More care, less busywork.
Headache disorders have two kinds of treatment. Most patients can only access one.
Built by a patient, the Headache Vault helps unlock access to better care.
Who it's for
Built for the whole care relationship.
For patients
The Vault makes it simple to track your headaches and prepare for a more useful visit with your doctor.
Track your headache patterns, medication use, and how your condition affects your daily life. The Vault turns your experience into something your doctor can act on — whether you see a PCP, a neurologist, or a headache specialist.
Built by a headache patient of 30 years.
For clinicians
A guide for providers who treat headache disorders — and a tool for the documentation that slows care down.
The Vault is a guide for PCPs and general neurologists who treat headache disorders — with prior authorization support for when the paperwork gets in the way.
1,205 payer policies · all 50 states · no account required
Headache Vault Research Program
The data behind the access gap.
The Vault research program documents the access gap in headache disorder care — starting with the first publicly available ZIP-level population estimates for all 50 states. More data releases through 2026. All open, CC BY 4.0.
Prior authorization requirements for proven headache disorder preventives shouldn't exist. The research here documents why. I built the Vault's prior authorization engine to help people like me in the meantime.
Alex Doty, Founder
Headache patient · Board member, Headache on the Hill
What this means
Two kinds of headache medication. Most patients only have access to one.
Pain-relieving
Treats attacks after they start
Taken when an attack begins. Reduces pain and symptoms for that attack. Does not reduce how often attacks occur. A necessary part of treatment — but not the whole picture for many patients.
✓ Available in most primary care offices
Preventive · CGRP-targeting therapies
Stops attacks before they start
The first medications designed specifically for headache prevention, they can significantly reduce attack frequency. Millions of patients who could benefit are blocked from using them.
→ Prescribed in fewer than 1 in 10 primary care offices where they're indicated
Migraine gets worse without intervention.
For many patients, migraine worsens over time — becoming more frequent, more disabling, and harder to treat. Without effective preventive therapy, that progression is common and largely avoidable. Pain-relieving medications treat the attack. They don't address what comes next.
The busywork delays care
Most insurers require patients to try older medications first — a process that typically takes 6–9 months. For patients whose condition progresses during that window, the delay has consequences. The busywork doesn't just slow down care. It can change outcomes.
Prior Authorization Tool
Payer-specific prior authorization guidance in three steps.
Paste a clinical note
Drop in your SOAP note or dictation. The engine extracts diagnosis, medications, payer, and state — no formatting required.
Get the policy match
Instantly surfaces step therapy requirements, denial codes, and clinical phrases that win — for your specific payer and drug.
Generate the PA letter
Pre-populated, ICD-10 coded, clinically precise. Download or copy to your EHR.
Ready to try it?
No account needed. Works with sample patients or paste your own note.
Prior Authorization Tool →Why this exists
Prior authorization requirements for proven headache disorder preventives shouldn't exist. The research here documents why. I built the Vault's prior authorization engine to help people like me in the meantime.
Alex Doty, Founder
30-year headache patient · Board member, Alliance for Headache Disorders Advocacy
30 years as a headache patient
Lived experience with headache disorders informed every product decision — and is the reason the Vault exists.
Headache Alliance board member
Home of Headache on the Hill — the annual Congressional advocacy effort for headache policy reform.
Open data, open methodology
All research data is CC BY 4.0 — free for advocacy, journalism, congressional briefings, and academic citation.
A patient's ZIP code should not determine their time to treatment.
The data is open. The tools are free. The gap is documented. Find your ZIP — then help close it.