WellPack Pharmacy Terms of Use

Welcome to WellPack Pharmacy. Before using WellPack Pharmacy Services, please read the WellPack Pharmacy Privacy Terms, the WellPack Pharmacy Patient Rights and Responsibilities, the WellPack Pharmacy Nondiscrimination Notice, and these WellPack Pharmacy Terms of Use. By using WellPack Pharmacy Services, you agree to be bound by the terms of this Agreement. If you do not agree to the terms of this Agreement, you may not use WellPack Pharmacy Services.

WellPack Pharmacy Services

WellPack Pharmacy provides pharmacy services through its licensed pharmacy and pharmacists. WellPack Pharmacy makes medication management simple. We can fill most common prescriptions, and we offer transparent pricing, simple refills, and discreet delivery right to your door.

WellPack Pharmacy offers hand delivery to residents of Tallahassee, Florida, and surrounding counties, along with free shipping to Tallahassee, Orlando, Miami and their neighboring counties. Additionally, WellPack Pharmacy offers compliance packaging to help you manage multiple medications by sorting them into individual packets and delivering them to your door. Our pharmacists are available for consultations.

You must be 18 years of age or older to sign up for WellPack Pharmacy Services. If you are a parent or caregiver, we can help you manage prescriptions for children under 18.

Signing up for WellPack Pharmacy Services is simple and should take about five minutes. We will ask questions about you, your medications, your health history, and more. We recommend having the following information available to get started:

• Any insurance information. We work with most U.S. insurance plans. When you sign up, we can look up your insurance for you. You may also use WellPack Pharmacy without insurance.
• A list of medications you take regularly, if applicable. If you do not take any medications regularly or do not have all your medications available, do not worry. You can always add these details later.

Privacy of Your Health Information

WellPack Pharmacy is subject to HIPAA, which governs how we may use and disclose your Protected Health Information, such as medication history, medical conditions, health insurance information, and other personal information we use to provide prescriptions. Our Notice of Privacy Practices, and not WellPack’s general Privacy Notice, describes that use and disclosure. Please review our Notice of Privacy Practices for more information on HIPAA, Protected Health Information, and how you may access your Protected Health Information.

Health-Related Content

Please carefully review product information and package inserts regarding dosage, warnings, interactions, and other information before administering or using any device, drug, herb, vitamin, or supplement received through any WellPack Pharmacy Service.

For other health-related content we provide, we strive to be as accurate as possible. However, such content is for reference only, describes general principles of health care, and is not intended to serve as specific instructions for individual patients. If you have any questions about health-related content, please contact us or contact your prescriber.

Payment Obligations

You understand and agree that you are responsible for any copays set by your insurance plan, any payment for cash purchases of prescriptions and other products, and any other fees associated with our Services.

You agree to pay all charges associated with the requested Services at the prices then in effect, and you authorize us, through our payment processor, to charge your selected payment method. If there is an issue charging your selected payment method, we may charge any other valid payment method associated with your account. If there is no other valid payment method, we will attempt to contact you. However, in the interim, we may refrain from providing certain Services to you until the payment issue is resolved.

You acknowledge that you have received information regarding the requirement to pay copayments, and under no circumstances will copayments be waived. If you have difficulty paying copayments, please contact us. At the pharmacist’s discretion, a payment plan may be offered, with smaller payments over a period not to exceed 90 days from the date the service was rendered.

Communications with WellPack Pharmacy

You consent to receive communications, including emails, texts, notices, and messages through other WellPack Pharmacy Services, by or on behalf of WellPack Pharmacy at any email address, phone number, or mobile device associated with your account or otherwise directly or indirectly provided to WellPack Pharmacy.

Communications we send may include information about closures, your prescriptions, treatment, or benefits. In connection with such communications, we may use prerecorded or artificial voice messages and/or automatic dialing devices. If you choose to share access to your mobile phone, carrier account, email, or WellPack Pharmacy account with others, those individuals may also be able to see this information. Our Notice of Privacy Practices provides more information on how you may receive communications from us.

Patient Consent

By using WellPack Pharmacy Services, you acknowledge and consent to granting WellPack Pharmacy permission to contact your previous pharmacies in an effort to obtain your medication records and to contact your providers on your behalf to confirm that their records reflect your preference to use WellPack Pharmacy Services in place of your previous pharmacy.

By using WellPack Pharmacy Services, you also acknowledge that your decision to do so is voluntary and made without incentive or improper influence from WellPack Pharmacy. WellPack Pharmacy maintains a strict policy regarding referrals. All referrals will be accepted only if they meet WellPack Pharmacy’s transfer criteria and are not connected to any incentive. Transferring your prescriptions must be based solely on the services WellPack Pharmacy provides, and no rewards or incentives should be expected in exchange for your efforts. WellPack Pharmacy appreciates your sincere support.

Access to and Use of WellPack Pharmacy Services

Except as provided in our Notice of Privacy Practices, WellPack Pharmacy may terminate or suspend your access to and use of WellPack Pharmacy Services, without notice, for any reason and at any time.

Modifications

We may change, suspend, or discontinue WellPack Pharmacy Services, or any part of them, at any time without notice. We may also amend the terms of this Agreement at our sole discretion by posting revised terms on the website. Your continued use of WellPack Pharmacy Services after the effective date of the revised Agreement constitutes your acceptance of those revised terms.

WellPack Pharmacy’s failure to insist upon or enforce strict compliance with this Agreement will not constitute a waiver of any of its rights.

Unacceptable or Unlawful Uses

You may not use our website, logos, likenesses, or content for any purpose that is unlawful or prohibited by these Terms, or to solicit the performance of any illegal activity or other activity that infringes upon the rights of WellPack Pharmacy or others.

You are prohibited from posting on our website or elsewhere any unlawful, harmful, threatening, abusive, harassing, defamatory, vulgar, obscene, sexually explicit, profane, hateful, fraudulent, racially offensive, ethnically offensive, or otherwise objectionable material of any kind, including material that encourages conduct that would constitute a criminal offense, give rise to civil liability, or otherwise violate any applicable local, state, national, or international law.

You may not use any “deep-link,” “page-scrape,” “robot,” “spider,” or other automatic device, program, algorithm, methodology, or similar manual or automated process to access, acquire, copy, or monitor any portion of a website or content, or in any way reproduce or circumvent the navigational structure or presentation of a website, logo, likeness, or content, to obtain or attempt to obtain materials, documents, or information through any means not purposely made available through one or more websites.

If you submit, publish, or post any materials incorporating any likeness on a website or elsewhere, you represent that you have the legal right to do so and that doing so will not violate any law or the rights of any person or entity. You may not publish, submit, or post any materials incorporating our likeness on a website or elsewhere that:

1. are defamatory, obscene, pornographic, vulgar, threatening, harassing, violent, or otherwise objectionable;
2. encourage unlawful, tortious, or unsafe conduct;
3. advertise goods or services;
4. solicit funds;
5. advocate for any political candidate or political position; or
6. consist of chain letters, mass mailings, or spam.

By submitting, publishing, or posting materials incorporating our likeness on a website or elsewhere, you grant WellPack Pharmacy a royalty-free, irrevocable, perpetual, worldwide right to use, distribute, display, and create derivative works from such materials, in any and all media, in any manner, in whole or in part, without restriction or responsibility to you.

You acknowledge that we have no obligation to monitor or screen user content submitted to our website, but we reserve the right, without obligation, to reject, remove, or delete any user content for any reason or no reason.

WellPack Pharmacy and its affiliates reserve the right to use all brand-related property owned or created by WellPack Pharmacy, including, without limitation, images, logos, and likenesses, for promotional purposes. Any nonaffiliated person seeking to use the likeness of WellPack Pharmacy must submit a request to WellPack executives and obtain approval. Any nonaffiliated person who violates WellPack Pharmacy’s name and likeness rights may be subject to legal action.

Disclaimer

These Terms may be changed at any time. In such cases, WellPack Pharmacy will notify you of changes to these Terms of Use as required.

Limitation of Liability

Without limiting the generality of the foregoing, you agree that WellPack Pharmacy will not be liable for damages of any kind arising from the use of the Services, the inability to use or access the Services, or any information, content, or functionality offered through the Services.

These limitations apply to all losses and damages of any kind, including direct, indirect, incidental, punitive, and consequential damages. If you are dissatisfied with any part of the Services or these Terms of Use, your sole and exclusive remedy is to stop using the Services.

Applicable law may not allow certain limitations of liability, so some of the limitations above may not apply to you. If any part of this limitation of liability is found to be invalid or unenforceable for any reason, then the aggregate liability of WellPack Pharmacy under such circumstances shall not exceed one hundred dollars ($100).

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WellPack Pharmacy Privacy Terms

WellPack Pharmacy Privacy Notice

We know that you care about how information about you is used and shared, and we appreciate your trust that we will do so carefully and sensibly.

By using WellPack Pharmacy Services, you consent to the practices described in this Privacy Notice. WellPack Pharmacy is subject to HIPAA, which governs how we may use and disclose your Protected Health Information (“PHI”), such as medication history, medical conditions, health insurance information, and other personal information we use to provide prescriptions. Our Notice of Privacy Practices, included below, describes our use and disclosure of PHI. Any other personal information not subject to the Notice of Privacy Practices is subject to this Privacy Notice.

WellPack Pharmacy Notice of Privacy Practices

This Notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.

WellPack Pharmacy is committed to maintaining your privacy, and we take our responsibility for safeguarding your Protected Health Information very seriously. WellPack Pharmacy is required by the Health Insurance Portability and Accountability Act (HIPAA) to provide you with this Notice to help you understand how we may use or share Protected Health Information about you that we obtain to provide services to you.

Protected Health Information is information we receive to provide services to you that identifies you or could be used to identify you and relates to your past, present, or future physical or mental health, treatment, or payment for treatment. Protected Health Information includes your medication history, medical conditions, health insurance information, and other information we use to provide your prescriptions.

This Notice applies to WellPack Pharmacy. We are required to abide by its terms, which explain our legal duties and privacy practices with respect to PHI that we collect and maintain. We will not use or disclose PHI about you without your written authorization, except as described in this Notice. If you have any questions about this Notice, please contact WellPack Pharmacy at the address listed below.

How We May Use and Disclose Your Protected Health Information

The following categories describe the typical ways we may use and disclose your Protected Health Information without your written authorization:

• For Treatment. Protected Health Information obtained by WellPack Pharmacy may be used to dispense your prescription medications, counsel you regarding appropriate medication use, and provide the treatment and services you receive. We will document in your record information related to the medications dispensed to you and services provided to you. We may disclose Protected Health Information about you to doctors, nurses, or other health care providers involved in your care. We may also seek Protected Health Information about you from other health care providers and health information networks. For example, to fill your prescription, we may request your medical records from your doctor or disclose Protected Health Information to your doctor.
• For Payment. We may use or disclose your Protected Health Information to bill and collect payment for products or services we provide to you. For example, we may contact your insurance company, health plan, or another third party to obtain payment for your prescriptions. The information on or accompanying a bill may include identifying information as well as details about the prescriptions you are taking.
• For Health Care Operations. We may use and disclose your Protected Health Information for day-to-day health care operations. For example, we may use your Protected Health Information to monitor the performance of staff and pharmacists providing treatment and services, or to improve the quality and effectiveness of the health care services we provide.

We may also use and disclose your Protected Health Information without your written authorization as follows:

• Business Associates. We may contract with third parties to perform certain services for us, such as accounting, consulting, or information technology services. In some cases, these third-party providers, called Business Associates, may need access to your Protected Health Information to perform services for us. When these services are contracted, we may disclose PHI about you to our Business Associates so they can perform the requested work and bill you or your third-party payor for services rendered. They are required by law and contract to protect your Protected Health Information.
• Disclosures to Parents or Legal Guardians. We may release a minor’s Protected Health Information to parents or legal guardians consistent with applicable law.
• As Required by Law. We will disclose your Protected Health Information when required by applicable law.
• To Avert a Serious Threat to Health or Safety. We may use and disclose your Protected Health Information to prevent a serious threat to your health and safety or the health and safety of the public or another person.
• Organ and Tissue Donation. Consistent with applicable law, we may disclose your Protected Health Information to organizations involved in organ procurement, banking, or transplantation for the purpose of tissue donation and transplant.
• Military and Veterans. If you are a member or veteran of the armed forces, we may disclose Protected Health Information about you as required by military authorities. We may also release PHI about foreign military personnel to the appropriate military authority.
• National Security and Intelligence Activities. We may release PHI about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
• Victims of Abuse, Neglect, or Domestic Violence. We may disclose PHI about you to a government authority, such as a social service or protective services agency, if we reasonably believe you are a victim of abuse, neglect, or domestic violence, in accordance with applicable law.
• Research. We may use your Protected Health Information for research purposes or disclose it to researchers as authorized by applicable law.
• Workers’ Compensation. We may disclose Protected Health Information about you for workers’ compensation or similar programs that provide benefits for work-related injuries or illness.
• Public Health Activities. Applicable law may require or permit WellPack Pharmacy to disclose certain Protected Health Information for public health purposes, including disease prevention, reporting medication reactions, product recalls, proof of immunization, or reports of abuse or neglect.
• Health Oversight Activities. We may disclose Protected Health Information to a health oversight agency for activities authorized by law, including audits, investigations, inspections, and licensure.
• Judicial and Administrative Proceedings. If you are involved in a lawsuit or dispute, we may disclose Protected Health Information about you in response to a court or administrative order, subpoena, discovery request, or other lawful process, consistent with applicable law.
• Law Enforcement. We may disclose your Protected Health Information to law enforcement officials as required by law or in compliance with a court order.
• Coroners, Medical Examiners, and Funeral Directors. We may disclose Protected Health Information to a coroner, medical examiner, or funeral director as necessary.
• Correctional Institutions. If you are an inmate of a correctional institution, we may disclose Protected Health Information to the institution or its agents as necessary for your health and safety or the health and safety of others.
• Specialized Government Functions. We may disclose your Protected Health Information to government units with specialized functions, such as the U.S. Secret Service or U.S. Department of State, as authorized by law.
• Health-Related Communications. We may contact you to provide refill reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
• Food and Drug Administration (FDA). We may disclose PHI to the FDA, or persons under FDA jurisdiction, regarding adverse events, product defects, recalls, repairs, or replacement activities.

Choices You Have About Certain Uses and Disclosures of Your Protected Health Information

For certain Protected Health Information, you may tell us your preferences about what we share. If you have a clear preference for how we share your information in the situations described below, please contact WellPack Pharmacy.

• Sharing Protected Health Information with family, close friends, caregivers, or others involved in your care or payment for your care.
• Sharing Protected Health Information in a disaster relief situation.

Unless you object, we may disclose your Protected Health Information to a family member, close friend, or another person you identify, if that information is directly relevant to the person’s involvement in your care or payment for your care. If you are unavailable or unable to tell us your preference, we may use our professional judgment to determine whether sharing your information is in your best interest.

Uses and Disclosures That Require Your Written Authorization

Any uses and disclosures of Protected Health Information not described above will be made only with your written authorization, including the use or disclosure of psychotherapy notes, marketing uses, and the sale of Protected Health Information, except in limited circumstances permitted by law.

If you provide authorization to use or disclose your Protected Health Information, you may revoke that authorization in writing at any time by sending a revocation request to the address listed at the end of this Notice. If you revoke your authorization, we will no longer use or disclose Protected Health Information for the reasons covered by that authorization. However, we are unable to take back disclosures already made based on your authorization.

Your Rights Regarding Your Protected Health Information

You have the following rights regarding your Protected Health Information:

• Access. With limited exceptions, you have the right to inspect and obtain a copy of your Protected Health Information by submitting a written request to WellPack Pharmacy. We may charge a reasonable fee for copying, mailing, or supplies. We are required to respond no later than 30 days after receipt of your request.
• Amendment. If you believe Protected Health Information in your record is incorrect or incomplete, you may request an amendment by submitting a written request to WellPack Pharmacy. You must provide a reason for your request. We will respond within 60 days, with one 30-day extension if needed.
• Accounting of Disclosures. You have the right to request a list of certain disclosures of your Protected Health Information made in the six years prior to your request. To request an accounting, you must submit a request by Email or Call.
• Restricting or Limiting Disclosure. You have the right to request additional restrictions on our use or disclosure of your Protected Health Information by sending a written request to WellPack Pharmacy. We are not required to agree, except in certain circumstances required by law.
• Alternative Communications. You have the right to request that we communicate with you in a specific way or at a specific location. To request confidential communications, send us an email or give us a call based on your location.
• Paper Copy of This Notice. You have the right to receive a paper copy of this Notice of Privacy Practices at any time, even if you agreed to receive it electronically.
• Notification of a Breach. We are required by law to maintain the privacy and security of your Protected Health Information and to notify you if a breach occurs that may have compromised that information.

Changes to This Notice

We reserve the right to change this Notice, including changes that apply to Protected Health Information we already have and any information we receive in the future. We will post a copy of the revised Notice on our website, along with the date of any updates.

Feedback

We take your privacy seriously and welcome your questions and feedback. If you have questions or would like additional information about WellPack Pharmacy’s privacy practices, you may send us an email or give us a call based on your location. If you believe your privacy rights have been violated, you may contact WellPack Pharmacy. All feedback must be submitted in writing.

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Patient Rights and Responsibilities

Patient Rights

We believe that all customers receiving services from WellPack Pharmacy should be informed of their rights. Therefore, you are entitled to:

• Choose a health care provider.
• Be treated with respect, consideration, and recognition of your dignity and individuality.
• Receive appropriate service and care without discrimination.
• Voice grievances and complaints regarding treatment or care, lack of respect for property, or recommended changes in policy, staff, or services without restraint, interference, coercion, discrimination, or reprisal.
• Identify staff members involved in your care, know their job titles, and speak with a supervisor upon request.
• Participate in the development and periodic revision of your care while using WellPack Pharmacy Services.
• Be informed in advance of the care or services being provided, the related charges, payment expectations from third parties, and any charges for which you will be responsible.
• Give informed consent and decline participation, revoke consent, or disenroll from WellPack Pharmacy Services at any time.
• Receive administrative information regarding changes in or termination of WellPack Pharmacy Services.
• Have personal health information shared with WellPack Pharmacy only in accordance with state and federal law.

Patient Responsibilities

As a WellPack Pharmacy customer, you assume certain responsibilities in order to receive the highest quality of care. By signing up with us, you agree to:

• Notify your treating provider when WellPack Pharmacy is your primary pharmacy, if applicable.
• Submit any forms necessary to participate, to the extent required by law, and provide accurate clinical and contact information.
• Notify WellPack Pharmacy of changes, including recent hospitalization, insurance changes, address changes, telephone number changes, or changes to your primary care physician.
• Request that payment of authorized Medicare, Medicaid, or other private insurance benefits be paid directly to WellPack Pharmacy for services furnished.
• Accept financial responsibility for products furnished by WellPack Pharmacy.
• Understand that WellPack Pharmacy reserves the right to refuse service or delivery to any customer at any time.
• Agree that any legal fees resulting from a disagreement between the parties will be borne by the unsuccessful party in any legal action taken.
• Agree that if you are unable to make medical or other decisions, your family may be consulted for direction.

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Nondiscrimination Notice

WellPack Pharmacy is committed to equal opportunity and nondiscrimination. We prohibit discrimination based on race, religion, creed, color, national origin, citizenship, marital status, sex, age, sexual orientation, gender identity, veteran status, political ideology, ancestry, physical disability, sensory disability, mental disability, or any other legally protected status.

WellPack Pharmacy:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as written information in other formats, including large print, audio, accessible electronic formats, and other formats.
• Provides free language services to people whose primary language is not English, including information written in other languages.

If you need these services, please contact WellPack Pharmacy.

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Medication Synchronization Patient Agreement

WellPack Pharmacy is pleased to welcome you to our Medication Synchronization Program. This program is designed to refill your medications on the same day each month whenever possible.

WellPack Pharmacy WellSync Program

What Is the WellSync Program?

• WellSync is a medication management strategy that aligns refill dates for two or more prescriptions.
• When a patient receives multiple prescriptions, refill dates often fall on different days, which can require several trips to the pharmacy each month and may contribute to medication nonadherence.
• WellSync is an easy and convenient way to synchronize your medications on a specific day each month at no additional cost.

Benefits of Medication Synchronization

• Improved medical outcomes
• Improved convenience and safety
• Reduced risk of hospitalization and lower medical costs
• Reduced gaps between refills
• Improved medication adherence

Statistics show that:

• 1 in 2 patients miss a dose
• 1 in 3 forget whether they took their medication
• 1 in 4 do not get a refill on time
• 1 in 4 do not start a new prescription at all

Disclaimer: WellSync is not an auto-fill program. Under no circumstances will WellPack Pharmacy or any of its employees fill a prescription without the patient’s consent.

WellSync is a carefully managed program created by WellPack Pharmacy in compliance with all applicable state and federal regulations to synchronize prescriptions on a specific day, or as closely as possible, to reduce trips, improve convenience, and support better health outcomes.

Frequently Asked Questions

WellSync Eligibility

Are all prescriptions eligible for the WellSync Program?

No. Not all medications are eligible. Many common maintenance medications used for long-term therapy, such as medications for high blood pressure, cholesterol, chronic conditions, or birth control, may be eligible.

Inhalers, insulin products, topical medications, eye drops, controlled substances, and specialty drugs are generally not eligible.

All prescriptions filled under the WellSync Program are dispensed only with patient consent and are reviewed periodically in accordance with guidelines and patient needs.

What are the guidelines for excluding drugs from the WellSync Program?

• Medications not intended for chronic or long-term use, such as antibiotics or other anti-infectives
• Drugs requiring frequent dose changes, such as chemotherapy or anticoagulants
• Controlled substances
• Medications with legal restrictions or supply limits
• High-cost inhalers and insulins, to reduce unnecessary dispensing
• As-needed medications
• Injectable drugs with related administration supplies
• Specialty medications

WellSync Refills

What if I have medications on hand and am not ready for a refill?

You may still enroll in WellSync. Ask your doctor to send the next prescription electronically to WellPack Pharmacy. If we receive a prescription too early to fill, we will place it on hold and dispense it when it becomes eligible. A team member will contact you before processing the prescription.

How does WellPack Pharmacy refill prescriptions under the WellSync Program?

A WellPack team member will contact you using your preferred method of communication to confirm your refills. During that communication, you may inform us of any changes, including medications that have been discontinued, changed, or delayed because you still have enough on hand. You may also update payment information, your address, or your phone number.

If you wish to cancel or withdraw from the WellSync Program, you may inform the WellPack team member, and your request will be handled promptly.

If WellPack Pharmacy is unable to reach you, we may leave a detailed voicemail or text message stating the reason for our outreach so you can respond promptly. We will make reasonable efforts to contact you, but we ask that you respond to avoid delays.

Under no circumstances will WellPack Pharmacy fill prescriptions without your informed consent and approval, because WellSync is not an auto-fill program.

How do you refill medications excluded from the WellSync Program?

It is your responsibility to contact the pharmacy promptly to arrange refills for medications excluded from the WellSync Program. Upon request, a WellPack team member may also send a courtesy reminder when those medications become due.

How early can I renew my prescription?

You do not have to wait for an alert. You may proactively contact WellPack Pharmacy and ask a team member to process your prescription renewal.

Can WellPack Pharmacy auto-fill prescriptions under the WellSync Program?

No. WellPack Pharmacy does not auto-fill prescriptions. Under the WellSync Program, prescriptions are synchronized to help reduce trips and align refill dates.

How do you handle refills?

Renewal requests for prescriptions enrolled in WellSync will be sent to your provider after your refills run out. If the medication is not renewed by your doctor before the scheduled fill date, we will inform you proactively so you may contact your doctor.

If I fill a new medication, is it automatically added to WellSync?

No. A staff member will contact you when dispensing a new prescription and ask whether you want the medication included in the WellSync Program. WellPack Pharmacy does not fill prescriptions automatically.

Can I remove some or all medications from the WellSync Program?

Yes. If you no longer want one or more prescriptions included in WellSync, you may call the pharmacy and a team member will assist you.

Can I request a specific manufacturer for my medication from WellPack Pharmacy?

Yes. Please ask your prescriber to include your preferred manufacturer’s name directly on the prescription.

Syncing Medications

How does the pharmacist synchronize medication?

The pharmacist synchronizes medications by selecting one anchor medication around which other medications are aligned, including partial fills where appropriate.

Referrals

How do I refer friends and family to the program?

WellPack Pharmacy maintains a strict policy on referrals. All referrals are accepted only if they meet WellPack Pharmacy’s transfer criteria and are not associated with any incentive. Prescription transfers must be based solely on the services WellPack Pharmacy provides, and no reward or incentive should be expected in return.

Withdrawing from WellSync

How do I withdraw from the WellSync Program?

The patient or the patient’s authorized agent may, at any time, withdraw a specific prescription medication or disenroll entirely from the WellSync Program by calling the pharmacy.

Can I still use WellPack Pharmacy if I cancel the WellSync Program?

Yes. WellPack Pharmacy is a full-service pharmacy, and you may continue to use our services even if you are no longer enrolled in WellSync.

If I cancel, can I re-enroll later?

Yes. You may enroll in the WellSync Program again at any time.

Patient Responsibilities

What are my or my caregiver’s responsibilities?

• Inform the pharmacy staff of any changes to your care plan.
• Inform the pharmacy of changes to your address, phone number, or other demographic information.
• Inform the pharmacy of changes to your payment information.
• Stay up to date with prescriber appointments for refills.
• Inform the pharmacy if any medication is discontinued, the dosage changes, a new therapy is added, or you have an overstock of medication.
• If there are no more refills on a prescription, contact your prescriber to obtain additional refills for medications enrolled in the WellSync Program to avoid gaps in therapy.

I have read and understand the information provided and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I believe the WellSync Program may help me manage my health and prescriptions more effectively, and I willingly consent to the conditions of the WellSync Program. I understand that I may request a copy of the terms and conditions of the WellSync Program and WellPack Pharmacy.

WellPack Pharmacy Contact Information

All correspondence related to this Notice of Privacy Practices should be submitted to: