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.”

Medications

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.”

Sign Up for HighYa Newsletter

Sign up for HighYa newsletter and get our best content delivered in your inbox as well as 3 free eBooks to help you save money and shop smarter. Enter your email below to get started!


Read 26 Cove Customer Reviews and Complaints

Write a Review
Average Consumer Rating: 4.8
Rating Snapshot:
5 star: 25 4 star: 0 3 star: 0 2 star: 0 1 star:  1
Bottom Line: 96% would recommend it to a friend
Showing 1-11 of 26
Sort reviews by:

  • Life changing service

    • 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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • Cove saves the day!

    • 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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • Great company!

    • 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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • HUGE fan of Cove

    • 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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • Migraine care for a girl on the go!

    • 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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • Takes the stress out of migraine management!

    • 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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • Wonderful site!

    • South Carolina,
    • Aug 15, 2019
    • Verified Reviewer

    I've had a lot of issues getting in with a good doctor with my limited insurance, and I've been dealing with migraines for over 20 years, and I needed some relief. One day, just browsing through Facebook, an ad came up for Cove and I clicked on it to learn more. I thought for sure it had to have some strings attached or something weird going on, but curiosity got the best of me, and I signed up. Well, I was recommended to a doctor who suggested what I used to take before I had issues with getting a doctor, and that medicine worked wonderfully, but it used to be expensive, so I was still skeptical. I got more information, and it was totally affordable! I quickly signed up, and right at the beginning of Summer was a perfect time since heat is my main trigger. I got my meds really quick and they've been an absolute lifesaver in this hot, humid, Southern heat! I can actually spend more time outdoors with my 2 young kids and we couldn't be happier! I'm SO excited I found this company and I've told everyone about them!

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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • So easy to use

    I love Cove. I found them when I was between jobs and insurance coverage, and I've kept using their services even after finding a new job and insurance. It's just so much easier.

    They are quick and thorough with the initial evaluation, easy to contact with any questions and concerns, and the monthly cost is lower than my co-pay for an in-person visit and prescription would be. They were very quick to change my prescription when I determined that the side effects of the first drug were greater than the benefits, too. Quicker than trying to get in to see my regular doctor would have been.

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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • Great company

    Cove is a great company! I have chronic migraines and Cove has been a lifesaver. The prices are good and I receive my medication fast! The doctor is always available for questions and if I ever need help their customer service staff is awesome! I would definitely recommend this company to anyone who suffers from migraines!

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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • 1 out 2 people found this review helpful

    Migraines under control

    • New York, NY,
    • Aug 12, 2019
    • Verified Reviewer

    I’ve dealt with migraines since I was a child. I tried and failed many migraine medications out there. I was losing hope, especially since I had just lost my insurance. Going to different doctors out of pocket was financially not an option. I was online one day and found Cove. I was a little leery about "seeing" a doctor online. I decided to take the plunge and figured the consultation fee was a lot more appealing than an out of pocket office visit fee. My doctor was really understanding. He gave his diagnosis and it made sense to what I was going through. When I had questions, he was there and got back to me in a very timely matter. Whenever I have a question for Cove I give them a call. They are very helpful and friendly. Cove works with a mail-order pharmacy that provides competitive prices. I get my medications when I need them and I haven’t had any issues with the pharmacy. Even after getting my insurance back I’ve decided to stick with Cove. For the convenience, price, and overall care that I receive.

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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

  • 1 out 1 people found this review helpful

    Cove is amazing

    • Aug 8, 2019
    • Verified Reviewer

    Cove is honestly the easiest and the most affordable way to get your migraine medication. No appointments, no time off work, no waiting rooms, no lines at a pharmacy. I received the exact same treatment with Cove as I did from my neurologist at Mayo Clinic. My medication is delivered every month right to my door. If I need to talk to anyone at Cove, they are always available to answer my call and are helpful and understanding. I tell everyone I know to use Cove. I promise, you won't be disappointed.

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

    Help others find the most helpful reviews

    Was this review helpful?

    yes no

Showing 1-11 of 26

Write a Review for Cove!

Share your experience to help others shop smarter & discover great products.

Write a Review