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Prior Authorization Form Download:
For Members and Prescribers

To initiate a PA, download the PDF and complete the information requested. If you are the member completing the form, you will need your prescriber to provide a signature before submitting the application

Contact Us

General

info@intercept.health

Phone

(888) 960-0668

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Medifit Program

We understand that maintaining a healthy lifestyle can be challenging. That’s why we’re thrilled to announce MediFit.

Technology has evolved and you no longer have to suffer years to achieve your health goals. With MediFit, lose weight and finally kickstart your health journey!

This program works

Phone

(888) 960-0668

Fax

(334) 422-6381

General

info@intercept.health

Sales

sales@intercept.health

Information

Hours of Operation
Monday to Friday
(9am–5pm CST)

Address
112 S. Pine St. Ste. 105
Florence, AL 35630

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