Headache & Migraine Treatment

Break Up with Migraines

Prevent and treat headaches and migraines from home, with a personalized plan — including prescription medication delivered and ongoing care at your convenience.

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How Migraine Treatment works

Step 1

Evaluation designed by headache specialists

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Our medical team evaluates you via online consultation including a neurologist-designed video upload and evaluation.

Step 2

Treatment prescribed and delivered

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A provider creates a personalized care plan and prescribes treatment, then our pharmacy sends medication to your door (with free delivery).

Step 3

Customized, ongoing care

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Monitor your headaches in our online headache tracker and receive consistent care from our team for one year.

One year of personalized care

Getting headaches under control requires time and attention. Here’s how we make the process more convenient and affordable:

- We bill insurance for your medication (and offer affordable out-of-pocket prices)

- A headache tracker that helps us tailor a personalized treatment plan for you

- Regular check-ins with a trained and licensed provider

- Unlimited access to our medical team for a full year

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Meet our headache expert

Our Headache and Migraine Treatment plan was created by Dr. Charisse Litchman, a former Assistant Professor of Clinical Neurology at Yale School of Medicine and a fellow of the American Headache Society. Dr. Litchman is passionate about making migraine care accessible to all who need it.

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Treatment Plans + Pricing

To receive headache care through Nurx, you pay $60 for one year of ongoing consultation with our medical team, which includes our licensed providers reviewing your evaluation, writing prescriptions, conducting regular check-ins, and modifying your treatment as needed. This is not covered by insurance and does not include medication. We bill insurance for your medication, or you can pay out-of-pocket (prices below). Delivery is free.

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FOR OCCASIONAL MIGRAINES

A medical provider may prescribe pain relief you take at the first sign of a headache (plus nausea medication if needed).

What We Offer Price with Insurance Price without Insurance
Triptans for Pain Relief $0 + copay $25 / month*
Triptans + Nausea Relief $0 + copay $40 / month*

FOR FREQUENT MIGRAINES

We will likely recommend a daily preventive medication, plus prescription pain relief and optional nausea medication.

What We Offer Price with Insurance Price without Insurance
Daily Migraine Prevention + Triptans $0 + copay $55 / month*
Daily Migraine Prevention + Triptans + Nausea Relief $0 + copay $70 / month*

FOR TENSION HEADACHES

If you experience frequent tension headaches, we may recommend a daily preventive.

What We Offer Price with Insurance Price without Insurance
Daily Tension Headache Prevention $0 + copay $30 / month*

*3-month supply. A one-month supply costs an additional $5 per month for extra processing.

Medications We Deliver

Our pharmacy delivers these generic medications to your doorstep.

Triptans: Zolmitriptan Tablets (Zomig); Rizatriptan Benzoate ODT (Maxalt)
Anti-nausea Medication: Ondansetron ODT (Zofran), Metoclopramide (Reglan)
Antihypertensives (“beta blockers”): Metoprolol (Toprol SL, Lopressor)
Anticonvulsants: Topiramate (Topamax)
Antidepressants: Escitalopram (Lexapro), Nortriptyline (Pamelor), Venlafaxine (Effexor)*

* These medications may be prescribed to prevent certain headaches, but Nurx does not treat depression. If you are experiencing depression you should seek help from a mental healthcare provider.

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Medications We Prescribe

If our medical team determines that you’d benefit from a medication not on the list above, we may call the prescription in to a pharmacy near you for pick up. The medications we prescribe for local pick-up include CGRP inhibitors, both gepants (Ulbrevy, Nurtec) and monoclonal antibodies (Emgality, Aimovig), and some triptans, including Eletriptan (Relpax) and Zolmitriptan Nasal Spray (Zomig).

Please note: Nurx does not prescribe any narcotics or barbiturate-based medications.

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your at-home evaluation

As you begin headache treatment with Nurx you’ll undergo a neurologist-designed assessment so we can understand your overall health, and determine if at-home treatment is safe for you or if we should refer you to in-person medical care. In addition to an in-depth intake questionnaire, we will prompt you to film yourself completing a series of movements that provide information to our medical team. These videos take just minutes to do and upload directly into our website or app.

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Migraine Resource Center

Learn the latest research and get seasonal lifestyle advice to help prevent and control headaches.

Headache & Migraine Questions?

  • How does headache and migraine treatment with Nurx work?

    Nurx headache and migraine treatment is a one-year care plan designed by a neurologist and headache specialist. It includes an online evaluation, medication prescribed and delivered, a headache tracker, and scheduled check-ins with the Nurx medical team.

    Patients visit the Nurx website or download the Nurx app and fill out a comprehensive online intake, detailing their headaches and health history. They are then prompted to film a few videos performing simple motions. These videos are uploaded directly into their secure Nurx account.

    A trained and licensed member of our medical team will review the patient’s health profile and videos and ask any follow up questions in order to confirm that we can safely and appropriately treat them via telehealth and, if so, will create a personalized headache treatment plan, including prescription medication for acute symptom relief, daily prevention, nausea relief, or all three.

    Our pharmacy will fill the prescription and mail medication to the patient’s home. The medication will arrive 3-5 days after the prescription is filled. If we determine that the patient would benefit from a medication that we don’t deliver, we will e-prescribe to the patient’s local pharmacy for in-person pick-up.

    As part of the treatment plan, patients will be asked to track the frequency and severity of their headaches in a headache tracker. A Nurx medical provider will check in with the patient about six weeks after treatment begins, and again at six months, and will review the headache tracker and ask the patient questions about how treatment is working. If needed, the Nurx provider may adjust the patient’s treatment plan. In addition, a patient may reach out to our medical team at any time with questions or to request a prescription change.

  • How much does headache and migraine treatment cost through Nurx?

    Here is a breakdown of the cost of headache and migraine treatment with Nurx:

    Medical consultation and one year of care: To receive headache care through Nurx, our patients pay $60 ($5 per month) for one year of ongoing consultation with our medical team, which includes our licensed providers reviewing their evaluation, writing prescriptions, conducting regular check-ins, and modifying their personalized treatment plan as needed. The $60 consultation is paid when the patient submits their intake information and video exam for evaluation, and is not covered by insurance. Considering that many people who experience migraines and tension headaches visit an in-person provider several times a year, the $60 price of one year of care through Nurx is a cost-effective way of providing safe and high-quality care. The $60 consultation does not include medication.

    Medication: If you have insurance, Nurx will bill your plan directly and you will only owe the copay (if any) which will depend on your individual plan. If you pay out-of-pocket, Nurx offers affordable pricing ranging from $25-$70 per month depending on your prescriptions.

    Shipping: We ship a three-month supply of your medication for free. If you receive a one-month supply (whether by choice or because your insurance plan will only pay for one month of medication at a time), we charge an additional $5 per month for extra processing.

  • What type of migraine and headache treatment does Nurx prescribe?

    Nurx offers both pain-relieving medication (which is taken at the beginning of a migraine or headache to help alleviate symptoms) and preventive medications (which are taken daily to help to reduce the severity or frequency of headaches and migraines.)

    After reviewing the information you provide in our online intake form and your video assessment, a trained and licensed Nurx medical provider will create a treatment plan for you. If you have taken medication for headaches or migraines in the past, please note that in your online intake, and let our team know whether you did or didn’t find those medications effective.

    Medications We Deliver

    Our pharmacy delivers these generic medications to your doorstep.

    Triptans: Zolmitriptan Tablets (Zomig); Rizatriptan Benzoate ODT (Maxalt)

    Anti-nausea Medication: Ondansetron ODT (Zofran), Metoclopramide (Reglan)

    Antihypertensives (“beta blockers”): Metoprolol (Toprol SL, Lopressor)

    Anticonvulsants: Topiramate (Topamax)

    Antidepressants: Escitalopram (Lexapro), Nortriptyline (Pamelor), Venlafaxine (Effexor)*

    *These medications may be prescribed to prevent certain headaches, but Nurx does not treat depression. If you are experiencing depression you should seek help from a mental healthcare provider.

    Medications We Prescribe for Local Pick-Up

    If our medical team determines that you’d benefit from a medication not on the list above, we may e-prescribe to a pharmacy near you for pick up. The medications we prescribe for local pick-up include CGRP inhibitors, both gepants (Ulbrevy, Nurtec) and monoclonal antibodies (Emgality, Aimovig), and some triptans, including Eletriptan (Relpax) and Zolmitriptan Nasal Spray (Zomig).

    Please note: Nurx does not prescribe any narcotics or barbiturate-based medications.

  • Who can use the headache and migraine service from Nurx?

    Nurx will offer treatment for people who have not yet been diagnosed, as well as for people who have been previously diagnosed with headaches or migraines.

    A patient who has not yet been diagnosed with headaches or migraines may be able to receive a diagnosis from our medical team, along with options for addressing their headaches or migraines. A patient who has already been diagnosed with headaches or migraines may find that receiving treatment through Nurx is more convenient and provides them improved access to trained medical providers.

    All patients will be required to complete the comprehensive intake form and video exam in order for our medical team to determine if it is safe and appropriate to treat them remotely.

  • I’ve already been diagnosed with migraines, do I have to take the video exam or can I just order treatment through Nurx?

    All patients are required to complete the comprehensive intake form and video exam prior to submitting a request. This allows our medical team to understand whether it is safe and appropriate for us to treat your headaches via telehealth, or whether you should seek in-person care.

  • Is there a charge for receiving a one-month supply of medication at a time?

    Nurx usually sends a three-month supply of medication at a time, which avoids hassle for our patients and means less processing on our end. In some cases insurance companies won’t cover a three-month supply of medication, and will only pay for one month at a time. When we send a one-month supply we charge $5 per shipment for the extra processing involved.

  • Where is Nurx headache and migraine treatment available?

    The Nurx headache and migraine treatment will be available to patients in the states we are currently available in and the District of Columbia, encompassing nearly 90 percent of the U.S. population. *Note that Nurx headache and migraine treatment is not currently available in Georgia.

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Meet your medical team

We are doctors, nurses, nurse practitioners, pharmacists, and physician assistants who are passionate about providing patient care. The Nurx medical team believes that everyone deserves access to personalized, non-judgmental healthcare, and that open and honest communication is key. Learn more about our medical team.

Susan Vachon PA-C

Hello Freedom

We know that no one has time to wait in line at the pharmacy. We know that seeing a doctor often isn't easy — on your schedule, wallet, or peace of mind.

Our service makes it easy for anyone, regardless of circumstance, to get medication quickly, discreetly, and affordably. So we can all stay safe and in control of our own health, always.

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