Cove Review: Will This Migraine Treatment Really Help?

By Alicia Doyle
HighYa Staff
Published on: Jan 30, 2019

A migraine is described as a headache of varying intensity that typically lasts 4 to 72 hours, and different migraine sufferers are challenged with a wide range of symptoms that can make day-to-day living painful at best.

According to the Mayo Clinic, a migraine can cause severe throbbing pain or a pulsing sensation, usually on just one side of the head, and it's typically accompanied by nausea, vomiting, and extreme sensitivity to light and sound. And for some sufferers, migraine attacks can cause significant pain for hours to days – and can sometimes be so severe that the pain is debilitating.

Enter Cove, a company that’s “on a mission to make migraines less of a headache.” This article takes a look at Cove, which involves migraine experts that provide personalized treatment and ongoing care to help migraine sufferers take control.

It’s important to keep in mind that this information is not intended as medical advice. Before you decide to give Cove a try, talk to your medical professional, first.

What Is Cove?

Launched in December of 2018, Cove offers affordable FDA-approved migraine treatments – both acute pain relief and preventative – as well as ongoing support and education to help migraine sufferers get the personalized care that they need, according to Steven Gutentag, co-founder and CEO.

“Cove empowers migraine sufferers by providing them direct access to high-quality, affordable migraine care, personalized to each person and their specific needs,” he said. “That includes migraine expertise from leading doctors in the field, ongoing support and on-demand care, centralized migraine management, customer education, and affordability.”

Safety and Effectiveness of Cove

If you’re wondering if Cove is safe, Gutentag said “we hold ourselves to the highest standards.”

“We only offer FDA-approved treatments, and they’re always prescribed by our knowledgeable physicians who thoroughly review your consultation to ensure you’re getting the right plan for your needs,” he noted.

As far as overall effectiveness is concerned, “we have worked closely with headache experts and healthcare lawyers to create an experience that is safe, legal, and seamless for our users,” Gutentag said.

How Does Cove Work?

You begin by submitting a full online diagnostic consultation.

This rigorous consult is designed to evaluate the types of things a headache specialist would ask and look for during an in-person consultation, including migraine history and treatment history, medical history, lifestyle, and even a neurological baseline test, Gutentag explained.

“You are then paired with a licensed physician who, within 24 hours, will review your consultation and make a personalized diagnosis and treatment plan recommendation with specific FDA-approved medications – acute and/or preventative treatments,” he said. “We then ask you to review their treatment plan recommendation and work with your doctor to make any adjustments if necessary.”

From there, treatments are shipped out monthly, so you’re never without the medications you need.

“We also encourage you to have an active online dialogue with your doctor and to take advantage of our migraine tracking tool, which allows you to report migraine incidents, triggers, and treatments in real-time,” Gutentag advised. “This information is sent directly to your doctor and added to your record, allowing you to follow up with check-ins or to adjust treatment plans if necessary.”


Depending on a customer’s personalized treatment plan, Cove offers both immediate pain relief (acute) and preventative medications, which can be prescribed individually or together. The following information, provided by Cove, explains what these medications are and how they work:

Acute medications will include:

  • Naproxen (NSAIDs): NSAIDs are commonly-used pain relievers that help ease migraines as soon as they start. These anti-inflammatory drugs relieve pain and support healthy blood flow.

  • Sumatriptan or Rizatriptan (Triptans): Triptans increase serotonin levels in your brain, reduce inflammation, and constrict blood vessels to provide immediate relief during a migraine attack.

  • Metoclopramide (Anti-nausea): Anti-nausea drugs reduce nausea and vomiting that can accompany severe migraines. They are usually taken along with a pain reliever, as they do not reduce migraine pain on their own.

Preventative medications will include:

  • Propranolol + Metoprolol (Beta Blockers): Beta blockers decrease the effects of stress hormones on your heart and blood vessels, helping reduce both frequency and intensity of migraines. While typically prescribed for high blood pressure, research shows they’re also effective for migraines.

  • Amitriptyline (Antidepressant): During a migraine, serotonin levels plummet. Antidepressants help prevent migraines from happening as frequently by maintaining a healthy serotonin level.

  • Topiramate (Anticonvulsant): Anticonvulsants help alleviate migraine symptoms by calming overactive nerves in your brain. While typically used to prevent seizures caused by epilepsy and other conditions, they’ve also been proven effective for treating migraines.

Ideal Candidates for Cove

Cove is for men and women over the age of 18 who experience migraines.

“Migraines are a serious and highly personalized chronic health condition,” Gutentag emphasized. “That’s why Cove pairs each person directly with a licensed doctor who reviews their information in order to identify and prescribe the best treatment plan for their specific needs.”

He further noted that not all head pain is a migraine and that's why it’s important to discuss your symptoms with a licensed doctor to make sure you're getting the right diagnosis.

“If there are any concerns, they'll recommend next steps,” Gutentag said. “And, while they’re generally well tolerated, the acute and preventative drugs we prescribe and sell do have occasional side effects. Feeling off? Concerned? We always recommend you speak to your doctor immediately.”

How Does Cove Compare to the Competition?

Migraines impact 1 in 7 people worldwide, making it the third most common disease globally.

“Despite this, it’s still surprisingly difficult for migraine sufferers to get the personalized treatment and support they deserve,” Gutentag said. “In fact, less than 50% of migraine sufferers ever see a clinician for help.”

Cove stands apart as the first end-to-end platform focused on bringing all components of healthcare together to give both migraine sufferers and doctors a holistic view of and control over migraine care, he emphasized.

“In combining diagnosis, treatment, and ongoing access to care in a single place, Cove is able to expand access to high-quality care, reduce the costs of that care, and create a stronger feedback loop between patients and their doctors to help them find the right treatment for them,” Gutentag said.

The Cost of Cove and Where to Buy

Pricing ranges from $25 to $65 per month – depending on the treatment plan and the medications in it – with most customers likely falling in the $25 to $45 range.

Customers can go through a consultation and purchase a prescription through Cove’s website.

All purchases of Cove treatments are final. According to the company, this is because their products are medications, so once they are packaged for a customer, their pharmacy legally cannot use the products for another patient.

“Our pharmacy's regulations prohibit the return of prescription medications for reimbursement,” according to the company. “This means that we are unable to accept returns of treatment for refunds, even if it is unused.”

Regarding exchanges, Cove will replace items if they are damaged or defective.

As far as using insurance to pay for Cove is concerned, “we are an entirely self-pay service and insurance is not accepted for the medical consultations or the products,” the company states on its website. “Our prices are typically much less than the cost of what you’d pay at your local pharmacy, and Cove provides both medical and customer care services. We recommend that you ask your benefits provider if you have any additional questions.”

Cove’s Educational Resources

Those who log into the Cove website will also find a wealth of educational information under the “Learn” tab, which can help customers along the way.

Topics addressed include everything you need to know about triptans, NSAIDs, anticonvulsants, beta blockers and antidepressants for migraine treatment, as well as migraine symptoms, the different types of migraines, and the difference between a migraine and other headaches. There’s also a section about what to do when your migraine treatment’s not working.

Exciting Innovation in Healthcare

According to Dr. Emil Avanes of Adventist Health Glendale, Cove seems to be one of the new medical phenomenon that he’s seeing everywhere: “targeted evaluation and management solutions to common medical problems.”

While Dr. Avanes is not associated with Cove, he looked into it for the purpose of providing his expertise for this article.

“I'm not sure what the treatments rendered by Cove are, but my guess is that patients can use their app to indicate they have symptoms, and then receive immediate relief via reminder on control protocols – plus strong migraine medications to pharmacy,” Dr. Avanes said.

He noted at his practice, Harmony Health MD, “we treat migraines with IV Infusions within minutes of arrival.”

This helps his patients avoid urgent cares and emergency departments, where they have to wait longer and may burden the healthcare system with something that can easily be treated in the outpatient setting.

“We further educate patients about the importance of avoiding triggers,” Dr. Avanes said.

“Finally, we get everyone started on preventive measures, which include certain vitamin combinations,” he said. “Perhaps Cove has implemented some variant to these treatments? I'm not sure where the interest for this particular outlet draws from, but it's likely related to all the exciting innovation that’s happening across healthcare in general these days.”

Final Thoughts

Cove seems like a valid option when it comes to helping people with migraines – especially because of the app, which enables users to track their progress, as well as direct access to doctors through the secure online patient portal.

When you think about how much time and money it takes to visit a doctor’s office – or the time consideration if you have follow-up questions for your doctor – Cove offers a more simple streamlined process in which doctors are available anytime you need.

As far as the products are concerned, they are backed by scientific research and FDA-approved, which is always a positive sign. It’s also great that the products are matched to your exact condition, which can potentially lead to great results.

But with any lifestyle change for the better, it’s important to remember to have patience as this process can take time.

As Gutentag stated: “Cove consumers should keep in mind that progress is a process.”

“Patience and commitment are key to finding migraine relief, and it often takes a little bit of experimentation to find the right plan for each person,” he said. “Working closely with your doctor and using our migraine tracking tool ensures an active dialogue and real-time feedback loop with your caregiver to ensure you’re getting the support and treatment you need.”

Read 31 Cove Customer Reviews and Complaints

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Average Customer Rating: 4.9
Rating Snapshot:
5 star: 30 4 star: 0 3 star: 0 2 star: 0 1 star:  1
Bottom Line: 97% would recommend it to a friend
Showing 1-11 of 31
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  • Fast and easy!

    • By Amanda L.,
    • Chicago, IL,
    • Mar 17, 2020
    • Verified Reviewer

    Cove is easy to use and response times are incredibly fast. They listen to what you are saying and act immediately. Every experience I’ve had with them has been completely stress-free.

    Bottom Line: Yes, I would recommend this to a friend

  • Life changing

    • By Stephanie P.,
    • Orlando, FL,
    • Dec 6, 2019
    • Verified Reviewer

    I’ve had my fair share of horrible doctor visits, where the doctor simply doesn’t care enough to prescribe me the medication I need or doesn’t sympathize with the pain of a migraine. I’m so happy I found Cove where they take the middleman part away of getting migraine medication and are able to send you the right prescription right to your door. It has truly been life-changing for someone who has had to take off multiple days of work from a migraine. Don’t skip on this awesome service if you’re thinking about it!

    Bottom Line: Yes, I would recommend this to a friend

  • Cove helps

    • By Michelle L.,
    • Bronson, FL,
    • Sep 11, 2019
    • Verified Reviewer

    So, I stumbled upon Cove one day. Since I found it, it has honestly been amazing for multiple reasons. I currently don't have insurance. I was just laid off from my job. Due to that, I cannot afford the prescription medication that I desperately need to help me control my migraines. They make this medication affordable enough that I still can afford it. I wish that they offered options, i.e; nasal spray, shots, etc. But I do understand that they are a new company and since I have started with them, their medications have greatly expanded.

    The convenience of the medication being sent to your door monthly so you don't have to pick it up is great. If you need the medication changed you log on and email the doctor you don't have to go to the office and sit and wait for someone and pay a copay. They will adjust it and change it. It is no problem.

    Bottom Line: Yes, I would recommend this to a friend

  • Migraine relief and prevention made easy!

    • By Alanna S.,
    • Bryan, TX,
    • Sep 5, 2019
    • Verified Reviewer

    Let me say it simply: Cove is a lifesaver. If you’ve struggled with migraines, if you’re too busy to get to the doctor and back and forth to the pharmacy, if you’re worried about how much a treatment plan for your migraines will cost you - please look into Cove!

    I’ve struggled with migraines since I was a teen. As I got older (I’m 24 now), they gradually got worse. My life also got busier. I’m a student and work full time, leaving me less time and patience to deal with crippling migraines that occurred as often as once a week. I saw an ad for Cove on Facebook and clicked on it, skeptical but desperate. I was sure it wasn’t as simple and easy as it seemed. In about 10 minutes (from the comfort of my bed), I completed a thorough survey about my migraine history, symptoms, health history, and other relevant questions. Within the next few hours, I received a response from a doctor who asked some follow-up questions to help clarify my responses. Then he prescribed a couple of medications - one for long-term migraine prevention, and one for short-term pain relief. He explained why he chose those particular meds and gave me advice about tracking my migraines. Then, my treatment plan arrived (on my doorstep!) in less than a week. I guess at that point it finally sank in that yes, this was exactly as simple and easy as it seemed! Even better was the fact that the treatments were so affordable.

    Since starting my treatment plan with Cove, my migraines have occurred much less frequently, but I’m also assured that if one occurs, I have something to treat it with. I’m able to contact my doctor whenever I want to. I’ve also requested some shipment adjustments, and anytime I have a question, the people who reply to my emails are always incredibly fast, professional, and so helpful! I honestly couldn’t be happier with how Cove has worked for me, and I’m sorry I didn’t hear about it sooner. If you think migraines are something you have to suffer through, think again. Do yourself a favor and seek help from Cove!

    Bottom Line: Yes, I would recommend this to a friend

  • Cove to the rescue

    • By Maria P.,
    • Resaca, GA,
    • Aug 28, 2019
    • Verified Reviewer

    I have suffered with migraines since I was in elementary school. For the past thirty years, my life has basically been a cycle of going to different doctors who may or may not listen and trying different meds that probably wouldn’t work for very long if I could even afford them in the first place and endless referrals to specialist who never saw me more than once. And then, pushing forty, having tried every diet, therapeutic colored glasses, special lightbulbs, home remedy, piercing, and having spent hundreds of dollars a month on medications a month for thirty years, I took a chance and clicked an ad for Cove. I was immediately matched with a doctor who has listened to me every step of the way. We have adjusted my treatment plan often to keep it working for me, and for the first time in thirty years, it IS working for me. Cove also works hard to keep my plan affordable for me. I cannot recommend them highly enough.

    Bottom Line: Yes, I would recommend this to a friend

  • Life changing service

    • By Lauren H.,
    • Minneapolis, MN,
    • Aug 22, 2019
    • Verified Reviewer

    I stumbled across Cove through Facebook a few months ago and I’m so glad I did. Prior to finding Cove, I would often not have enough rescue medication to get me through a month, as my insurance would only pay for a few. I would end up having to pay $32/pill to get what I needed above and beyond what insurance would cover. With Cove, I get the same medication, from the same manufacturer, for $25/mo for 9 tablets. I now I have I need to treat my episodes without the anxiety of worrying if I’ll run out. My Cove doctor replies almost instantly to my messages and checks in to see if medications are working well for me. We tried a preventative that didn’t work out, and there was no issue with Cove removing that from my monthly shipment. The shipments are always on time and the packaging is very nice. This service has truly changed my life.

    Bottom Line: Yes, I would recommend this to a friend

  • Cove saves the day!

    • By Becky N.,
    • Cleveland, OH,
    • Aug 20, 2019
    • Verified Reviewer

    I didn't believe that getting migraine meds could be this easy! I have struggled with this my whole life and it’s so great to finally have reliable relief there when I need it the most.

    Bottom Line: Yes, I would recommend this to a friend

  • Great company!

    • By Stacey K.,
    • Michigan,
    • Aug 19, 2019
    • Verified Reviewer

    I reached out to Cove to see if they would be a good fit for me and my migraines. I admit I was a skeptic at first. I was matched up with a doctor right away and he and I started to discuss my symptoms and treatment plan. I can reach out to him at all hours and he answers all my questions. If I feel the medication he recommends isn't right, we try something new. It's been absolutely wonderful and I am finally feeling some relief!

    Bottom Line: Yes, I would recommend this to a friend

  • HUGE fan of Cove

    • By Jocelyn P.,
    • Swedesburg, PA,
    • Aug 19, 2019
    • Verified Reviewer

    I have been a Cove customer for a few months now and managing my migraines has never been easier. Getting in touch with Cove doctors is much easier than getting an appointment with my neurologist and it’s so comforting to know that I can have an ongoing conversation and relationship with my prescriber instead of rushed appointments at a MUCH higher copay in an office. I am confident that the Cove doctors are working with me to find me the best treatment options for my own personal migraine experiences.

    Bottom Line: Yes, I would recommend this to a friend

  • Migraine care for a girl on the go!

    • By Kayla P.,
    • Hyde Park, NY,
    • Aug 19, 2019
    • Verified Reviewer

    I suffer from between 5-15 migraines a month and can’t seem to find the time to get in and see a doctor. After being fed up with not getting appointment times, I found Cove. In the middle of a migraine, I completed the videos and questionnaire. Then within days, I was getting ready to receive my medications in the mail. I’m still trying to find the preventative care for me, but with Cove, I’m able to reach out when I get a free minute and don’t need to worry about it being after office hours!

    Bottom Line: Yes, I would recommend this to a friend

  • Takes the stress out of migraine management!

    • By Jocelyn H.,
    • Billings, MT,
    • Aug 19, 2019
    • Verified Reviewer

    I have been a lifelong migraine sufferer. With my insurance, I would have to call and leave a message with my nurse to request a refill. Wait about 3 days to see if they would grant it or if I would have to make a medication review appointment in order for insurance to cover the medication. With Cove - I am no longer dealing with this stress. Which, HELLO, helps my migraines tremendously! The consultation was quick and easy. The provider with Cove gave me an easy to follow treatment plan and my prescriptions through Cove are saving me time and money. Thank you for this program!

    Bottom Line: Yes, I would recommend this to a friend

Showing 1-11 of 31

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