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.”

Customer Reviews

Start your review of Cove:
  • 31 Customer Reviews
  • 97% Recommend This Company
4.9 out of 5
5 star: 96% 4 star: 0% 3 star: 0% 2 star: 0% 1 star: 3%

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  • Angry, give me money back - final consultation was done! Liars.

    • By Leah C.,
    • Texas,
    • May 10, 2019
    • Verified Reviewer
    Overall Experience:

    Everything looked good with them, until you get to the part about the video, I tried for days to make this part of their website to work and finally after 5, I gave up. I was done. The emails kept coming, that "the consultation was not complete". Then today, I am in my bank account and see that they have already taken my payment and it has cleared my account, yet their emails say it is not complete. I am fuming at this point, with a 14-day migraine already. I contact customer service. After 3 emails, finally I get an answer, telling me there are two videos and I can send them to them and they can upload them to the site for me. First off, that's not an answer, secondly...that's not what I asked in the first place. Back and forth, finally I am at the point just keep the $30 and unsubscribe me from everywhere I will not be using your services and ask for a confirmation for them to do this. Then I receive the confirmation with a snotty response that her doctors are committed to working with their patients. That's fine if you want my medical info and videos, if your website would even allow me to get to that or upload them from my phone, as it states I could, but the issue of the email was why they pulled my payment when the Consultation hadn't been completed and not finished. Never once did she answer that question.

    This would have been a service I could have used, however, you just don't take payments just because you can, especially when your website crashes every time you try and finish the Consultation. That was my whole point. Never once was it addressed. My doctor suggested this to me, and she has asked if I had issues, with the website (other patients have, I had already told her I gave up on this, I had had issues). She is looking for an alternative now. Not that I wish a migraine on anyone, but I truly wish the customer service people had them so they can understand the pain in the butt this was for me, and for many others. The FDA might not have had issues but this girl in TEXAS sure did.

    Bottom Line: No, I would not recommend this to a friend

  • Life changing service

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

    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 to the rescue

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

    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

  • Best choice I’ve made for myself

    • By Nancy J N.,
    • Coram, NY,
    • Jun 8, 2019
    • Verified Reviewer
    Overall Experience:

    Being a severe migraine sufferer since I was 17 (I’m now 57), never having time to go for numerous Doctor appts, MRIs, cat scans, blood test, etc., and then follow-ups every few weeks or monthly never fit into my busy Paramedic schedule.

    Suffering through horrible shifts with migraine days off in bed and numerous trips to the ER to get a headache to break.

    Finding Cove by far was the easiest quickest most efficient choice I’ve ever made for myself. The staff was attentive, the Doctor fast to act on prescribing my treatment plan and getting it shipped to me fast. The tools on the webpage have also shown a pattern in my headaches. The Doctor has made adjustments to my program effortless and now my frequency has actually reduced because I now have consistent correct treatment.

    Anyone like me should take full advantage of this program. Migraine treatment shouldn’t be a luxury, it should be a must-have in your life!

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

  • Very pleased

    • By Annie H.,
    • North Carolina,
    • Jun 19, 2019
    • Verified Reviewer
    Overall Experience:

    I see a reviewer had trouble uploading a video for their physician consultation - I did as well and contacted customer service. They helped me work out the kinks. I can understand being upset if you were charged and did not receive the service. I am in no way trying to discount the trouble that person went through.

    However, I can say I'm very happy with Cove to date. I SO appreciate not having to go sit in a doctor's office. The physician I have consulted with has answered every message I sent. When the medicine I was prescribed wasn't working, he readily increased my dosage. A Cove customer service person contacted me to see if I wanted my new prescription to go ahead and ship or if I wanted to wait on it.

    I don't normally post reviews but I want my fellow migraine sufferers to know this company seems to be on the up and up. I truly appreciate the service.

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

  • Migraines under control

    • By Madeline W.,
    • New York, NY,
    • Aug 12, 2019
    • Verified Reviewer
    Overall Experience:

    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

  • Takes the stress out of migraine management!

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

    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

  • HUGE fan of Cove

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

    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 relief and prevention made easy!

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

    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

  • So very pleased!

    • By Corina B.,
    • Massachusetts,
    • Jul 31, 2019
    • Verified Reviewer
    Overall Experience:

    I just wanted to share my love for Cove! My doctor was very attentive and well qualified and he helped cut my headaches down significantly. When one treatment didn’t work he quickly worked with me to find the right one. My migraines have more than halved in frequency and I couldn’t be happier!

    Thank you Cove!

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

  • Super easy migraine relief

    • By Christine G.,
    • California,
    • Aug 6, 2019
    • Verified Reviewer
    Overall Experience:

    I've had headaches and migraines for as long as I can remember. I've always hated going into the doctor's office and dealing with the long waits, going to the pharmacy, trying out different medications, going BACK to the doctor when the medicine wasn't working, etc.

    When I saw the ad for Cove I was intrigued. Sure enough, it was super simple! I went to their site, filled out my information and a real doctor reviewed it and made his recommendation. I even messaged him back because I had some questions and he got right back to me.

    I'm now taking a daily medication that has greatly improved my quality of life. I won't lie and say I'm headache and migraine-free, but they have significantly decreased! I really like that I can go onto my account and send a message to the doctor - ask questions, change up the meds if needed, and so on. I'm a working mom with two young kids. I don't have the time to go into a doctor's office every time I have a question or if I get a bad headache. I wish all my medications were as easy to deal with as they are with Cove! I was actually just telling my friends about it today at our kids' park playdate!

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

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