Patients have the right to:

• Be treated as a unique individual, with dignity, courtesy, and respect.
• Receive quality medications and services that meet or exceed professional and industry standards regardless of race, religion, political belief, sex, social or economic status, age, or disease process.
• Be fully informed in advance of the scope of services and limitations of services provided by Park Pharmacy. Medication adherence with prescribed medications will result in best treatment outcomes. Our staff will ensure education and understanding of how to take your medication, providing support throughout treatment. As part of our therapy management program, refills will not be dispensed prior to ensuring medication is still being taken, well tolerated and to be continued by prescribing physician.
• Receive information in a manner, format, and/or language that is easily understood.
• To speak to a health professional
• Choose a different health care provider.
• Obtain, upon request, evidence-based practice information for clinical decisions (manufacturer package inserts, published practice guidelines, peer-reviewed journals, etc.) including the level of evidence or consensus for the intervention.
• Receive verbal explanations for medication substitutions from a pharmacy staff member.
• Receive in advance verbal and/or written explanations for Medicare or other insurance provider payments, and for the portion of charges that will be the patient’s responsibility to pay.
• To receive information about the scope of services that the pharmacy will provide and specific limitations
  on those services
• To refuse care or treatment after the consequences of refusing care or treatment are fully presented.
• To receive appropriate care without discrimination in accordance with physician’s orders.
• Receive verbal and/or written explanations if pharmacy is out of network and pro-actively transfer prescription to preferred plan mandated pharmacy to obtain most cost affordable solution to patient.
• Receive full explanation of all forms presented for signature agreement prior to services being provided.
• Be offered assistance of any eligible program for patient management services, including manufacturer co-pay, patient assistance programs, or foundation support.
• Receive instruction and education from qualified personnel on how to appropriately take and safely handle medications.
• Coordination and continuity of services through Park Pharmacy.
• Be fully informed in advance about care/services to be provided including the disciplines that furnish care as well as be advised of any change in the plan of care.
• Participate in the development and periodic revision of the plan of care
• Be able to identify company representatives through name (name badge) and job title, and to speak a staff members supervisor, a pharmacist or other healthcare professional, if requested.
• To receive information about the patient management program and to know the philosophy and characteristics of the program.
• Be ensured of the confidentiality and privacy for all information contained within medical records and Protected Health Information (except as otherwise provided for by law or third-party payer contracts).
• Have personal health information shared with the patient management program only, in accordance with state and federal law.
• To voice grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated.
• To have grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated.
• Suggest changes in policy, staff, or services without discrimination, restraint, reprisal, coercion, or unreasonable interruption of services. Patients or caregivers may call (877) 986-2046 to speak with a pharmacy.
• Be informed of any financial relationships held by the pharmacy.
• Be provided the phone number (877) 986-2046 for normal business hours Monday through Friday 7:30 a.m. CST to 5:00 p.m. CST.
• Decline participation, revoke consent, or disenroll from any Park Pharmacy services at any time.
• To be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misuse of patient property
• To be fully informed of responsibilities of the patient

Patients have the Responsibility to:

• Adhere to the plan of treatment or service established by your physician.
• Complete and submit forms for program participation to the extent required by law.
• Provide, to the best of knowledge, accurate and complete medical and personal information necessary to plan and provide care/services.
• Notify their treating provider of participation in the patient management program if applicable.
• Ask questions about your care, treatment and/or services.
• Ask questions to clarify information or instructions not clearly understood.
• Use medications according to instructions provided, for the purpose prescribed, and only by the individual to whom it was prescribed.
• Communicate any inability to follow provided instructions.
• Treat pharmacy personnel with respect and dignity without discrimination as to color, religion, sex, nationality, or ethnic origin.
• Promptly settle unpaid balances, except where contrary to federal or state law.
• Notify pharmacy of change in prescription or insurance coverage.
• Notify pharmacy immediately of address or telephone changes, temporary or permanent.
• To notify the pharmacy of any concerns about the care or services provided

Customer Information: After hours Contact Information

• For after-hour emergencies, such as running out of medication or questions on missed doses or potential side effects, please call Park Pharmacy’s normal business number (877) 986-2046. A pharmacist will be available 24 hours a day, 7 days a week.
• For after-hour refill requests, or to leave a message for our pharmacy staff, please follow the designated prompts at the normal business number (877) 986-2046.

Customer Information: Complaint Procedure

• You have the right and responsibility to express concerns, complaints or dissatisfaction for services received, or fail to receive, without fear of reprisal, discrimination, or unreasonable interruption of services. Please call the corporate office at (877) 514-3035 to speak to the Corporate Compliance Officer. The Corporate Compliance Officer or appointed representative is always available, including outside normal business hours, weekends and holidays.
• Park Pharmacy has a formal grievance procedure of ensure complaint/grievance are reviewed and an investigation initiated within 5 business days of receipt. Every attempt will be made to resolve grievances within 14 business days. Resolution information for the complaint/grievance will be provided verbally or in writing. Extension of time required to obtain resolution will also be communicated verbally and/or in writing.
• To discuss concerns or complaints with a party other than Park Pharmacy staff, please contact the state Department of Health Complaints division at (800) 852-2187 Monday through Friday, 8:00 a.m. to 4:30 p.m. (CST).
• To submit complaint to ACHC, contact the ACHC complaints department toll-free at (855) 937-2242 or 919-785-1214. ACHC requests the completion of a Complaint Intake Form to provide details of the complaint. Complaints may be communicated via mail, telephone, e-mail, facsimile, in person, or through ACHC website at www.achc.org.

Frequently Asked Questions