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eConsent

Your care. Our commitment.

At Interconnect, we provide the very best in personalized treatment support.

Interconnect provides comprehensive support to help you manage your Intercept treatment. From coverage assistance to personalized support and education, we’re here to help.

Help complete your enrollment online with eConsent

If you have been directed to this site by your doctor, it may mean your signature is needed to complete your Interconnect® enrollment. Click the button below to electronically sign your Patient Authorization form.

Sign your eConsent

  • Coverage assistance

    We’ll help you understand your current benefits and explore other coverage assistance options, including a program that can help you get your Intercept treatment for as little as a $0 co-pay.a

  • Getting started

    Once you and your healthcare provider decide that your Intercept treatment is right for you, a Care Coordinator will be in touch to guide you through the process of getting started with treatment.

  • Treatment support and education

    A Care Coordinator will be here to help you get the resources you need—both at the outset and on an ongoing basis.

aOffer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. For program terms, conditions, and eligibility criteria, click here.

We’re here to help

Interconnect will help throughout the entire process, so you know what to expect along the way.

What to Expect

  1. Meet your Care Coordinator

    Once you’re enrolled in Interconnect and have signed your electronic consent form, your dedicated Care Coordinator will reach out to explain how Interconnect can help.

  2. Explore coverage assistance

    Your Care Coordinator will help you understand your insurance benefits and coverage assistance options.

  3. Understand prescription delivery

    Your Care Coordinator will work with the appropriate specialty pharmacy to process and ship your Intercept treatment right to your home. The specialty pharmacy will contact you to confirm delivery details, and you will typically receive your initial prescription of your Intercept treatment within 3 to 4 weeks.

  4. Coordinate refills

    Your Care Coordinator will help you understand how to refill your Intercept treatment and explain how your specialty pharmacy will communicate with you.

Ongoing Support

As you continue treatment, Interconnect can continue to help with:

  • Any changes in your health insurance or coverage
  • Educational materials that you need to support your treatment journey
  • Answering questions that come up along the way

You are now leaving Interconnect

Any information you provide after you leave this site and enter another site will be subject to the other website’s privacy policy and terms and conditions. Interconnect is not responsible for the use, security, or disclosure of any information you may provide to another site.

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The information on this site is intended for healthcare professionals in the United States, its territories, and Puerto Rico, and is not intended for the general public.