You Have the Right to:

1. Obtain relevant, accurate, current and understandable information from your CSP Pharmacist concerning your treatment and/or drug therapy
2. Discuss your specific drug therapy, the possible adverse side effects and drug interactions, and to receive effective counseling and education from your CSP Pharmacist
3. Expect that all prescribed medications you receive are accurately dosed, effective and in useable condition
4. Choose the pharmacist and pharmacy provider where your prescriptions are filled and to not be pressured or coerced into transferring your prescriptions to another pharmacy or mail order service
5. Confidentiality and privacy of all your patient counseling information contained in your patient record and all your Protected Health Information, as described in CSP’s Notice of Privacy Practices (NOPP)
6. Receive appropriate care without discrimination in accordance with physician orders
7. Be advised if a medication has been recalled at the consumer level
8. Call CSP with any complaints about medication or privacy matters at (877) 602-7779 and ask for the Chief Compliance Officer, or contact us about them through our website
9. Voice your grievances/complaints regarding treatment or care or lack of respect or to recommend changes in policy, personnel, or care/service without restraint, interference, coercion, discrimination, or reprisal, and have your grievances/complaints investigated
10. Be able to identify CSP representatives through proper identification
11. Choose a healthcare provider
12. Receive information about the scope of care/services that are provided by CSP directly or through contractual arrangements, as well as any limitations to CSP’s care/service capabilities
13. Receive in advance of care/services being provided, complete oral and written explanations of charges for care, treatment, services and equipment, including the extent to which payment may be expected from Medicare, Medicaid, or any other third party payer, charges for which you may be responsible, and an explanation of all forms you are requested to sign
14. Be informed of any financial benefits that might accrue when you are referred to an organization
15. Be advised of any change in CSP’s plan of service before the change is made
16. Receive information in a manner, format and/or language that you understand
17. Have family members, as appropriate and as allowed by law, and with your authorization or the authorization of your personal representation, be involved in your care and treatment, and/or service decisions affecting you
18. Be fully informed of your responsibilities
19. To obtain services regardless of race, nationality, sex, age, sexual orientation, physical and/or mental disabilities, diagnosis or religious
20. To speak to a health professional
21. To have personal health information shared with the patient management program only in accordance with state and federal law
22. To receive information about the patient management program
23. To receive administrative information regarding changes to or termination of the patient management program
24. To decline participation, revoke consent, or disenroll at any time

Have the Responsibility to:

1. Adhere to the plan of treatment or service established by your physician
2. Participate in the development of an effective plan of care/treatment/services
3. Provide, to the best of your knowledge, accurate and complete medical and personal information necessary to plan and provide care/services
4. Ask questions about your care, treatment and/or services, or to have clarified any instructions provided by CSP representatives
5. Communicate any information, concerns and/or questions related to perceived risks in your services, and unexpected changes in your condition
6. Notify CSP if you are going to be unavailable for scheduled delivery times
7. Treat CSP personnel with respect and dignity without discrimination as to color, religion, sex, or national or ethnic origin
8. Care for and safely use medications, supplies and/or equipment, per instructions provided, for the purpose they were prescribed and only for/on the individual for whom they were prescribed
9. CSP should be notified of any changes in your physical condition, physician’s prescription or insurance coverage. Notify CSP immediately of any address or telephone changes whether temporary or permanent
10. Understand that CSP acts solely as an agent for you in filling for insurance or other benefits assigned to CSP; Understand that CSP assumes no responsibility for assuring that benefits so assigned will be paid; and understand that your account will only be credited when CSP receives payment