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Healthcare · head to head

NextGen Healthcare vs RxWorks

NextGen Healthcare logo

NextGen Healthcare

Healthcare

Integrated EHR and practice management solutions

From
$150/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: NextGen Healthcare no pricing published on website; 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: NextGen Healthcare 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 NextGen Healthcare and RxWorks actually diverge.

Attributes where NextGen Healthcare and RxWorks differ
AttributeNextGen HealthcareRxWorks
Starting price$150/monthOn request
Pricing modelsubscriptionquote
PlatformsWeb, iOS, AndroidWindows
CategoryHealthcareVeterinary
Founded1997Unknown

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 NextGen Healthcare

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle Management
  • Telehealth
  • Analytics
  • Labs
  • Pharmacies
  • Clearinghouses

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.

NextGen Healthcare

  • Cloud-based EHR and practice management for ambulatory and specialty practicesnot RxWorks
  • AI-assisted clinical documentation to reduce after-hours charting timenot RxWorks

RxWorks

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

Where each one falls short

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

NextGen Healthcare

  • No pricing published on website

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

NextGen Healthcare

$150/month

No published plan breakdown. See the NextGen Healthcare 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 NextGen Healthcare if

  • You need electronic health records.
  • You work on Web, iOS, Android.
  • You also want practice management.
NextGen Healthcare 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 NextGen Healthcare or RxWorks better?
Neither clearly leads. NextGen Healthcare starts at $150/month and RxWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, NextGen Healthcare or RxWorks?
NextGen Healthcare starts at $150/month and RxWorks at On request.
Does NextGen Healthcare or RxWorks run on more platforms?
NextGen Healthcare runs on Web, iOS, Android. RxWorks runs on Windows.
What is NextGen Healthcare best used for?
NextGen Healthcare is most often used for cloud-based ehr and practice management for ambulatory and specialty practices, ai-assisted clinical documentation to reduce after-hours charting time. Of those, cloud-based ehr and practice management for ambulatory and specialty practices and ai-assisted clinical documentation to reduce after-hours charting time are not what RxWorks is typically brought in for.
What can NextGen Healthcare do that RxWorks cannot?
NextGen Healthcare covers Electronic Health Records, Practice Management, Revenue Cycle Management, Telehealth. RxWorks covers Multi-site group operation, Dispensing and stock control, Client accounts, On-premise database.

Answered from the vendors’ own pages

NextGen Healthcare: How much does NextGen Healthcare cost?

NextGen Healthcare does not publish pricing on its website. The company directs customers to schedule a meeting, request a demo, or chat with sales to receive custom pricing.

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.

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.

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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