Softwr

Healthcare · head to head

eClinicalWorks vs RxWorks

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite
R

RxWorks

Veterinary

Server-based practice management with a corporate group heritage in Australia, New Zealand and the United Kingdom

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; RxWorks it is a legacy line inside Covetrus, which promotes Pulse as its strategic cloud product, so the practical question is not capability but how long the system will be supported and on what notice.
  • They diverge on capability: eClinicalWorks covers Electronic Health Records, RxWorks covers Multi-site group operation.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which eClinicalWorks and RxWorks actually diverge.

Attributes where eClinicalWorks and RxWorks differ
AttributeeClinicalWorksRxWorks
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWindows
CategoryHealthcareVeterinary
Founded1999Unknown

Identical on both: starting price (On request), 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 eClinicalWorks

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

Only in RxWorks

  • Multi-site group operation
  • Dispensing and stock control
  • Client accounts
  • On-premise database
  • Regional configuration
  • Laboratory integration

What people use each for

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

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot RxWorks
  • Patient engagement through telehealth (healow) and secure messagingnot RxWorks
  • Revenue cycle management with 98%+ first-pass acceptance ratenot RxWorks
  • AI-powered clinical documentation with Sunoh.ai medical scribenot RxWorks

RxWorks

  • A practice joining an Australian, New Zealand or United Kingdom group that already standardises on RxWorksnot eClinicalWorks
  • A group that needs consolidated reporting and centrally controlled price lists across many sitesnot eClinicalWorks
  • A mixed or large animal practice that runs account customers on credit terms rather than payment at the time of servicenot eClinicalWorks
  • A site that cannot rely on its internet connection and needs the clinical record held locallynot eClinicalWorks

Where each one falls short

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

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

RxWorks

  • It is a legacy line inside Covetrus, which promotes Pulse as its strategic cloud product, so the practical question is not capability but how long the system will be supported and on what notice.
  • It is a Windows server product, so the group carries hardware, database, patching and backup costs that never appear in the software quotation.
  • Its relevance is regional: outside Australia, New Zealand and the United Kingdom the installed base and the support and consultant network are thin, which matters for a group expanding into new markets.
  • Remote and mobile working is poor compared with cloud systems, which is a growing problem as groups centralise administration and clinicians expect record access away from the practice.
  • The eventual migration off it will be a full data conversion with retraining across every site, and at group scale that project cost should be modelled now rather than treated as a future problem.

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

RxWorks

On request
  • RxWorks$undefined/year
    • Quoted per site, normally under a group agreement
    • Annual support and maintenance charged separately
    • Server infrastructure is the responsibility of the practice or group

Which should you pick?

Choose eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks review

Choose RxWorks if

  • You need multi-site group operation.
  • You work on Windows.
  • You also want dispensing and stock control.
RxWorks review

Questions people ask

Is eClinicalWorks or RxWorks better?
Neither clearly leads. eClinicalWorks starts at On request and RxWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or RxWorks?
eClinicalWorks starts at On request and RxWorks at On request.
Does eClinicalWorks or RxWorks run on more platforms?
eClinicalWorks runs on Web, Cloud-based. RxWorks runs on Windows.
What is eClinicalWorks best used for?
eClinicalWorks is most often used for ehr and practice management for multi-specialty medical practices, patient engagement through telehealth (healow) and secure messaging, revenue cycle management with 98%+ first-pass acceptance rate, ai-powered clinical documentation with sunoh.ai medical scribe. Of those, ehr and practice management for multi-specialty medical practices and patient engagement through telehealth (healow) and secure messaging are not what RxWorks is typically brought in for.
What can eClinicalWorks do that RxWorks cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. RxWorks covers Multi-site group operation, Dispensing and stock control, Client accounts, On-premise database.

Answered from the vendors’ own pages

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

Source
RxWorks: Should a new practice adopt RxWorks today?

Generally no, unless you are joining a group that already runs it. A new independent practice should be evaluating cloud systems instead.

eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

Source
RxWorks: Is it still supported?

Covetrus supports it, but Pulse is the stated strategic product. Ask for the support commitment and the end-of-life notice period as written contract terms.

eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

Source
RxWorks: Where is it actually used?

Mostly Australia, New Zealand and the United Kingdom, heavily within corporate practice groups. It has very little presence in the United States.

eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

Source
RxWorks: What does migration off it involve?

A full clinical and financial data conversion per site plus retraining. At group scale that is a programme of work, not a weekend.

eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
Share

Related pages

More on eClinicalWorks

More on RxWorks

Keep looking

Other head to heads