Healthcare · head to head
Healthie vs RxWorks

Healthie
Healthcare
EHR, scheduling and client engagement for nutrition, wellness and virtual-first care
- From
- $19/month
- Rated
- -
RxWorks
Veterinary
Server-based practice management with a corporate group heritage in Australia, New Zealand and the United Kingdom
- From
- On request
- Rated
- -
The short version
- Each has a real cost: Healthie the Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.; 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: Healthie covers Active client based tiers, 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 Healthie and RxWorks actually diverge.
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 Healthie
- Active client based tiers
- Charting and templates
- Telehealth
- Food and symptom journalling
- Programmes and courses
- Public API
- ePrescribing
- Insurance claims
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.
Healthie
- A registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscriptionnot RxWorks
- A virtual care startup using the API as a compliant clinical backend rather than building charting and scheduling from scratchnot RxWorks
- A wellness group practice selling packaged twelve week programmes with group video sessions and course contentnot RxWorks
- A health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexitynot RxWorks
RxWorks
- A practice joining an Australian, New Zealand or United Kingdom group that already standardises on RxWorksnot Healthie
- A group that needs consolidated reporting and centrally controlled price lists across many sitesnot Healthie
- A mixed or large animal practice that runs account customers on credit terms rather than payment at the time of servicenot Healthie
- A site that cannot rely on its internet connection and needs the clinical record held locallynot Healthie
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
Healthie
- The Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.
- Insurance billing is not native: claim submission runs through a separately priced ClaimMD integration starting around 30 dollars a month, so a practice that bills payers is buying and reconciling two systems.
- Costs stack quickly beyond the headline plan, with ePrescribing at 40 dollars per clinician per month, inbound fax at 10 dollars, additional Group clinicians at 50 dollars each and card processing at 2.9 per cent plus 30 cents.
- Client counting is based on active clients, and the definition of active is set by the vendor rather than by you, so seasonal or intermittent caseloads can push a practice into a higher tier for clients it is barely seeing.
- It is built around ambulatory wellness and virtual care, so specialties needing lab ordering, imaging, in house dispensing or complex care coordination will find the clinical model too thin and will not find those modules to buy.
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
Healthie
$19/month- Core$19/month
- Up to ten active clients
- Scheduling and payments
- Charting and telehealth
- Essentials$49/month
- Up to 250 active clients
- Custom forms
- CMS 1500 generation
- Plus$129/month
- Unlimited active clients
- Group telehealth
- Online programmes
- Group$149/month
- Unlimited active clients
- Shared calendar and team management
- Roles and permissions
RxWorks
On request- RxWorks$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 Healthie if
- You need active client based tiers.
- You work on Web, iOS, Android, API.
- You also want charting and templates.
Choose RxWorks if
- You need multi-site group operation.
- You work on Windows.
- You also want dispensing and stock control.
Questions people ask
- Is Healthie or RxWorks better?
- Neither clearly leads. Healthie starts at $19/month and RxWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, Healthie or RxWorks?
- Healthie starts at $19/month and RxWorks at On request.
- Does Healthie or RxWorks run on more platforms?
- Healthie runs on Web, iOS, Android, API. RxWorks runs on Windows.
- What is Healthie best used for?
- Healthie is most often used for a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription, a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch, a wellness group practice selling packaged twelve week programmes with group video sessions and course content, a health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexity. Of those, a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription and a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch are not what RxWorks is typically brought in for.
- What can Healthie do that RxWorks cannot?
- Healthie covers Active client based tiers, Charting and templates, Telehealth, Food and symptom journalling. RxWorks covers Multi-site group operation, Dispensing and stock control, Client accounts, On-premise database.
Answered from the vendors’ own pages
Healthie: Is the API available without an enterprise contract?
Yes. API access is available on standard published plans, which is why digital health startups use it as a clinical backend.
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.
Healthie: Can Healthie submit insurance claims?
Only through the separately priced ClaimMD integration. Native CMS 1500 generation is included, but submission is an add-on.
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.
Healthie: What does an active client mean for billing?
It is a client with recent activity in the platform, not everyone in your database. Tiers are set by that count, not by seats.
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.
Healthie: Is it HIPAA compliant?
Yes, and a business associate agreement is available. The client-facing mobile app and portal are covered.
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.
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