Stop Paying for Essentials Your Plan May Already Cover

Check If Your Medi-Cal Covers Monthly Wellness Supplies

Order today. We’ll ship directly from our licensed California pharmacy.

Let’s Get Your Wellness Kit – It’s Quick & Secure

(Takes about 2 minutes to complete)

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Last Name

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Where Should We Send Your Kit?

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Medicaid ID Number (Optional):

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Final Step: Finalize Your Wellness Kit Selection (4/4)

Wellness Kit Offer - NO COST:

We offer our Health Box, which contains up to 7 OTC products completely covered by Medi-Cal. These products are: (4) OTC COVID Tests, Acetaminophen, Bacitracin, Vitamin D / Calcium, Chest Congestion Reliever, Vitamin C, Magnesium Supplement

(You will NEVER pay out of pocket for this service).

Yes, send me a No-Cost Health Box

Before taking any medications or over-the-counter drugs, consult a physician for a thorough evaluation. Always seek the advice of a physician or other qualified healthcare provider with any questions regarding a medical condition. Do not take medication if you have a known allergy to it.

Text me order updates & reminders. Msg & data rates may apply. Frequency varies. Reply HELP for help, STOP to cancel. Consent isn’t required for care.

Text me occasional wellness tips & offers. Msg & data rates may apply. Up to 4 msgs/mo. Reply HELP for help, STOP to cancel. Consent isn’t required for care.

I agree to Terms and Conditions. By signing this form, I am authorizing Stay Well US's Preferred Pharmacy to fill and ship my prescriptions.

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By signing this form, I authorize Stay Well US and its Preferred Pharmacy to use my information to fill and ship my prescriptions. I understand that my information will be protected under HIPAA and used only for the purposes stated above.

Your privacy is important to us. Under California law, you have the right to access, delete, or control your personal data. By submitting this form, you acknowledge that you have read and agree to our Privacy Policy. The information you provide is protected under HIPAA. By submitting this form, you authorize Stay Well US to use and disclose your Protected Health Information (PHI) solely for the purpose of processing your reorder and coordinating with our preferred pharmacy.