Waiting months for a neurologist appointment when you're having weekly migraines is unacceptable. Telehealth has changed that. In 2026, several platforms offer genuine migraine expertise from home — including the ability to prescribe CGRP medications that were once only available through specialists.
Platform Comparison
| Platform | Migraine Focus | Prescribes Gepants? | Prescribes CGRP mAbs? | Cost/month | Insurance |
|---|---|---|---|---|---|
| Cove | 100% migraine | Yes | Yes | $99 | Yes |
| Nurx | Dedicated program | Yes | No | $49–$149 | Yes |
| Cerebral | Integrated | Yes | Yes | $99–$199 | Partial |
| PlushCare | General + migraine | Limited | No | $99–$199 | Yes |
| Lemonaid | Basic | No | No | $49–$149 | Yes |
Cove: The Gold Standard for Online Migraine Care
Founded by neurologists with headache subspecialty training, Cove is the only major telehealth platform built exclusively for migraine and headache disorders.
- Prescriptions: Full range — triptans, gepants (Nurtec, Ubrelvy), CGRP mAbs (Aimovig, Emgality, Ajovy), and traditional preventives
- Consultation: 30-minute video visits with headache specialists. Personalized treatment plans with ongoing adjustments.
- Insurance: Accepts most major insurers and handles prior authorizations for CGRP medications
- Cost: $99/month (includes visits, prescriptions, and follow-ups)
Cove stands out because the providers actually specialize in headache medicine — not general practitioners prescribing from a checklist.
Nurx: Affordable Migraine Access
Part of a larger telehealth network, Nurx offers a dedicated migraine program at a lower price point. Good for patients who need triptans or oral gepants but don't need injectable CGRP antibodies.
Cerebral: Migraine + Mental Health
If you have migraines alongside anxiety or depression — which is extremely common — Cerebral offers integrated care. They can prescribe the full range of CGRP medications plus antidepressants and anxiolytics.
How to Choose
- Chronic or complex migraines? Cove — you want a headache specialist
- Need CGRP injectable? Cove or Cerebral
- Budget-conscious, episodic migraines? Nurx or Lemonaid
- Migraine + mental health? Cerebral
This article is for informational purposes only. Always consult your healthcare provider before starting migraine treatment.