Softwr

Veterinary · head to head

AVImark vs IDEXX Neo

AVImark logo

AVImark

Veterinary

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

From
On request
Rated
-
Full reviewWebsite
IDEXX Neo logo

IDEXX Neo

Veterinary

Cloud practice management from IDEXX, designed around IDEXX analysers and reference laboratories

From
On request
Rated
-
Full reviewWebsite

The short version

  • 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.; IDEXX Neo the value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • They diverge on capability: AVImark covers Medical records, IDEXX Neo covers IDEXX analyser integration.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which AVImark and IDEXX Neo actually diverge.

Attributes where AVImark and IDEXX Neo differ
AttributeAVImarkIDEXX Neo
PlatformsWindowsWeb, iOS, Android

Identical on both: starting price (On request), pricing model (quote), free tier (No), user rating (Not yet rated), category (Veterinary).

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 IDEXX Neo

  • IDEXX analyser integration
  • Reference laboratory integration
  • Cloud hosting
  • Templated medical records
  • Scheduling and reminders
  • Invoicing and inventory

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 IDEXX Neo
  • A practice whose staff are fast in AVImark and where retraining cost outweighs the benefits of movingnot IDEXX Neo
  • A rural clinic with poor connectivity that cannot depend on a browser based systemnot IDEXX Neo
  • A practice buying Covetrus pharmacy and supplies that wants prescription workflow in the same systemnot IDEXX Neo

IDEXX Neo

  • A one to three doctor small animal clinic that already runs IDEXX in-house analysersnot AVImark
  • A practice moving off a server-based system that wants hosting and backup to stop being its problemnot AVImark
  • A new clinic opening with IDEXX diagnostics that wants the laboratory workflow set up on day onenot AVImark
  • A practice whose staff turnover is high and which needs software simple enough to train someone on in a daynot 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.

IDEXX Neo

  • The value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • Software pricing is often folded into a diagnostics purchase agreement, which makes it hard to see what the practice management system actually costs and harder still to compare it against a neutral vendor.
  • It is designed for small single-site practices, so multi-location groups quickly hit limits in reporting, consolidated inventory and cross-site records and are steered towards Cornerstone instead.
  • Reporting and inventory management are basic by design, so a practice that wants detailed production analysis by veterinary surgeon or tight stock control will need to export and work outside the system.
  • The third-party integration surface is narrower than open cloud systems, so specialist tools for communication, imaging or wellness plans may not connect without manual work.

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

IDEXX Neo

On request
  • IDEXX Neo$undefined/year
    • Quoted per practice, frequently as part of a diagnostics agreement
    • Cloud hosting, backup and updates included
    • Data conversion charged separately

Which should you pick?

Choose AVImark if

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

Choose IDEXX Neo if

  • You need idexx analyser integration.
  • You work on Web, iOS, Android.
  • You also want reference laboratory integration.
IDEXX Neo review

Questions people ask

Is AVImark or IDEXX Neo better?
Neither clearly leads. AVImark starts at On request and IDEXX Neo at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, AVImark or IDEXX Neo?
AVImark starts at On request and IDEXX Neo at On request.
Does AVImark or IDEXX Neo run on more platforms?
AVImark runs on Windows. IDEXX Neo runs on Web, iOS, Android.
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 IDEXX Neo is typically brought in for.
What can AVImark do that IDEXX Neo cannot?
AVImark covers Medical records, Appointment scheduling, Invoicing and estimates, Inventory and controlled drugs. IDEXX Neo covers IDEXX analyser integration, Reference laboratory integration, Cloud hosting, Templated medical records.

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.

IDEXX Neo: Do I have to use IDEXX diagnostics?

No, but almost all the advantage of choosing Neo over a neutral cloud system comes from the IDEXX analyser and reference laboratory integration.

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.

IDEXX Neo: How is Neo different from Cornerstone?

Cornerstone is the older on-premise product for larger and multi-site hospitals, with much deeper inventory and reporting. Neo is cloud, simpler and aimed at small practices.

AVImark: Can AVImark be run in the cloud?

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

IDEXX Neo: Is pricing published?

No. It is quoted per practice and is frequently negotiated alongside diagnostics commitments, so ask for the software price as a standalone figure.

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.

IDEXX Neo: Can I export my records if I leave?

Data extracts are available on request, but plan the extract and test it before you commit, because migration off a diagnostics-linked system is usually a bigger project than expected.

Share

Related pages

More on AVImark

More on IDEXX Neo

Keep looking

Other head to heads