NOw Available for california Medi-Cal Particpants

No-Cost Nicotine Replacement Therapy (NRT) Kit

Fully covered by Medi-Cal at no out-of-pocket cost.

Let’s get you set up for your Nicotine Replacement Kit – It’s Quick & Secure

Takes Just A Few Minutes To Complete

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Please enter in MM-DD-YYYY format

Where Should We Send Your Quit Kit?

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Country

Tobacco Use History
(This helps our pharmacist choose the right support for you)
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Please select all that apply

Helping You Get the Right Care
(Safety questions required before nicotine replacement therapy)
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Last Step! Authorization:
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Warning: 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.

SMS Consent Options (required by A2P 10DLC):

This questionnaire is available in multiple languages upon request.
¿Necesita el formulario en español? Pídaselo al farmacéutico.
هل تحتاج النموذج باللغة العربية؟ اطلبه من الصيدلي.

If you have Medi-Cal, you may qualify for a wellness kit that includes everyday health essentials.

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Complete your quick check

Provide your Medi-Cal details in our secure form.

Eligibility Check Icon

Our team reviews your request

We securely verify your coverage.

No Cost Delivery Icon

Your kit is processed and shipped

If eligible, your kit ships to your home at no cost

Our No-Cost Nicotine Replacement Therapy (NRT) Kit includes:

  • Nicotine Gum and Patches – to help reduce cravings associated with quitting smoking, vaping, or using smokeless tobacco.

  • Vitamin C and Vitamin D Supplements – to support your body during the withdrawal process.​

  • Magnesium Supplement – to promote better sleep while quitting.

  • Tylenol (Acetaminophen) – to relieve headaches and body aches.​

  • COVID-19 Test Kit – included for added health support.

Refill available once per month — 100% covered by Medi-Cal

STILL NOT SURE?

Frequently Asked Questions

We know you may have questions, and we’re here to help! Below are some of the most common questions about our program, how eligibility works, and what you can expect. If you need further assistance, feel free to reach out to our support team.

Who is eligible for this program?

Eligibility is based on residency and health coverage status. To determine if you qualify, simply complete our secure eligibility request form. It only takes a minute!

Does this program cost anything?

There is no out-of-pocket cost for eligible participants. Our stop smoking kits are available to qualified individuals through approved health program.

What’s included in the No-Cost Nicotine Replacement Therapy (NRT) Kit?

🟩 Nicotine Gum and Patches – helps reduce cravings💊 Vitamin C + Vitamin D – supports your body during withdrawal🌙 Magnesium Supplement – promotes better sleep while quitting💊 Tylenol (Acetaminophen) – relieves headaches and body aches🧪 COVID-19 Test Kit – included for added health support🌀 Refill available once per month — 100% covered by Medi-Cal

How do I check my eligibility?

Checking your eligibility is simple! Click the button below to complete our quick and secure HIPAA-compliant request form. Our team will review your information and notify you of the next steps.

How long does it take to receive my Stop Smoking Kit?

Once your eligibility is confirmed, we will process your request as quickly as possible. Delivery times may vary based on processing and shipping availability.

How is my information protected?

Your privacy is our priority. We use a HIPAA-compliant system to securely process your information, ensuring that it is encrypted and handled with the highest standards of privacy and security. Your details will never be shared without your consent.

Your information is confidential and protected under HIPAA regulations. This program does not provide medical advice, diagnosis, or treatment. Always consult a healthcare professional for any health-related questions.

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