The Largest Independent Pharmacy Organization in Philadelphia

Specialty


142 S. 52nd St. Ste. 201

Philadelphia, PA 19139

Phone: 215-471-4000

Fax: 215-471-4001

Hours Of Operation:

Mon-Fri: 9:00AM-5:00PM

Sat-Sun: Closed

Rights and Responsiblities

YOUR RIGHTS and RESPONSIBILITIES

We at SunRay Drugs Specialty provide our patients with the highest possible quality care. In order to receive optimal benefit from your prescription coverage, we would like to inform you of your rights and responsibilities:

Your Rights:

  • The right to know about philosophy and characteristics of the patient management program
  •  The right to have personal health information shared with the patient management program only in accordance with state and federal law
  • The right to identify the program’s staff members, including their job title, and to speak with a staff member’s supervisor if requested
  • The right to speak to a health professional
  • The right to receive information about the patient management program
  • The right to receive administrative information regarding changes, in or termination of, the patient management program
  • The right to decline participation, revoke consent, or dis-enroll at any point in time
  • You have the right to know that because you have a pharmacy benefit from your insurer, you have the right to access prescription services, regardless of sex, age, sexual orientation or preference, ethnicity, national origin, religion, veteran status, lifestyle, genetic information, or disability
  • You have the right to participate in decisions regarding your care.
  • You have the right to receive information in a manner in which you can understand and be able to give informed consent to the start of any procedure or treatment.
  • You have the right to be informed of any responsibilities you may have in the care process.
  • You have the right to know our telephone number for easy access to our staff.
  • You have the right to know the name of the employee with whom you are talking and their job title.
  • You have the right to let us know of any issue/concern you may have regarding our services by calling our telephone number. We will respond to your concern within five business days or sooner depending on the problem.
  • You have the right to expect that SunRay Drugs Specialty will process your prescriptions without undue delay and contact you in the event of any drug recall. SunRay Drugs personnel will call you on these issues and explain our plan to remedy the situation.
  • You have a right to receive counseling or clinical advice from our pharmacist regarding a prescription. We offer you that option at the time your prescription is being delivered or please call us at 1-888-260-9555.

PATIENT BILL OF RIGHTS AND RESPONSIBILITIES

  • Be informed, both orally and in writing, in advance of care being provided, of the charges, including payment for care/service expected from third parties and any charges for which the patient will be responsible.
  •  Receive information about the scope of services that the organization will provide and specific limitations on those services.
  • Refuse care or treatment after the consequences of refusing care or treatment are fully presented.
  • Be informed of patient rights under state law to formulate an Advanced Directive, if applicable.
  • Have one’s property and person treated with respect, consideration, and recognition of patient dignity and individuality
  •  Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of patient property. Voice grievances/complaints regarding treatment or care, lack of respect of property or recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal.
  • Have grievances/complaints regarding treatment or care that is (or fails to be) furnished, or lack of respect of property investigated.
  •  Confidentiality and privacy of all information contained in the patient record and of Protected Health Information.
  • Be advised on pharmacy’s policies and procedures regarding the disclosure of clinical records.
  • Receive appropriate care without discrimination in accordance with physician orders, if applicable.
  • Be informed of any financial benefits when referred to an organization.
  • Be fully informed of one’s responsibilities.

Your Responsibilities:

  •  The responsibility to submit any forms that are necessary to participate in the
    program, to the extent required by law
  • The responsibility to give accurate clinical and contact information, and to notify the
    patient management program of changes in this information
  • The responsibility to notify their treating provider of their participation in the patient
    management program, if applicable
  •  You have the responsibility to fulfill the financial obligations of your health insurance
    benefit plan so that any co-pays required for your medication are paid on time to
    avoid delays in scheduled doses of your medication. If you develop any financial
    difficulties, please let us know so we may refer you to programs that offer assistance.
  • You have the responsibility to become knowledgeable about your medications by
    reading the information we send you each time we deliver the drug or by calling us at 1-
    888-260-9555. Knowledge about your medications includes knowing the risks for taking
    the drug and being reporting to us any side effects you might be experiencing.
  • Patient notifies the pharmacy of any concerns about the care or services provided.
  • Reading the information we send you each time we deliver the drug or by calling us at
    1- 888-260-9555. Knowledge about your medications includes knowing the risks for
    taking the drug and being reporting to us any side effects you might be experiencing.

How to File a Complaint

You can file a complaint if you feel we have violated your rights by contacting us at

        Phone: (888) 260-9555

        Fax: (215) 471-4001

        Email: specialty@sunraydrugstore.com

You can file a complaint with:

U.S. Department of Health and Human Services Office for Civil Rights.

        200 Independence Avenue, S.W.

        Washington, D.C. 20201

        Phone: (877) 696-6775

        Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

Pennsylvania State Board of Pharmacy

        P.O. Box 2649

        Harrisburg, PA 17105-2649

        Phone: (717) 783-7156

        Website: http://www.dos.pa.gov/Pages/File-a-Complaint.aspx

New Jersey State Board of Pharmacy

        P.O. Box 45025

        Newark, New Jersey 07101

        Phone: (973) 504-6200

        Website: http://www.njconsumeraffairs.gov/Pages/File-a-Complaint-old.aspx

Delaware State Board of Pharmacy

        Suite 203 861 Silver Lake Blvd

        Dover, Delaware 19904

        Phone: (302) 744-4500

        Website: https://dpr.delaware.gov/boards/investigativeunit/filecomplaint

URAC

        1220 L Street, NW Suite 400

        Washington, DC 20005

        Phone: (202) 216-9010

        Website: https://www.urac.org/complaint_step3b/

ACHC

        139 Weston Oaks Ct.

        Cary, NC 27513

        Phone: (855) 937-2242

        Website: https://www.achc.org/complaint-policy-process.html