Patient’s Rights & Responsibilities

Upon enrollment of eligible patients, Pharmacy Advantage’s patient management program (disease state programs) will convey information on rights and responsibilities to the participating patients including but not limited to the following:

(a) The right to know about philosophy and characteristics of the patient management program;

(b) The right to have personal health information shared with the patient management program only in accordance with state and federal law;

(c) The right to identify the staff member of the program and their job title, and to speak with a supervisor of the staff member if requested;

(d) The right to receive information about the patient management program;

(e) The right to receive administrative information regarding changes in or termination of the patient management program;

(f) The right to decline participation, revoke consent or disenroll at any point in time;

(g) The responsibility to submit any forms that are necessary to participate in the program, to the extent required by law;

(h) The responsibility to give accurate clinical and contact information and to notify the patient management program of changes in this information; and

(i) The responsibility to notify their treating provider of their participation in the patient management program, if applicable.