Real-Time Prescription Benefit
Electronic Prior Authorization
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Electronic Prior Authorization
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Real-Time Prescription Benefit
Electronic Prior Authorization
About
Our Story
Our EHR Integration
Our Team
Careers
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Data Subject Request
Name Of Requester
RELATIONSHIP WITH THE COMPANY
Current Employee
Prior Employee
Job Applicant
Customer
Prospective Customer
AMERISOURCEBERGEN BUSINESS UNIT TO WHICH THIS REQUEST RELATES
Start Date of Employment
End Date of Employment
Date of Application
Employee Number
Nature of Request
Access
Rectification
Restrict Processing
Object to Processing
Object to Direct Marketing
Erasure
Portability
Other
Email
Telephone
Comments
By the submission of this request and the requested information, I hereby
CONFIRM THAT I AM THE PERSON WHOSE NAME AND IDENTITY ARE REFERENCED ABOVE; AND,
CONSENT TO THE PROCESSING OF SUCH PERSONAL DATA FOR THE PURPOSE OF FULFILLING THE REQUEST UNDER GDPR WHICH IS REFERENCED ABOVE.
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