HIPAA Marketing Authorization

Purpose

This Authorization is essential for you to receive rewards for pharmacy services, such as vaccinations or prescription refills. It allows us to inform you about rewards programs and other benefits we offer. Without your Authorization, we may not be able to provide these rewards or benefits.

What This Authorization Means

By giving us this HIPAA Marketing Authorization, you permit us to use your protected health information (PHI)—including your phone number and email—to send you personalized offers. This includes rewards, deals, and discounts, which are considered marketing under the law, so we need your consent to provide these benefits.

What You Are Authorizing

I authorize my Albertsons pharmacy to use and disclose my information, including my name, age, demographic details, phone number, email address, and all prescription and immunization data, to:

  • Offer information, services, and products related to health and wellness.
  • Send health-related messages about treatment options or other health-related products or services, including invitations to participate in adherence programs, educational information about prescriptions, availability of additional vaccines (e.g., shingles, pneumococcal conjugate, seasonal influenza, routine childhood vaccinations), disease screening services, and programs to manage health conditions (e.g., asthma, diabetes, heart disease).
  • Communicate with me about its products or services and evaluate the effectiveness of any communication program.

Additional Information

  • Communications under this Authorization may be made via the mobile app, text message, email, social media, and/or direct mail.
  • Albertsons pharmacy may receive compensation for sharing offers and helpful communications with you or disclosing such information.
  • Any information disclosed under this Authorization may be subject to re-disclosure by the recipient and may no longer be protected by HIPAA.
  • Granting Authorization is voluntary. Your treatment or eligibility for health benefits will not be affected by your decision, and you will still be able to receive Albertsons pharmacy services.

Duration and Revocation

This Authorization is valid until revoked or three (3) years from the date signed, or as required by state law, whichever occurs first. You may revoke this Authorization at any time by:

  • Toggling off “Deals & Discounts” within your account settings.
  • Emailing PrivacyOffice@albertsons.com (include your name, mobile phone number, and pharmacy name).
  • Calling (877) 251-6559.
  • Mailing a written request to: Albertsons Companies HIPAA Privacy Office, 250 E. Parkcenter Blvd., Boise, Idaho 83706 (include your name, mobile phone number, and pharmacy name).

Revoking this Authorization will not affect any uses or disclosures made by Albertsons Pharmacy before the revocation. You can obtain a copy of this HIPAA Authorization on your “Privacy Center” page in your Sincerely Health account.