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Cove vs ZipHealth: Which Is Better?

Head-to-head comparison of Cove and ZipHealth 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 59/100), leading on trust & safety, value. ZipHealth comes out ahead on experience, product range, reputation.

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
59

A high-volume, low-cost generalist telehealth pharmacy platform covering hair loss, ED, and other common prescription needs.

Visit ZipHealth

Score Breakdown

DimensionCoveZipHealth
Overall Score60.8/100 ✓59/100
Trust & Safety30%62/100 ✓55/100
Value25%72/100 ✓55/100
Experience20%45/10062/100 ✓
Product Range15%68/10070/100 ✓
Reputation10%50/10058/100 ✓

At a Glance

Founded2018—
HeadquartersNew York, NYDelray Beach, FL
Publicly tradedNoNo
Treatment categories14
Treatments listed34
Starting price$15/mo$20/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.

CategoryCoveZipHealth
Primary Care$15–$25
Generic Triptans (sumatriptan, rizatriptan, naratriptan, eletriptan, zolmitriptan)
$20–$50
Migraine Treatment (Sumatriptan/Rizatriptan)

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 →

ZipHealth

+Large scale for a generalist telehealth pharmacy platform: 560,000+ customers claimed and one of the higher Trustpilot review volumes in the category (3,700+ reviews, 4.2 average).
+Broad prescription menu spanning hair loss (finasteride), ED, migraine, antiviral, UTI, and other common conditions through a single flat consultation fee.
+Fast, self-service intake flow praised by many reviewers as easy to navigate.
−Reviewers describe automatic subscription renewals with insufficient warning and difficulty canceling — a billing-friction issue distinct from having a subscription model at all.
−Individual medication pricing (including finasteride) is not shown until after intake is completed, limiting upfront price transparency.
−Multiple reviewers report multi-day waits for provider consultations despite marketing an 'express' service.
Read the full ZipHealth review →

Cove vs ZipHealth — FAQ

Is Cove better than ZipHealth?

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Cove scores higher overall in our independent evaluation (60.8/100 vs 59/100), leading on trust & safety, value. ZipHealth comes out ahead on experience, product range, reputation.

Is Cove or ZipHealth cheaper?

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Cove has the lower starting price (from $15/mo vs $20/mo for ZipHealth). 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 ZipHealth both offer?

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Both platforms treat Primary Care. Cove covers 1 treatment category total and ZipHealth covers 4.

Still deciding?

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