Frequently Asked Questions

WHO IS NERIVIO INTENDED FOR?

Nerivio is indicated for migraine patients 12 years of age or older. Nerivio should not be used by people with congestive heart failure, severe cardiac or cerebrovascular disease, or uncontrolled epilepsy. Nerivio should not be used by anyone with active implantable medical devices (eg, pacemaker, hearing aid implant). It should only be applied on the upper arm over dry, healthy skin with normal physical sensation and without any metallic implants or in proximity to cancerous lesions. Nerivio has not been evaluated in pregnancy or those under the age of 12.

WHEN SHOULD I USE NERIVIO?

Nerivio is available by prescription only and is designed to treat migraine attacks when they occur. For effective results, the treatments should be initiated as early as possible and within 60 minutes of aura or migraine headache onset. Nerivio can be used for additional treatment sessions if the headache is not relieved or if it reoccurs.

SHOULD I USE NERIVIO ON THE SAME SIDE OF MY HEADACHE?

Nerivio can be used on either arm, regardless of the side of the headache.

AT WHAT INTENSITY SHOULD I TREAT MY MIGRAINE HEADACHES?

You should set the treatment intensity level so it feels strong yet comfortable and not painful. This is important to maximize the clinical benefit of the treatment. The intensity can be adjusted in the app by touching the ‘+’ and ‘-‘ buttons. To set the intensity to a personalized optimal level:

Start increasing the stimulation intensity using the ‘+’ button and when the stimulation is painful and/or uncomfortable.
Reduce the intensity to one-two units using the ‘-‘ button.
For your safety, continuous presses on the ‘+’ button will result in a gradual increase of the intensity.

Set the intensity at the beginning of your treatment – no need to change it during the 45-minute treatment (unless you set it too high and it’s uncomfortable). The sensation will fade to a comfortable level after a few seconds; there is no need to increase it.

WHAT DOES THE TREATMENT FEEL LIKE?

The device transmits electrical pulses. You will need to set the treatment intensity level by increasing it to the highest level that feels strong yet comfortable and painless. You may feel a strong sensation at first, but it will typically fade to a comfortable level after a couple of seconds. If the sensation is uncomfortable or painful, you should decrease the intensity. During the treatment you might experience a temporary sensation of warmth, local tingling, numbness in the arm, pain in the arm, or redness of the skin, which should disappear shortly after the end of the treatment. If you experience hand numbness and/or muscle twitching, try changing the location of the device on the arm.

CAN I PERFORM TREATMENTS WITHOUT AN INTERNET CONNECTION?

Yes, treatments with Nerivio can be performed without an internet connection and do not require Wi-Fi or mobile data. An internet connection is only needed when you sign-up for or sign-in to the app. You should stay signed into the app when closing the app after a treatment, therefore internet will not be required for successive treatments.

HOW MANY TREATMENTS CAN I PERFORM WITH THE NERIVIO?

The device is good for twelve 45-minute treatments, and once those treatments are completed, the device should be disposed according to the instructions.

Theranica has a recycling program; email support@nerivio.com to find out more and request a prepaid envelope. If requesting an envelope, please send your name, address, phone number, and how many devices you would like to recycle. Please write in the email subject line: “Recycling request” and we will send you a prepaid envelope.

To minimize moisture loss, when unused, the electrodes should be covered with the provided protective film and the device should be stored in its original package or in the travel bag. Also, every four treatments, rub the electrodes with your finger using a drop of water to improve their adhesiveness.

HOW DO I RECYCLE MY DEVICE?

Theranica, the Nerivio’s manufacturer, promotes and encourages recycling. They will provide a prepaid envelope to send used devices for recycling. Contact them at support@nerivio.com and provide them with your name, mailing address, phone number, and how many devices you have to recycle. Please write in the email subject line: “Recycling request”.

HOW DO I GET STARTED?
  1. Register – Set up an account by providing your Name, Date of Birth, Email, and Password.
  2. Complete Medical Questionnaire – Answer a few medical questions that the Doctor or Nurse Practitioner will review during your video or telephone consultation.
  3. Checkout – Provide Billing, Shipping, and Payment information.
  4. Conduct Visit With a Doctor or Nurse Practitioner – Conduct a Video, Audio, or Digital Consultation to find out if a prescription is right for you. The consultation type depends on your state regulations.
HOW DOES THE ONLINE CONSULTATION PROCESS WORK?

After registering, you will be asked to complete an online medical assessment to provide more information about your medical history, medical conditions, and any medications you are currently taking. 

Next, one of our Doctors or Nurse Practitioners will conduct a video, audio, or digital consultation. He or she will review the medical information you provide to determine whether a prescription is appropriate for you. 

If approved, your prescription will be sent to ProCare pharmacy for review. If necessary, the pharmacist will contact you before dispensing your device. Otherwise, your order will be packaged and shipped directly to you.

WHAT IS THE DIFFERENCE BETWEEN AUDIO, VIDEO, AND DIGITAL CONSULTATIONS?

All states require some interaction between a Doctor or Nurse Practitioner and patient in order to prescribe. However, regulations governing the type of interaction or consultation differ from state to state. Depending on your state, you will be required to have an audio, video, or digital visit with a Doctor or Nurse Practitioner.

AUDIO CONSULTATIONS

If your state requires an audio consultation, you will be directed to schedule an audio visit by choosing from a list of Doctors or Nurse Practitioners who are licensed in your state.

You will receive a confirmation email with a link to join the audio visit. On the scheduled date and time, click on the link directly in the confirmation email or log in to the Order History page of your account and click ‘Begin Scheduled Visit’. Once you have logged in, you will be in the waiting room until the Doctor or Nurse Practitioner initiates the visit. In some cases, you may receive a call from 480-707-4556. The Doctor or Nurse Practitioner will review the medical information you provided, verify important medical information, and address any specific questions you may have. 

If you need to reschedule, you can do so by going to Order History and clicking ‘Reschedule’ to select a different date and time. If you have any questions or issues, please contact us.

OFFICE HOURS FOR AUDIO CONSULTS:

MON – FRI: 5 AM – 7 PM Pacific Time
SAT – SUN: 5 AM – 4 PM Pacific Time

The Doctor or Nurse Practitioner will attempt to reach you at least 3 times before declining your order.

VIDEO CONSULTATIONS

If your state requires a video consultation, we will direct you to schedule a brief visit with one of our Doctors or Nurse Practitioners. Our site uses secure, private, high-quality streaming video between you and our licensed Doctors and Nurse Practitioners. After completing the checkout process, you will be directed to schedule a video visit by choosing from a list of Doctors and Nurse Practitioners who are licensed in your state. 

You will receive a confirmation email with a link to join the video visit. On the scheduled date and time, click on the link directly in the confirmation email or log in to the Order History page of your account and click ‘Begin Scheduled Visit’. Once you have logged in, you will be in the waiting room until the Doctor or Nurse Practitioner initiates the visit. The Doctor or Nurse Practitioner will review the medical information you provided, verify important medical information, and address any specific questions you may have. 

If you need to reschedule, you can do so by going to Order History and clicking ‘Reschedule’ to select a different date and time. If you have any questions or issues, please contact us.

OFFICE HOURS FOR VIDEO CONSULTS:

MON – FRI: 5 AM – 7 PM Pacific Time
SAT – SUN: 5 AM – 4 PM Pacific Time

What Technical Requirements Do I Need To Have A Video Consultation?

Use your PC, iPhone, Android, iPad, tablet, or another mobile device with a camera and microphone.

Note: If your state requires a video consultation, you must complete it for your prescription to be processed. If you have any questions or issues, please contact us.

WHAT BROWSER SHOULD I USE?

Your visit with a Prescriber happens in a web browser. For the best experience possible, we recommend using the following browsers.

  • MAC OS: Safari is recommended, Chrome and Firefox are also supported
  • iOS: Safari is the only browser supported on iOS
  • WINDOWS: Chrome is recommended, Firefox and Edge are also supported
  • ANDROID: Chrome is recommended, Firefox is also supported
TROUBLESHOOTING CAMERA & MICROPHONE PERMISSIONS

If you are trying to start a visit and you receive a notification that your camera and/or microphone are being blocked, here are some instructions for allowing or permitting the needed device settings. 

MAC OS

Safari is recommended

  • Upper-left top menu > Safari > Preferences > Websites tab
  • In the left pane, select Camera, then in the right pane, find this site, set to ‘Ask’ or ‘Allow’
  • In the left pane, select Microphone, then in the right pane, find this site, set to ‘Ask’ or ‘Allow’
  • Close the Preferences panel to save changes. 

Chrome

  • Upper-left top menu > Chrome > Preferences > Privacy and Security > Site Settings > select this site
  • Camera: ‘Ask’ or ‘Allow’
  • Microphone: ‘Ask’ or ‘Allow’

Firefox

  • Menu icon in upper right of window > Preferences > Privacy and Security > Permissions…
  • Camera: open dialog, find this website, ‘Allow’
  • Microphone: open dialog, find this website, ‘Allow’

iOS

Safari is the only browser supported on iOS

  • Settings App > Safari > scroll down to ‘Settings for Websites’…
  • Camera: ‘Ask’ or ‘Allow’
  • Microphone: ‘Ask’ or ‘Allow’

WINDOWS

Chrome is recommended

  • Stacked dots menu in upper right > Settings > Advanced > Content Settings…
  • Camera: ‘Ask before accessing’
  • Microphone: ‘Ask before accessing’

Firefox

  • Gear in the upper right of window > Privacy and Security > Permissions…
  • Camera: open dialog, find this website, ‘Allow’
  • Microphone: open dialog, find this website, ‘Allow’

ANDROID

Chrome is recommended

  • Stacked dots menu icon > Settings > Site Settings… 
  • Camera: ‘Ask first’
  • Microphone: ‘Ask first’

Firefox

  • Settings App > Apps and App Permissions > Firefox > Permissions
  • Toggle on Camera and Microphone
  • Restart Firefox
DIGITAL CONSULTATIONS

If your state requires a digital consultation, you’re able to interact with one of our online licensed Doctors or Nurse Practitioners without an audio or video interaction. If you are in a state that allows for this type of interaction, you will be asked to answer a number of questions about your medical history online and a Doctor or Nurse Practitioner licensed in your state will review your responses to determine whether or not a prescription is appropriate for you. 

After completing checkout, you will be directed to select a Doctor or Nurse Practitioner from the available list to review your information. Our Doctors and Nurse Practitioners generally review your medical file within 24 hours. If necessary, they will follow up by email or phone to determine if a prescription is right for you.

PRESCRIPTION INFORMATION

How are prescriptions sent to the pharmacy? 

If your prescription is approved after the medical consultation, it is sent electronically to the pharmacy using HIPAA-compliant encrypted software.

Do I need an existing prescription to place an order? 

You do not need an existing prescription. One of our US-licensed Doctors or Nurse Practitioners will review your medical history to determine whether the prescription you’re ordering is appropriate for you.

Is there a processing fee or consultation fee? 

Yes, the cost of the consultation is $45.

May I place an order for someone else? 

No, the patient must complete the online diagnostic medical assessment. Our system collects a complete patient medical history for your Doctor or Nurse Practitioner to make a diagnosis and prescribe a treatment. We need to obtain this information directly from the patient.

PAYMENT & INSURANCE

What Form Of Payment Can I Use? 

We accept credit cards, debit cards, prepaid cards, and flexible spending account (FSA) cards.

What Will Display On My Credit Card Statement? 

GetNerivio.com will show on your credit card statement. If you have any questions please call 844-723-3103.

Can I Use Health Insurance For This Online Visit? 

No. At this time we require payment at the time of service. Forms of acceptable payment are listed in the answer above.

Do You Accept Flex Spending Accounts (FSA) Or Health Reimbursement Arrangement (HSA) Cards? 

Yes, we are registered as a SIGIS member for the 90% Rule. We accept FSA and HSA cards as forms of payment.

WHERE IS GETNERIVIO AVAILABLE?

GetNerivio is available in all 50 states and the District of Columbia. 

WHAT ARE THE MINIMUM SMARTPHONE REQUIREMENTS FOR THE APP?

The Nerivio app requires:

At least 4.7 inches multi-touchscreen with at least 720x 1280 pixels resolution

CPU of 1GHz or faster, internal memory of 2GB or more, and internal storage of at least 16GB

Connectivity capabilities of BT4.0 or above

Supported operating systems – iOS versions 13 or newer and Android versions 7 or newer.

CAN I USE NERIVIO IF MY MIGRAINE STARTED OVER AN HOUR AGO?

Nerivio can be used to treat your migraines at any time. Our clinical data, however, show that Nerivio is more effective when used right when the symptoms start, therefore it is recommended to start treatments with Nerivio within 60 minutes of the onset of aura or migraine headache. Nerivio can also be used for additional treatment sessions if the headache is not relieved or if it reoccurs. Please consult with your doctor for further instructions on use.

HOW DO I CONNECT THE NERIVIO DEVICE TO THE APP?

To connect your Nerivio to the app, you must enable Bluetooth on your smartphone. If you are using an Android phone, location access should be allowed, and location services should be turned on. The app will request you to allow these permissions.

To connect a new Nerivio device to the app, turn on the device (a slow flashing green light indicates the device is on) and press ‘Connect Nerivio’ in the app. The first time you connect the Nerivio device to the app, it should be in no more than 1 inch away from your smartphone. Each device can only be associated with one user account.

If you have already connected the app to a specific Nerivio device, an automatic connection will be established once the device is turned on and the app is opened.

WHAT IS THE ARMBAND FOR AND HOW DO I USE IT?

The armband should be wrapped around the device on your arm to improve the contact between the device and your skin. During your first use, you will need to adjust the armband to your size. There are 4 sizes you can choose from (S, M, L, XL). Use the extension for L and XL sizes. If the S size is still too loose to use, please contact Nerivio Cares at 1-866-637-4846 to have an XS armband sent to you. If the XL size is not large enough to use, please contact Nerivio Cares at 1-866-637-4846 to have an additional extension sent to you.

WHERE CAN I DOWNLOAD THE NERIVIO USER MANUAL?

Here you can download and print the user manual (version 2.4, Jan 2022). The user manual is in English and is applicable for iOS app version 3.0.20.10 and Android app version 7.0.15.1. Here is the quick start guide. You can also watch Important instructions for effective treatment here.

IS THERE ANY LATEX IN NERIVIO?

No. None of the materials Theranica uses contain latex.

DOES NERIVIO PROVIDE DISEASE MANAGEMENT TOOLS?

Yes, Nerivio provides a built-in Daily Headache Diary, to track of your headaches, associated symptoms, prodromal symptoms, and treatments. It is recommended to fill out the Daily Headache Diary on non-headache days as well, to ensure that you experience the full benefit of the best disease management tools. You may export the diary and share it with your healthcare provider and loved ones.

HOW DO I REFILL MY NERIVIO DEVICE?

The easiest way to refill your device is by using the in-app refill button. You can find it in the upper left-hand corner of the treatment screen. Otherwise, you can call your pharmacy and request a refill. If you are uncertain who to call, reach out to Nerivio Cares at 866-637-4846 and they will assist you.

HOW IS NERIVIO DIFFERENT FROM A TENS UNIT?

Nerivio and TENS units use different mechanisms of action, based on different electrical pulses and different stimulation sites.

Nerivio’s remote electrical neurostimulation (REN) mechanism is specifically designed to activate conditioned pain modulation, in which stimulation in the upper arm activates nerve endings that in turn activate a natural pain-relieving process in the brainstem, causing a global effect of pain inhibition that affects the original source of migraine pain in the head.

This differs from the mechanism of TENS units, which stimulate local nerves and compete with local pain fibers to block them from working (a mechanism termed gate theory), and thus must be applied at the same location of the pain (i.e., the head, during a migraine attack).

DOES IT REALLY WORK?

Yes! Our studies show that 66.7% of people experience pain relief with Nerivio at two hours post-treatment, and 37.4% of people achieve pain freedom at two hours post-treatment. For more details on our clinical studies, please refer to the “Clinical Data” section on the How it Works page.

IS NERIVIO COVERED BY INSURANCE?

Nerivio is eligible for insurance coverage! Insurance coverage differs by individual; it is best to call Nerivio Cares so we can discuss your unique circumstances. Call Nerivio Cares at 1-937-637-4846 or 1-866-637-4846 to learn more.

IS NERIVIO FOR PEOPLE WITH CHRONIC MIGRAINE?

Yes. Nerivio, a prescription use, self-administered device for use at the onset of migraine headache or aura, is indicated for acute treatment of chronic and episodic migraine with or without aura in patients 12 years of age or older.

IN THE EVENT OF AN EMERGENCY

In case of a medical emergency, please contact your local Physician or hospital for immediate care. Do not rely on your online Doctor or Nurse Practitioner for emergency medical care.

PRIVACY

Your privacy is important to us. Prescriptions are sent electronically to our pharmacy using HIPAA-compliant encrypted software.