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eConsent

With personalized support, we can help you get started on your Intercept treatment

Once you and your healthcare provider decide that Intercept treatment is right for you,
your Care Coordinator will be here to help.

  • Enroll in Interconnect

    Your doctor will fill out an enrollment packet that includes HIPAA, patient consent, and program services opt-in forms. To begin your Intercept treatment fulfillment process, you must sign these forms.

  • Sign your forms

    You can sign the enrollment forms in person at your doctor’s office, or you can sign the eConsent form electronically.

Frequently asked questions

How do I enroll in Interconnect?
If your healthcare provider determines that treatment support with Interconnect makes sense for you, they will complete an enrollment packet that includes your prescription. Once you have provided your signature, you will be enrolled in Interconnect. If your packet is completed but still needs your signature, click here to sign an eConsent.

You may also enroll in Interconnect on your own by calling 1-844-622-4278. A Care Coordinator will be in touch to guide you through the process of getting started with treatment.
When will I know who my Care Coordinator will be?
Once you are enrolled, your Care Coordinator will reach out to you to explain how Interconnect can help. Care Coordinators are generally assigned by the region in which you live.
I would like to speak with a Care Coordinator who speaks Spanish. Is that possible?
Yes! We have bilingual team members to help provide the support that you need. For all other languages, Interconnect has a language translation line for live support.
How often will I hear from my Care Coordinator?
Once you are enrolled, your Care Coordinator will call you to discuss the details of your prescription and answer initial questions you may have. They may check in with you thereafter if necessary. You can also feel free to call your Care Coordinator between the hours of 8 AM–8 PM ET.
What is a specialty pharmacy?
A specialty pharmacy is different from your local pharmacy. A specialty pharmacy coordinates the delivery of specialized medicines such as your Intercept treatment. Your medicine can be shipped to your home. Sometimes it can be shipped to your local pharmacy or place of employment, if requested.
Which specialty pharmacies provide Intercept treatments?
Intercept treatment is available at the following specialty pharmacies:
  • AcariaHealth™
  • Accredo Health Group, Inc.
  • AllianceRx Walgreens Pharmacy
  • CVS Specialty®
  • CenterWell Specialty Pharmacy
  • Optum® Specialty Pharmacy
Intercept treatment is not available through other specialty pharmacies.
When should I order refills of my Intercept treatment?
Getting your refills on time matters. It can help you stay on track with your treatment, which is important for managing your condition. Ordering refills about a week before you run out of your Intercept treatment can help ensure you have your new supply when you need it. Your Care Coordinator can help connect you to your specialty pharmacy to schedule deliveries and resolve any issues with your refills.
How will my Care Coordinator work with my healthcare provider’s office?
Your healthcare provider’s office will have access to your Care Coordinator who will keep in touch with both of you throughout the process. Your Care Coordinator will communicate with office staff about prior authorizations and coverage for your prescriptions, specialty pharmacy deliveries, refills, and more.
Can I call Interconnect if I have questions about my Intercept treatment?
For questions about your treatment, we always recommend speaking with your healthcare provider. To report negative side effects of Intercept treatment, please contact Intercept Pharmaceuticals, Inc., at 1-844-782-ICPT or you may report to FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. For questions regarding accessing your product, or if you are unsure where to go for your question, please contact Interconnect to help navigate to the right location.
Why do I need to sign and eConsent?
Providing an eConsent is a way to electronically complete a Patient Authorization form which allows you to receive support services from Interconnect. Your signature also gives your Care Coordinator permission to talk to you about your condition and your Intercept treatment.
Is everything I discuss with my Care Coordinator confidential?
Confidentiality is very important to Intercept. We will only share your information as described in the HIPAA Authorization you sign as part of the enrollment process for Interconnect. When you work with your healthcare provider to complete your Interconnect Enrollment form, there is a section called HIPAA Authorization on page 4 that explains the types of information that may be shared between your healthcare provider(s), health insurance provider(s), and Intercept Pharmaceuticals, Inc. You’ll need to review this section and provide your signature if you agree.

What people are saying

With all the medications I have, it’s hard to keep up. They called to remind me about a refill and I was surprised and grateful. I would have missed the refill without their call.a — Gary, a patient supported by Interconnect
My insurance covers part of the cost and I have a copay assistance program to cover the rest.a — Sandra, a patient supported by Interconnect
I love reading the pamphlets and brochures.a — Helen, a patient supported by Interconnect

aThe views expressed in these quotes are from individuals and may not reflect the opinions or experiences of all patients who work with Interconnect Support Services.

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