you following a breach of unsecured PHI. We are required to abide by the terms of this Notice while it is in effect.

II. How We May Use and Disclose Your Health Information

A. For Treatment

We may use and disclose your PHI to coordinate the compounding, fulfillment, and delivery of your prescribed medications, and to communicate with you regarding consent, dosage, refills, and formulation questions.

B. For Payment

We may use and disclose your PHI to collect payment for compounded medications, process HSA/FSA claims, and provide itemized receipts or Universal Claim Forms as needed for possible reimbursement.

C. For Healthcare Operations

We may use and disclose your PHI to support our pharmacy operations, including quality assurance, staff training, and business management activities.

D. Other Permitted or Required Uses and Disclosures

We may also use or disclose your PHI, as permitted or required by law, for purposes such as:

• As required by law
• To avert a serious threat to health or safety
• For public health activities
• For health oversight activities
• In response to judicial or administrative proceedings
• To coroners, medical examiners, or funeral directors, as necessary
• For workers’ compensation purposes
• To your personal representatives, where applicable

E. Uses and Disclosures Requiring Your Written Authorization

Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. You may revoke that authorization in writing at any time, except to the extent we have already relied on it.

III. Your Rights Regarding Your Health Information

• Right to inspect and copy your PHI
• Right to request an amendment to your PHI
• Right to an accounting of certain disclosures of your PHI
• Right to request restrictions on certain uses and disclosures of your PHI
• Right to request confidential communications by alternative means or at alternative locations
• Right to a paper copy of this Notice, upon request, even if you agreed to receive it electronically
• Right to be notified in the event of a breach of your unsecured PHI

To exercise any of these rights, contact our Privacy Officer using the information in Section VII below.

IV. Our Responsibilities

We are required by law to maintain the privacy of your PHI, provide you with this Notice describing our legal duties and privacy practices, abide by the terms of this Notice currently in effect, and notify you if a breach occurs that may compromise the privacy or security of your information.

V. Changes to This Notice

We reserve the right to change the terms of this Notice at any time. Any revised Notice will apply to PHI we already have about you as well as any information we receive in the future. A copy of the current Notice will be made available upon request and, where applicable, posted on our Website.

VI. 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 retaliated against, and your care or services will not be affected, for filing a complaint.

To file a complaint with us, contact:

VII. Contact Information