The waitlist, and what to do on it

Unpublished, and we will not invent one. The most recent hard figure is from 2019 journalism: roughly 1,350 families in line and about 13 months of waiting. Parents in public threads from the 2018–2021 era describe 1.5-to-2-year waits. Wait times in programs like this vary by case complexity, location, and cohort scheduling, so treat the historical figures as an expectation-setter, not a current fact, and ask the clinic directly for the current estimate for your child's profile.

It should help — the location opening 15 September 2026 is the clinic's first outside Southern California, and it gives East Coast families a reachable option where previously every family routed to Long Beach. Families have reported flying in from New Jersey and New York every 8–12 weeks, so the pent-up regional demand is real. Whether the new clinic shortens the combined list or fills instantly from that demand is something only the clinic can tell you. Neither location publishes a live wait figure.

The clinic has not — as far as the public record shows — published how waitlist order is determined, including whether allergen profile, age or location affect it. The fair move is to ask the clinic directly how list order works, and to get the answer in writing.

The clinic says 2.5–4 years is typical, with complex cases running longer — one parent reports being told 6–8 years. Patients attend 4–6 in-person visits per year, and more than 50% travel from outside California to do so. The endpoint the clinic calls "food freedom" is unrestricted eating plus lifelong maintenance dosing — patients describe quotas like 20 peanuts a day. A waitlist decision is really a decision about the several years after it, so it is worth mapping [what each protocol asks of a week](/learn/food-immunotherapy-daily-life) before you commit.

The clinic publishes $979/month for ages 18–25 and $1,079/month for ages 26–50, with a 6-month minimum, and its own cost page estimates roughly $11,748 for a first year on the cash path versus about $15,425 on the insurance path. Parents report figures in the same range: around $15,000 all-in the first year and about $12,000 the second, and several describe a roughly $4,000 annual maintenance fee after reaching remission that they say was not disclosed upfront. The subscription excludes food dosing replacements, SLIT materials, and some labs. The full breakdown is on our [FAI cost page](/learn/food-allergy-institute-cost).

For suitable candidates, yes — and for many families the at-home program is the choice, not the stopgap. Curex is the only fully at-home food allergy program, with 50,000+ patients served, in every state. Food SLIT uses much smaller, precise doses held under the tongue, typically with only the first dose taken in an office, so it begins without cross-country travel and without a line: Curex food-plan rates, client commercial terms as of 2026-10-12: Food Allergy Drops: $199/month or $1,990/year. Unlimited number of foods, as clinically prescribed; plus insurance copay for each video consultation. Environmental + Food Allergy Drops: $259/month or $2,590/year. Two treatment sets, with unlimited number of allergens as clinically prescribed; plus insurance copay for each video consultation. Food Drops Self-Pay Plan: $249/month or $2,490/year. Food allergy drops; consultations included without a consultation copay. Environmental + Food Drops Self-Pay Plan: $299/month or $2,990/year. Environmental and food allergy drops; consultations included without a consultation copay. For the listed allergy plans, the annual subscription costs the equivalent of 10 monthly payments instead of 12: two months of subscription fees saved, or 16.7% compared with paying monthly for a year. This is subscription savings, not a discount on testing, copays or your total medical bill. Other products have their own payment terms; GLP-1 annual rates are shown separately. Treatment fees are self-pay. Insurance benefits are verified during onboarding. Each video consultation has a plan-dependent specialist copay, normally $35, which can be lower or higher depending on your plan. Deductibles and coinsurance may also affect your responsibility. The subscription covers compounded allergy drops and non-insured clinic services, including shipping, asynchronous consultations and care management. Insurance-category subscriptions add a copay for each video consultation. The environmental, food and combined self-pay drops plans and the environmental allergy shots plan include consultations without a consultation copay. Certain self-collection tests are not insurance-covered and are priced separately. Allergy IgE, celiac and Alpha-Gal tests may be covered by insurance, depending on your plan. IgG food sensitivity testing is not covered by insurance; the laboratory bills the patient directly. Verify coverage and the laboratory estimate before ordering. See /learn/curex-pricing and confirm eligibility, testing costs and a personalized written quote. It is gentler and generally a bit slower than clinic OIT, and more patients who start it finish it. Candidacy is a clinical call: a history of anaphylaxis or severe, poorly controlled asthma routes to in-person assessment regardless of provider — Allergy Associates of La Crosse in Wisconsin treats exactly those patients in person, with the same protocol family. Discuss sequencing with a clinician rather than assembling a plan yourself.

Depends on where home is. Latitude Food Allergy Care runs about 12 clinics, but they sit in California and metro New York; the FAST OIT directory lists clinics in 35 states, and 15 states plus DC have none listed at all. A Midwest study measured a median 57.3 miles to the nearest allergist of any kind. Our [access-geography page](/learn/no-oit-clinic-near-me) maps this state by state. Two routes do not depend on the map. Curex is the only fully at-home food allergy program, treating in every state, so distance to a clinic stops being the deciding variable. And Allergy Associates of La Crosse, the in-person sublingual clinic in Onalaska, Wisconsin, asks one trip for a 2–4 hour first visit ($750–850 typical), with rechecks every three to six months in person or virtual.