Evens Review: Is It Worth It?

By Lydia Noyes
HighYa Staff
Published on: Nov 22, 2019

What Is Evens?

Evens is a direct-to-consumer brand of heartburn and acid reflux treatments that claims to make it quick and convenient to procure your medication—no traditional prescription necessary.

Customers sign up for a subscription of their preferred treatment and can opt to receive either over-the-counter products or Rx-strength products, the latter of which require you to complete an online consultation for an additional cost.

Evens offers generics of three of the top acid reflux medications for purchase on a subscription basis. These include omeprazole, calcium carbonate antacid tablets, and esomeprazole.

The service allows you to skip the drugstore wait and instead receive FDA-approved medication through home deliveries. You can also forgo a doctor’s appointment in favor of Even’s online prescription process for Rx-strength doses.

The brand promises to make it easier to access personalized, ongoing acid reflux treatment options so that you can eat what you want without worrying about the heartburn ramifications.

Will this subscription service deliver on these promises? Are Evens treatments safe and effective? In this review, we’ll explore these questions to help you decide if this service is right for you.

How Evens Subscription and Online Consultation Work

Evens currently sells three generic acid reflux treatments at both over-the-counter strength and prescription (Rx) strength. Anyone can order the OTC versions, but you’ll need to pay $30 for an online consultation before you can purchase the prescription-strength versions.

This short consultation needs to be filled out online and submitted to an Evens doctor for review, who will review the other medications you take, counsel you on a suggested treatment path, and decide if you are approved for treatment. This process usually takes 48 hours.

The consultation is designed only to diagnose and treat acid reflux, and shouldn’t be considered as a replacement for a standard doctor’s appointment.

After this initial consultation, you can message your doctor as needed about your acid reflux concerns through the company’s online portal for a full year.

This online consultation makes sense for those who already know that they deal with acid reflux problems and want a short route to procuring stronger medications to treat them. People who have busy schedules or feel shy talking to a doctor in person may benefit.

However, it’s not ideal for those who haven’t spoken to a primary care physician about their stomach problems previously, as the consultation isn’t a comprehensive health assessment.

What Treatments Does Evens Offer?

Even’s offer the following three treatments for acid reflux:

Omeprazole

Omeprazole is a preventative medication that acts as a proton pump inhibitor (PPI) to stop your stomach cells from producing acid. Popular name brands include Prilosec, Zegerid, and OmePPi.

Omeprazole is used to treat conditions associated with excessive stomach acid and heal damage to the esophagus caused by the acid. The idea is that taking this medication, along with making other positive dietary changes, can give you long-term relief from acid reflux.

A 2000 study of more than 300 participants in the Archives of Internal Medicine shows that those who took 20mg of omeprazole daily experienced earlier and longer-lasting relief from heartburn than those who took 10mg or a placebo.

Antacid Tablets

Antacids are fast-acting tablets of calcium carbonate that neutralize stomach acid to give you instant relief from heartburn, indigestion, and an upset stomach. Popular brands of antacids include Alka-Seltzer, Rolaids, and Tums.

This treatment is one of the oldest effective remedies for heartburn. The International Foundation for Gastrointestinal Disorders states that calcium carbonate has been chewed for centuries to provide quick intestinal relief.

Unlike omeprazole, antacids should be taken only when you experience symptoms, and they don’t offer a long-term solution to acid reflux. Dosage-wise, it’s best not to exceed three grams per day.

Esomeprazole

Best known as a generic for Nexium, esomeprazole is a preventative medication that stops stomach acid production. This compound also acts as a proton pump inhibitor to block your cells from producing acid, and it offers a long-term solution for acid reflux.

The main difference between esomeprazole and omeprazole is that esomeprazole comes as a capsule while omeprazole is a tablet.

As both will work to treat acid reflux, choosing the right option will likely come down to your intake preference. However, a 2002 study in Digestive Disease and Sciences found that 40mg of esomeprazole was proven more effective than a similar dose of omeprazole for stopping stomach acid production.

Let’s recap the differences between these treatments:

Omeprazole Antacid Esomeprazole
Effects Proton pump inhibitor, stops stomach acid formation. Neutralizes stomach acid. Proton pump inhibitor, stops stomach acid formation.
Suggested Dosage 20mg daily 750mg when needed 20mg daily
Formulation Tablet Tablet Capsule

Are There Any Side Effects Associated with Evens Medications?

Omeprazole use is associated with side effects like headaches and abdominal pain. In rare cases, it can cause severe intestinal issues or lead to a vitamin B12 deficiency. Headaches, diarrhea, abdominal pain, and nausea are also common potential side effects for esomeprazole.

Antacid side effects are rare, though some people find that the cause constipation or have a laxative effect. However, taking them too often might cause you to overdose on calcium, which can lead to nausea, vomiting, or kidney stones.

While the side effects associated with acid reflux medications shouldn’t be discounted, the evidence isn’t yet strong enough to link their long-term use to a higher risk of getting sick.

Even so, the resources we referenced above suggest that most people attempt to wean themselves off daily omeprazole or esomeprazole use once their symptoms are under control.

While the benefits of these medications still seem to outweigh their risks, a better longterm solution may be to change up your diet to prevent acid reflux in the first place. Some of the foods best avoided include tomatoes, citrus, anything with high fat content, chocolate, spicy food, caffeine, and mint.

Pricing and Return Policy

The prices for Evens medication vary based on the type and strength you purchase.

Over-the-counter omeprazole costs $21 for 42 20mg tablets, plus $3 shipping. All first-time shoppers qualify for a free introductory offer of 14 pills, though you’ll still need to pay $3 for shipping.

Prescription-strength Omeprazole is also $21, and you will receive 30 40mg tablets. The company recommends that first-time users try the over the counter version first to see whether that strength is sufficient.

A generic dose of antacid 60 tablets costs $5, plus $3 shipping. New customers get their first shipment free, not including shipping costs.

For esomeprazole, both over the counter and prescription versions cost $21 per order (plus $3 shipping), and your first shipment of 14 capsules is free. Buying OTC-strength gives you 42 20mg capsules, while RX-strength prescriptions include 30 40mg capsules.

Note that each Evens purchase automatically signs you up for a recurring subscription. Deliveries for over-the-counter strength omeprazole and esomeprazole can be scheduled for every six weeks, twelve weeks, six months, or nine months.

All Rx-strength omeprazole and esomeprazole are automatic monthly deliveries, and antacids can be delivered monthly, every two months, or every three months.

The Evens return policy states that the company treats all sales as final and prohibits the return of prescription medications for reimbursement, even if the product is unused. Defective or damaged products will be replaced at the company’s discretion.

You can request a refund on your doctor consultation if he or she can’t recommend a treatment plan for you. You can contact the company at help@evens.com to start the refund process.

If you want to cancel your Evens subscription, you can do so by calling (855) 44-EVENS between 10 a.m. and 6 p.m. EST, or emailing at the above address.

How Does Evens Compare to Brand Name Acid Reflux Medications?

Evens’ main goal is to offer customers a convenient way to procure generic acid reflux treatments, but similar medications are also available at your local pharmacy. In many cases, you can also request home delivery from these pharmacies. Are there advantages to ordering through Evens instead?

In this chart, we compared the pricing for Evens’ generic medications to the equivalent brand name medications at three popular nationwide pharmacies: Walgreens, RiteAid, and Walmart.

All listed Evens pricing factors in the cost of shipping.

Evens Walgreens RiteAid Walmart
Omeprazole (Prilosec) $24 for 42 20mg tablets ($.57 each) $27.99 for 42 20mg tablets ($.66 each) $23.99 for 42 20mg tablets ($.57 each) $23.88 for 42 20mg tablets ($.57 each)
Antacids (Rolaids) $8 for 60 tablets ($0.13 each) $2.99 for 30 tablets ($0.10 per tablet) $2.99 for 30 tablets ($0.10 each) $7.91 for 72 tablets ($0.11 each)
Esomeprazole (Nexium) $24 for 42 20mg capsules ($0.57 each) $27.99 for 42 20mg capsules ($0.66 each) $24.19 for 42 20mg capsules ($0.57 each) $23.86 for 42 20mg capsules ($0.57 each)
Home Delivery Information $3 shipping fee per order (factored into listed pricing) $5.99, free for orders over $35 (not factored into listed pricing)
$5.99, free for orders over $35 (not factored into listed pricing)
$5.99, free for orders over $35 (not factored into listed pricing)

As this chart shows, the pricing for over-the-counter medication is similar between all three retailers, even though Evens is selling generics. Walmart does tend to offer the lowest prices, though by only a few cents per purchase.

However, you will need to factor in paying twice the shipping costs of Evens (unless your order is over $35) or the value of the time you will spend going to the pharmacy if you purchase from Walgreens, RiteAid or Walmart.

Another factor to consider is the Evens auto-ship program. This is a required feature of using this company, and we couldn’t find any equivalent services from the other three retailers.

A subscription is convenient if you know you want a continual medication supply, but if not, you may end up paying for more than you want.

Now let’s talk about RX-strength medication. This is where Evens stands out from the other three retailers, as you won’t have to schedule a doctor’s appointment beforehand to qualify to receive them.

Does this make Evens RX medications a better deal than ordering through a drugstore? That answer depends on your health care plan.

The John Hopkins Bloomberg School of Public Health reports that the average cost for an uninsured doctor’s visit in the United States is $160. If you own insurance, your cost will be significantly reduced or even free. However, you will still need to schedule an appointment and possibly take time off from work to make it.

An Evens consultation, in contrast, costs $30 and is conducted completely online. You should know whether you are approved within 48 hours of your request. That makes sense for those looking to get medication quickly, but it does have limitations.

To start, Evens consultation isn’t designed to replace your standard doctor’s appointments. This means you aren’t necessarily saving time or money with an online consultation because you will still need to visit your primary physician regularly.

Likewise, your health insurance plan may cover part or all of the cost of Rx-acid reflux medication. Evens doesn’t accept insurance, so you are missing any cost-saving advantages if you shop with them.

Regarding upfront costs for Rx treatments, we saw retail prices for these medications range from $15 to $170 at all three pharmacies. The easiest way to find out how much you might pay through your local pharmacy is to call and ask.

The Bottom Line

Evens’ main appeal is convenience. Those who deal with chronic acid reflux will love the simplicity of signing up for a subscription. Additionally, Evens’ pricing is straightforward and consistent with what you’ll pay to have equivalent brand-name medications delivered, especially once you factor in shipping costs.

Depending on your schedule and health insurance coverage, Evens can be a quick and cost-effective way to secure a prescription for prescription-strength acid reflux medications.

Our primary concern is that there are negative health effects associated with taking proton pump inhibitor (PPI) medications daily, which is precisely what Evens incentivizes with its subscription ordering system.

This means you may want to plan to wean yourself off the medication once your symptoms subside.

If you already know you need acid reflux medication and want a cost-effective, convenient way to receive it regularly, then Evens makes sense. If you’re not sure if it’s the right treatment option for you, then signing up for a recurring subscription might be overkill.

For those who fall in the latter category, we suggest you purchase an equivalent medication from the pharmacy of your choice before you sign up for Evens. This way, you can try it without being tied into an auto-ship program.

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