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Cove vs TelyRx: Which Is Better?

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

Our Verdict

TelyRx scores higher overall in our independent evaluation (72.3/100 vs 60.8/100), leading on trust & safety, experience, product range, reputation. Cove has the lower entry price (from $15/mo vs $22.99/mo), so the better value depends on which treatment you need.

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.

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72
TelyRx
Good

TelyRx is a publicly listed online pharmacy platform where patients choose from 500+ generic and branded medications and pay a one-time $22 provider-review fee for an asynchronous prescription from an independent, state-licensed clinician.

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Score Breakdown

DimensionCoveTelyRx
Overall Score60.8/10072.3/100 ✓
Trust & Safety30%62/10070/100 ✓
Value25%72/10072/100
Experience20%45/10074/100 ✓
Product Range15%68/10080/100 ✓
Reputation10%50/10065/100 ✓

At a Glance

Founded2018—
HeadquartersNew York, NYClearwater, FL
Publicly tradedNoYes (TSX: TELY)
Treatment categories17
Treatments listed39
Starting price$15/mo$22.99/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.

CategoryCoveTelyRx
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$99.99–$129.99
Varenicline (generic Chantix)

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 →

TelyRx

+Every catalog price is visible before signup; the only clinical fee is a one-time $22 provider review
+Owns its licensed retail pharmacies, so fulfilment and pharmacist support stay in-house
+Very broad catalog (500+ medications) that includes chronic-condition generics such as lisinopril, albuterol and metformin, plus birth control, ED and hair loss
−Branded GLP-1s are priced near list (Wegovy from $1,399.99), well above manufacturer self-pay programs
−Prescribing is questionnaire-only and done by independent providers, with no ongoing clinical relationship
−Recurring complaints about shipping delays and refills charged without the patient's authorization
Read the full TelyRx review →

Cove vs TelyRx — FAQ

Is Cove better than TelyRx?

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TelyRx scores higher overall in our independent evaluation (72.3/100 vs 60.8/100), leading on trust & safety, experience, product range, reputation. Cove has the lower entry price (from $15/mo vs $22.99/mo), so the better value depends on which treatment you need.

Is Cove or TelyRx cheaper?

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Cove has the lower starting price (from $15/mo vs $22.99/mo for TelyRx). 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 TelyRx both offer?

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Both platforms treat Primary Care. Cove covers 1 treatment category total and TelyRx covers 7.

Still deciding?

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