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Veterinary · head to head

Covetrus Pulse vs TheraNest

Covetrus Pulse logo

Covetrus Pulse

Veterinary

Veterinary operating system with pharmacy and client engagement

From
On request
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Covetrus Pulse ties clinical software to a supply and pharmacy relationship, which is a commercial dependency worth deciding on deliberately; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Covetrus Pulse covers Practice management, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Covetrus Pulse and TheraNest actually diverge.

Attributes where Covetrus Pulse and TheraNest differ
AttributeCovetrus PulseTheraNest
Starting priceOn request$29/month
Pricing modelquotePer user per month
PlatformsWeb, Cloud, iOS, AndroidWeb, iOS, Android
CategoryVeterinaryHealthcare

Identical on both: free tier (No), 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 Covetrus Pulse

  • Practice management
  • Integrated prescription management
  • Client engagement
  • Analytics

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

What people use each for

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

Covetrus Pulse

  • Practices dispensing heavily that want prescriptions filled without leaving the systemnot TheraNest
  • Groups wanting one platform across clinical, client and pharmacynot TheraNest
  • Clinics moving off legacy on-premise systems such as AVImarknot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Covetrus Pulse
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Covetrus Pulse
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Covetrus Pulse
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot Covetrus Pulse

Where each one falls short

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

Covetrus Pulse

  • Ties clinical software to a supply and pharmacy relationship, which is a commercial dependency worth deciding on deliberately
  • Quote-only pricing with no published rates
  • Covetrus also owns older systems, and roadmap attention across a portfolio is a fair question
  • Cloud-only, so consultations depend on clinic connectivity

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

Pricing, plan by plan

Covetrus Pulse

On request

No published plan breakdown. See the Covetrus Pulse review.

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose Covetrus Pulse if

  • You need practice management.
  • You work on Web, Cloud, iOS, Android.
  • You also want integrated prescription management.
Covetrus Pulse review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is Covetrus Pulse or TheraNest better?
Neither clearly leads. Covetrus Pulse starts at On request and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Covetrus Pulse or TheraNest?
Covetrus Pulse starts at On request and TheraNest at $29/month.
Does Covetrus Pulse or TheraNest run on more platforms?
Covetrus Pulse runs on Web, Cloud, iOS, Android. TheraNest runs on Web, iOS, Android.
What is Covetrus Pulse best used for?
Covetrus Pulse is most often used for practices dispensing heavily that want prescriptions filled without leaving the system, groups wanting one platform across clinical, client and pharmacy, clinics moving off legacy on-premise systems such as avimark. Of those, practices dispensing heavily that want prescriptions filled without leaving the system and groups wanting one platform across clinical, client and pharmacy are not what TheraNest is typically brought in for.
What can Covetrus Pulse do that TheraNest cannot?
Covetrus Pulse covers Practice management, Integrated prescription management, Client engagement, Analytics. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

Covetrus Pulse: What does Covetrus Pulse cost?

Pricing is quoted per practice and not published.

TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

Covetrus Pulse: What makes it different?

Covetrus is an animal-health distributor and pharmacy, so prescription fulfilment and home delivery sit inside the same company rather than behind an integration.

TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

Covetrus Pulse: Is the supply relationship a concern?

It is worth deciding deliberately. The convenience is real, and so is tying your clinical system to a distributor you also buy from.

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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