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Cove vs ProlongMD: Which Is Better?

Head-to-head comparison of Cove and ProlongMD based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Cove scores higher overall in our independent evaluation (60.8/100 vs 60.1/100), leading on trust & safety, reputation. ProlongMD comes out ahead on value, experience, product range.

61
Cove
Fair

Cove is Thirty Madison's migraine telehealth brand, prescribing generic triptans, preventives and anti-nausea drugs from $45 per quarter, and handling branded CGRP drugs through insurance.

Visit Cove
60

Small, veteran-owned cash-pay telehealth practice offering compounded GLP-1s, TRT, enclomiphene, women's hormones, ED, hair loss and peptides after a $79 video consult.

Visit ProlongMD

Score Breakdown

DimensionCoveProlongMD
Overall Score60.8/100 ✓60.1/100
Trust & Safety30%62/100 ✓52/100
Value25%72/10074/100 ✓
Experience20%45/10055/100 ✓
Product Range15%68/10070/100 ✓
Reputation10%50/100 ✓45/100

At a Glance

Founded20182025
HeadquartersNew York, NYPhoenix, AZ
Publicly tradedNoNo
Treatment categories18
Treatments listed313
Starting price$15/mo$25/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryCoveProlongMD
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$79
Consultation (30-min video, credited toward treatment)

Cove

+Per-drug prices published for generic triptans, preventives and anti-nausea medication ($45–$75 per 3 months)
+Covers acute, preventive and anti-nausea therapy, plus branded gepants/CGRP drugs via insurance
+Initial consult can be billed to insurance (about $30 average copay) instead of $99 cash
−Trustpilot 1.7/5 across 45 reviews (91% 1-star), unclaimed profile
−Recurring reports of being charged for consults that ended in denial of treatment
−Ongoing $10/month membership on top of medication cost, billed quarterly
Read the full Cove review →

ProlongMD

+Low published prices: compounded semaglutide/B12 from $99/mo and tirzepatide/B12 from $149/mo, with no membership fee
+$79 video consult is credited toward the first treatment purchase, and a written price-match policy covers comparable injectable programs
+Names its prescribing clinicians (two physicians, two nurse practitioners) and runs synchronous video visits
−Sells BPC-157/TB-500 and GHK-Cu/BPC-157/KPV/TB-500 'peptide blends', compounds the FDA has flagged for safety concerns and which have no approved drug form
−Dispensing pharmacies are not named, and the states served are not published (visible reviews come only from TX and CO)
−Very new (LLC formed August 2025) with no independent review footprint; several on-site star ratings have no review text
Read the full ProlongMD review →

Cove vs ProlongMD — FAQ

Is Cove better than ProlongMD?

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Cove scores higher overall in our independent evaluation (60.8/100 vs 60.1/100), leading on trust & safety, reputation. ProlongMD comes out ahead on value, experience, product range.

Is Cove or ProlongMD cheaper?

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Cove has the lower starting price (from $15/mo vs $25/mo for ProlongMD). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Cove and ProlongMD both offer?

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Both platforms treat Primary Care. Cove covers 1 treatment category total and ProlongMD covers 8.

Still deciding?

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