Americas

Argentina

Spanish

Brazil

Portuguese

Canada

Chile

Spanish

Colombia

Spanish

Mexico

Spanish

Peru

Spanish

United States

English

Asia Pacific

Europe

Austria

German

Belgium

Czech Republic

Czech

Denmark

Danish

Finland

Finnish

France

French

Germany

German

Greece

Greek

Hungary

Hungarian

Ireland

English

Italy

Italian

Luxembourg

English

Netherlands

Norway

Norwegian

Poland

Polish

Portugal

Portuguese

Romania

Romanian

Spain

Spanish

Sweden

Swedish

Switzerland

United Kingdom

English

Middle East

Israel

Hebrew

Saudi Arabia

Turkey

Turkish

United Arab Emirates

Other

Other Markets

Distributor Markets
Our Medicines

Data protection request

Please provide the information requested below to the best of your ability. We may use this information for identification and verification of your records in our systems (depending on the nature of your request). For this reason, it is recommended that you provide the contact information that we are most likely to have on file to help us confirm your identity and fulfill your request.

This form is intended for submitting a Consumer/Data Subject Rights request under the Data Protection regulations applicable to the countries available in this form. It is not intended for the reporting of side effects or product complaints associated with the use of prescription drugs. If you, or someone you know, have possibly experienced a side effect or have a product complaint while taking a Bristol Myers Squibb product, please contact us using the numbers provided at http://www.globalbmsmedinfo.com/

*Required Fields

Please fill out required fields

Unable to submit the form, please retry. Sorry for the inconvenience.

Who is the request for?
Please fill out required fields
Please fill out required fields
Please fill out required fieldsEnter valid First Name
Please fill out required fieldsEnter valid Last Name
Please fill out required fields
Please fill out required fields Enter valid Identification number
Please fill out required fields Enter valid mailing address
Please fill out required fieldsEnter valid mailing address
Please fill out required fieldsEnter valid mailing address
Please fill out required fields
Please fill out required fields
*Please provide at least one of the method of communication below
Please fill out required fields Please fill out required fields
OR
Please enter a valid phone number Please fill out required fields
Representative Details
Please fill out required fieldsEnter correct Full Name
Please fill out required fieldsPlease enter valid email
Please fill out required fields Enter valid mailing address
Please fill out required fields Enter valid mailing address
Please fill out required fields Enter valid mailing address
Please fill out required fieldsPlease enter a valid phone number

If you are unable to provide the information in the Required fields above, you will be unable to submit your request through this form. Kindly refer to the Privacy Policy to identify alternate channels to submit a Data Protection/Privacy request

If you have any other requests or need further assistance, please feel free to reach out to us through our contact us page.

AltStyle によって変換されたページ (->オリジナル) /