Allergy drops ยท evidence-based guide

Sublingual Immunotherapy Cost Per Year: Clinic vs Telehealth

Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 signup fee. A program-specific annual or full-course total requires a current quote; insurance is accepted for testing and consultations, with patient responsibility varying by plan. Clinic estimate: $1,200-$3,600 yearly at a traditional clinic. The yearly gap comes mainly from how each setting bills the extract and visits, since the off-label drops themselves are paid out of pocket either way.

Medically reviewed by Dr. Chet Tharpe, MDUpdated

4 peer-reviewed sources

4 min read
Quick Answer

Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 signup fee. A program-specific annual or full-course total requires a current quote; insurance is accepted for testing and consultations, with patient responsibility varying by plan. Clinic estimate: $1,200-$3,600 per year at a traditional clinic, driven mostly by how each bills.

Medically reviewed by Dr. Chet Tharpe, M.D. ยท Last reviewed June 2026

Key facts

  • Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 signup fee. A program-specific annual or full-course total requires a current quote; insurance is accepted for testing and consultations, with patient responsibility varying by plan. Clinic estimate: $1,200-$3,600/year at a traditional clinic.

    Curex pricing โ€” confirmed company terms

  • A full SLIT course commonly lasts three to five years. Curex annual and full-course program totals require a current quote and the prescribed treatment duration; no separate food total is confirmed.

    JAMA 2013 (Lin et al.)

  • Because compounded drops are off-label, the yearly insurance picture is similar across settings โ€” the extract is self-pay.

    Johns Hopkins Medicine

  • Clinic allergy shots can total about $2,000-$5,000/year once visits and copays are counted, above telehealth SLIT.

    ACAAI / provider pricing 2026

Quote required
TELEHEALTH SELF-PAY
Quote required
CONFIRM PROGRAM QUOTE
$1.2-3.6k
CLINIC PER YEAR
Off-label
EXTRACT STATUS
01Overview

Comparing SLIT's Yearly Cost by Care Setting

Looking at sublingual immunotherapy on a per-year basis is the clearest way to compare a traditional clinic against a telehealth program, because both are multi-year commitments. SLIT is a liquid allergen extract held under the tongue daily, designed to reduce sensitivity over time. The yearly cost difference between settings comes almost entirely from billing structure, not from the medicine. Every SLIT plan starts with identifying triggers, and Curex offers at-home allergy testing reviewed by a board-certified allergist to pinpoint your IgE triggers before a yearly treatment plan is set. For a clear consumer-facing yearly total and the underlying monthly figures, the allergy drops annual cost guide covers that ground; this page focuses on the clinic-versus-telehealth per-year math side by side.

Key Takeaway

The per-year SLIT difference between clinic and telehealth is mostly a billing-structure gap, since the off-label extract is out of pocket in both settings.

Real talk

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Curex allergy drops are taken under the tongue at home daily. Confirm your treatment quote; the company starting price is not a quote for every modality.

Allergy drops are compounded at a specialty pharmacy for each patient, and the FDA does not review compounded products for safety or efficacy.

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05Compare

SLIT Yearly Cost vs Shots Yearly Cost

Putting SLIT next to subcutaneous immunotherapy on a yearly basis sharpens the comparison. Allergy shots commonly run $2,000 to $5,000 per year once per-visit copays and travel are counted, because they require ongoing in-office injections. Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 signup fee. A program-specific annual or full-course total requires a current quote; insurance is accepted for testing and consultations, with patient responsibility varying by plan. SLIT also carries a lower risk of systemic reactions than shots, though both may reduce sensitivity over time and neither guarantees an outcome. Over a three to five year course, the annual SLIT savings compound, but the right choice still depends on your triggers, response, and preferences, not the yearly figure alone.

SLIT (per year)Best
Efficacy
Moderate evidence of symptom reduction
Duration
Commonly 3-5 years
Cost (5yr)
~$3,500-$5,000 telehealth self-pay
Convenience
Daily at home
Safety
Mostly mild local reactions
Allergy Shots (per year)
Efficacy
Well-established symptom reduction
Duration
3-5 years
Cost (5yr)
~$10,000-$25,000 with visits
Convenience
Regular clinic visits
Safety
Higher systemic reaction risk

Curex provides telehealth SLIT with plan-specific pricing (https://getcurex.com/learn/curex-pricing); insurance accepted for testing and consultations; confirm program and clinic quotes before comparing annual patient responsibility. Allergy drops are compounded at a specialty pharmacy for each patient. The FDA does not review compounded products for safety or efficacy.

See if allergy drops are right for you
07Pricing

SLIT Per-Year Math: Clinic vs Telehealth

Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 sign-up fee; insurance is accepted for allergy testing and consultations. Food and SCIT plan prices are listed in the canonical pricing record; confirm program eligibility and your personalized quote. A traditional clinic, billing the extract and follow-up visits separately, commonly runs $1,200 to $3,600 per year. The per-year gap is driven by structure: telehealth bundles testing review, extract, shipping, and care into one fee, while clinics add separate charges and copays that accumulate over twelve months. Because compounded SLIT is off-label, the extract is out of pocket in both settings, so the difference is the visit and bundling overhead, not the drops. All of these yearly costs are HSA/FSA-eligible, which can offset the out-of-pocket burden.

ItemWith InsuranceSelf-Pay
Telehealth SLIT (per year)Treatment is self-pay; insurance accepted for testing and consultationsProgram quote required; confirm inclusions and separately billed charges
Clinic SLIT extract + visits (per year)Copays add up$1,200-$3,600/yr
Difference driverBundling vs unbundled billingVisit overhead
TotalConfirm testing and consultation coverage and patient responsibilityProgram quote required; confirm inclusions and separately billed charges

Cost Comparison

Clinic SLIT/yr
$1,200-$3,600/yr
Costs to keep in mind
  • Clinic per-visit copays accumulate across twelve months
  • A one-time annual testing fee may apply at a clinic
  • Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 sign-up fee; insurance is accepted for allergy testing and consultations. Food and SCIT plan prices are listed in the canonical pricing record; confirm program eligibility and your personalized quote.
08Insurance

Why the Yearly Insurance Picture Looks the Same Either Way

Across a full year, insurance does little to lower the SLIT extract cost in either setting. Compounded liquid SLIT is off-label, so private insurance, Medicare, and Medicaid generally do not reimburse the drops, whether you use a clinic or telehealth. In a clinic, insurance may chip in toward the visits, but those copays still add to your annual out-of-pocket. In telehealth, the lower yearly figure reflects insurance covering the bundled clinical component. The reliable yearly saver in both settings is paying with HSA or FSA dollars, since SLIT is eligible for these pre-tax accounts. Mapping your expected annual cost against your HSA/FSA contributions is the most practical way to plan for a multi-year course.

Private InsuranceOff-label โš ๏ธ

Note: HSA/FSA-eligible

Off-label extract not reimbursed in either setting

MedicareOff-label โš ๏ธ

Compounded SLIT not reimbursed

MedicaidOff-label โš ๏ธ

SLIT rarely covered; varies by state

Ways to pay
  • HSA/FSA eligible across plan years
  • Program quote required; confirm actual patient responsibility
  • Program quote required; confirm actual patient responsibility

Compare Curex plan pricing and additional charges. Insurance can be billed for testing and consultations; confirm your benefits and written treatment quote.

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09FAQ

Frequently asked questions

How much does sublingual immunotherapy cost per year?

Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 sign-up fee; insurance is accepted for allergy testing and consultations. Food and SCIT plan prices are listed in the canonical pricing record; confirm program eligibility and your personalized quote. A traditional clinic, billing the extract and follow-up visits separately, generally runs $1,200 to $3,600 per year. Because compounded SLIT is off-label, the extract is paid out of pocket in both settings, so the yearly difference reflects billing structure and visit overhead. All these yearly costs are HSA/FSA-eligible. Your annual figure depends on the care setting, your allergens, and your insurance.

Why does clinic SLIT cost more per year than telehealth?

Clinic sublingual immunotherapy typically costs more per year than telehealth because the services are unbundled and visits accumulate over twelve months. A traditional allergist's office bills the compounded extract and each follow-up visit separately, and per-visit copays add up across the year. Telehealth programs instead fold testing review, the extract, shipping, and care-team access into one flat fee, which keeps the annual total predictable and frequently lower. The underlying medicine is similar; the per-year gap is mostly the visit and billing overhead. To compare fairly, ask a clinic for an all-in yearly estimate including the extract and expected copays, then set it against a telehealth subscription's annual cost.

Does insurance reduce the yearly cost of SLIT?

Insurance does little to reduce the yearly cost of the SLIT extract in either setting, because compounded liquid SLIT is off-label and generally not reimbursed by private insurance, Medicare, or Medicaid. In a clinic, insurance may help with the visit component, but copays still add to your annual out-of-pocket. In telehealth, the lower yearly figure reflects insurance covering the bundled clinical visit. The most reliable way to lower your annual cost in both settings is to pay with HSA or FSA dollars, since SLIT is eligible for these pre-tax accounts. Planning your yearly cost around your HSA/FSA contributions helps across a multi-year course.

What is the total SLIT cost over a full course?

Because a sublingual immunotherapy course commonly lasts three to five years, the per-year cost compounds into the total that matters most. Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 signup fee. A program-specific annual or full-course total requires a current quote; insurance is accepted for testing and consultations, with patient responsibility varying by plan. At a traditional clinic running $1,200 to $3,600 per year, the multi-year total can be considerably higher. Food-program pricing requires a separate current quote. These totals assume consistent, uninterrupted treatment, since durable benefit generally requires completing the course. There are no outcome guarantees, so plan for the full multi-year commitment, and use the annual cost guide to model the year-by-year math for your situation.

Is SLIT cheaper per year than allergy shots?

Compare actual annual quotes and patient responsibility. Shots commonly run $2,000 to $5,000 annually once per-visit copays and travel are counted, because they require ongoing in-office injections. Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 signup fee. A program-specific annual or full-course total requires a current quote; insurance is accepted for testing and consultations, with patient responsibility varying by plan. SLIT also carries a lower risk of systemic reactions than shots, though both may reduce sensitivity over time and neither guarantees an outcome. Whether SLIT is the right choice depends on your triggers, how you respond, and your preferences, so weigh more than the annual figure alone.

How do I estimate my own yearly SLIT cost?

To estimate your yearly sublingual immunotherapy cost, start with the monthly figure for your care setting and multiply by twelve. Curex company treatment has plan-specific pricing (https://getcurex.com/learn/curex-pricing) with a $49 sign-up fee; insurance is accepted for allergy testing and consultations. Food and SCIT plan prices are listed in the canonical pricing record; confirm program eligibility and your personalized quote. Then add any one-time testing fee for the first year, and for a clinic, factor in expected per-visit copays. If you have food allergies, use the higher food SLIT rate. Finally, subtract the tax benefit if you pay with HSA or FSA dollars. Doing this for each year of a three to five year course gives you a realistic total course estimate to plan around.

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Treat your allergies โ€” drops under the tongue.

Curex allergy drops are a personalized sublingual extract, prescribed by a board-certified allergist and shipped to your door โ€” taken daily at home with no needles and no routine clinic visits. Confirm your current treatment quote. HSA/FSA eligible.

Confirm your quote ยท Remaining payments for shipped treatment are collected on cancellation

Allergy drops are compounded at a specialty pharmacy for each patient, and the FDA does not review compounded products for safety or efficacy.

This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. Content reviewed by board-certified allergists at Curex.

Allergy drops are compounded at a specialty pharmacy for each patient, and the FDA does not review compounded products for safety or efficacy.

The only FDA-approved sublingual immunotherapy products are tablets โ€” Grastek, Oralair, Ragwitek, and Odactra โ€” which are different from Curex drops.

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Allergy drops are compounded at a specialty pharmacy for each patient, and the FDA does not review compounded products for safety or efficacy.

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