Protect Your Family. Protect your Community

Attention Utah Residents:

Order Your No-Cost Health Kits!

Protect Your Health with

At-Home Testing Kits

Eligible Utah residents can receive up to 4 COVID tests per month at no cost +

Wellness Box with necessities.

You must be a Utah resident with Utah Medicaid to qualify.
Fill out this form to order!

*You can cancel any time

A Few Quick Questions to Get Started:

(1/4)

Where Should We Send Your Wellness Box?

(2/5)

Utah*

Qualification for NO-COST COVID tests is dependent on which symptoms you're experiencing.

(3/5)

Helping You Get the Right Care:

Last Step! Lets Get Your Additional Wellness Kit!

Additional Offer - NO COST:

We also offer our Health Box, which contains 7 OTC products completely covered by Utah Medicaid. These products are: (4) OTC COVID Tests, Acetaminophen, Bacitracin, Vitamin D / Calcium, Chest Congestion Reliever, Ibuprofen, Magnesium Supplement (You will NEVER pay out of pocket for this service).

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.

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.

Privacy and Terms:

By submitting this form, you agree to our [Privacy Policy] and [Terms and Conditions].

FOLLOW THESE 3 SIMPLE TEST

Step 1. COMPLETE THE

ONLINE FORM

Provide your information.

Step 2.

VERIFICATION

We will confirm your form to ensure eligibility.

Step 3.

RECEIVE YOUR

TESTS

Once verified, you'll receive up to 4 tests per month, shipped directly to your address.

utah family healthy

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