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Healthcare · head to head

Kareo Clinical vs RxWorks

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Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
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: Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product; 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: Kareo Clinical 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 Kareo Clinical and RxWorks actually diverge.

Attributes where Kareo Clinical and RxWorks differ
AttributeKareo ClinicalRxWorks
Starting price$89/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, MobileWindows
CategoryHealthcareVeterinary
Founded2010Unknown

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 Kareo Clinical

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies

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.

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot RxWorks
  • Electronic health records and e-prescribing for small clinicsnot RxWorks
  • Insurance claim submission and patient payment collectionnot RxWorks

RxWorks

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

Where each one falls short

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

Kareo Clinical

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

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

Kareo Clinical

$89/month
  • Clinical Starter$89/month
    • EHR
    • Scheduling
    • Patient Portal
  • Clinical Plus$189/month
    • Everything in Starter
    • Billing
    • Analytics

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 Kareo Clinical if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want scheduling.
Kareo Clinical 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 Kareo Clinical or RxWorks better?
Neither clearly leads. Kareo Clinical starts at $89/month and RxWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Kareo Clinical or RxWorks?
Kareo Clinical starts at $89/month and RxWorks at On request.
Does Kareo Clinical or RxWorks run on more platforms?
Kareo Clinical runs on Web, Mobile. RxWorks runs on Windows.
What is Kareo Clinical best used for?
Kareo Clinical is most often used for practice management, scheduling and billing for independent medical practices, electronic health records and e-prescribing for small clinics, insurance claim submission and patient payment collection. Of those, practice management, scheduling and billing for independent medical practices and electronic health records and e-prescribing for small clinics are not what RxWorks is typically brought in for.
What can Kareo Clinical do that RxWorks cannot?
Kareo Clinical covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing. RxWorks covers Multi-site group operation, Dispensing and stock control, Client accounts, On-premise database.

Answered from the vendors’ own pages

Kareo Clinical: How much does Kareo Clinical (now Tebra) cost?

Kareo Clinical pricing is not published publicly. Pricing is based on the number of clinical providers in your practice, not seat licenses. Setup includes optional EPCS at $75/provider and PDMP Integration at $500 one-time per facility plus $50/user/year.

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.

Kareo Clinical: Does Tebra charge for front desk staff and medical assistants?

No. Tebra provides unlimited non-clinical staff access at no extra cost. Front desk staff, medical assistants, billers, and office admins can all access scheduling, charting, and claims modules without increasing billing.

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.

Kareo Clinical: Are there reduced rates for low-volume practices on Tebra?

Yes. Practices with providers billing under 100 claims monthly receive lower-tier pricing for those low-volume providers.

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.

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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