A detailed policy that outlines our delivery service area for both pharmacy and HME can be review online. This file also contains charge notices.
Effective 10/01/2015, Updated for 04/25/2017
Effective 4/22/2013, Hartzell's Pharmacy updated our charges for copies of medical records. These charges are being implemented to simplify our fee schedule. These fees will be assessed on all patients wishing a copy of any of their health/medical records greater than 1 page. Please note that the fee schedule below is for patients, other parties needing records should contact our billing office for a fee schedule.
Record Fee = $10 + ($0.25*pages) + Shipping
Original documents: Please note that Hartzell’s Pharmacy, Inc will not release the original form of any document (prescription, etc) that has been filed in our medical records system.
Please note these fees apply to all health/medical records. Medical expense and billing forms are not considered health/medical records, hence there is no charge for producing these documents. All requested documents must meet our access to records policy in order to be released:
In all instances, if the records are being picked up and we are not familiar with the individual picking up the records a photo ID must be checked to verify the individuals identity.
DMEPOS suppliers have the option to disclose the following statement in order to satisfy the requirement outlined in Supplier Standard 16 in lieu of providing a copy of the standards to the beneficiary. The products and/or services provided to you by Hartzell's Pharmacy, Inc are subject to the supplier standards contained in the Federal regulations shown at 42 Code of Federal Regulations Section 424.57©. These standards concern business professional and operational matters (e.g., honoring warranties and hours of operation). The full text of these standards can be obtained from the U.S. Government Printing Office website. Upon request we will furnish you a written copy of the standards.