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Veterinary · head to head

AVImark vs Practice Fusion

AVImark logo

AVImark

Veterinary

Long-running Windows practice management software for veterinary clinics, now part of Covetrus

From
On request
Rated
-
Full reviewWebsite
Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: AVImark the owner markets a different cloud platform as its strategic product, so AVImark development is maintenance paced and buyers should expect a migration conversation rather than a long roadmap.; Practice Fusion cloud-based architecture requires constant internet connectivity
  • They diverge on capability: AVImark covers Medical records, Practice Fusion covers Electronic Health Records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which AVImark and Practice Fusion actually diverge.

Attributes where AVImark and Practice Fusion differ
AttributeAVImarkPractice Fusion
Starting priceOn requestFree
Pricing modelquotesubscription
Free tierNoYes
PlatformsWindowsWeb, iOS, Android
CategoryVeterinaryHealthcare
FoundedUnknown2005

Identical on both: user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in AVImark

  • Medical records
  • Appointment scheduling
  • Invoicing and estimates
  • Inventory and controlled drugs
  • Reminders
  • Add-on modules

Only in Practice Fusion

  • Electronic Health Records
  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

What people use each for

The jobs each tool is most often brought in to do.

AVImark

  • A single site clinic that wants the lowest ongoing software cost and already has a server and an IT providernot Practice Fusion
  • A practice whose staff are fast in AVImark and where retraining cost outweighs the benefits of movingnot Practice Fusion
  • A rural clinic with poor connectivity that cannot depend on a browser based systemnot Practice Fusion
  • A practice buying Covetrus pharmacy and supplies that wants prescription workflow in the same systemnot Practice Fusion

Practice Fusion

  • Small to medium medical practicesnot AVImark
  • Primary care clinicsnot AVImark
  • Independent clinicians needing electronic chartingnot AVImark
  • Practice management and billing workflowsnot AVImark

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

AVImark

  • The owner markets a different cloud platform as its strategic product, so AVImark development is maintenance paced and buyers should expect a migration conversation rather than a long roadmap.
  • Meaningful capabilities including imaging, client communication and wellness plans are separately priced modules, so the quoted base licence understates what a working configuration costs.
  • It is Windows and server based, which pushes hardware, backup and IT support costs onto the practice and rules out browser or tablet use in the examination room.
  • The interface is keyboard driven and dated, which suits long-serving staff but slows new hires and makes onboarding relief staff harder.
  • Data lives in a local database with limited export tooling, so extracting a clean history when moving to another system is a paid conversion project rather than a download.

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

Pricing, plan by plan

AVImark

On request
  • AVImark$undefined/year
    • Licence plus annual maintenance and support agreement
    • Add-on modules priced individually
    • Server, backup and workstation costs borne by the practice

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

Which should you pick?

Choose AVImark if

  • You need medical records.
  • You work on Windows.
  • You also want appointment scheduling.
AVImark review

Choose Practice Fusion if

  • You need electronic health records.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want e-prescribing.
Practice Fusion review

Questions people ask

Is AVImark or Practice Fusion better?
Neither clearly leads. AVImark starts at On request and Practice Fusion at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, AVImark or Practice Fusion?
Practice Fusion has a free tier; the other does not. Paid plans start at On request for AVImark and Free for Practice Fusion.
Does AVImark or Practice Fusion run on more platforms?
AVImark runs on Windows. Practice Fusion runs on Web, iOS, Android.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. AVImark starts at On request.
What is AVImark best used for?
AVImark is most often used for a single site clinic that wants the lowest ongoing software cost and already has a server and an it provider, a practice whose staff are fast in avimark and where retraining cost outweighs the benefits of moving, a rural clinic with poor connectivity that cannot depend on a browser based system, a practice buying covetrus pharmacy and supplies that wants prescription workflow in the same system. Of those, a single site clinic that wants the lowest ongoing software cost and already has a server and an it provider and a practice whose staff are fast in avimark and where retraining cost outweighs the benefits of moving are not what Practice Fusion is typically brought in for.
What can AVImark do that Practice Fusion cannot?
AVImark covers Medical records, Appointment scheduling, Invoicing and estimates, Inventory and controlled drugs. Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal.

Answered from the vendors’ own pages

AVImark: Who owns AVImark now?

Covetrus, following its spin-out from Henry Schein in 2019 and its move to private ownership in 2022. It was originally a McAllister Software Systems product.

Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

Source
AVImark: Is AVImark being discontinued?

No announcement of that, but Covetrus positions Pulse as its cloud platform. Ask for written roadmap commitments before signing a multi-year agreement.

Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

Source
AVImark: Can AVImark be run in the cloud?

Only by hosting it on a remote Windows server. It is not a browser application.

AVImark: Is it cheaper than cloud practice management systems?

On licence cost yes, but add server, backup, IT support and paid modules before making the comparison.

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