Consider this sentence:
For most patients, he will monitor you once every couple (of) months
Which is correct: "couple" or "couple of"?
Consider this sentence:
For most patients, he will monitor you once every couple (of) months
Which is correct: "couple" or "couple of"?
In formal English, I would say that the preposition is required.
Online definitions of couple in Merriam-Webster, Oxford, and Cambridge all give examples of its "pair" sense only with the preposition.
The Associated Press Stylebook says:
The of is necessary. Never use a couple tomatoes or a similar phrase. The phrase takes a plural verb in constructions such as: A couple of tomatoes were stolen.
Here is more detailed analysis from the Government of Canada's TERMIUM Plus:
Writers are often confused about when to include the preposition of after the phrase a couple. The guidelines below explain when the preposition should be included or omitted.
A couple of + noun
When a couple of is used before a noun, writers often drop the preposition of, mistakenly using the noun couple as an adjective. This usage is informal and should be avoided in writing. The noun phrase a couple needs the preposition of to link it to another noun.
Giovanni is having a couple of [not a couple] friends over for dinner.
A couple of + adjective + noun
When a couple of is used before an adjective modifying a noun, the preposition of is needed to link the noun phrase a couple to the noun following the adjective.
Brenda bought a couple of [not a couple] green papayas at the supermarket.
A couple of + a number
When a couple of is used before a number such as dozen, hundred or thousand, the preposition of is needed to link the noun phrase a couple to the number.
Ian gathered a couple of [not a couple] dozen eggs from the henhouse this morning.
A couple + word of comparison or degree
When a couple is used immediately before a word or phrase of comparison or degree (e.g. more, fewer, too few, too many), the preposition of is dropped.
Matilda ate a couple more [not a couple of more] slices of pizza than Serge did.
However, if the word of comparison or degree appears later in the sentence, a couple is followed by of.
Matilda ate a couple of slices more than Serge did.
Although people do drop the preposition, it seems to only be something regional or idiomatic.
So, both versions may be acceptable informally, but use the proposition for anything formal.