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Data Protection Request

This form is intended to submit a consumer rights request under the California Consumer Privacy Act law. 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 at 1-800-721-5072 (toll free U.S. only)

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.

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Who is the request for?
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Representative Details

Please describe your consumer rights request, including as much specific information about your request as possible. Please provide us any details about your relationship with BMS, that may help us identify or verify you in our systems such as time period(s), identification numbers or enrollment details, etc.

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