Softwr

Healthcare · head to head

Practice Fusion vs RxWorks

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
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

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: Practice Fusion cloud-based architecture requires constant internet connectivity; 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: Practice Fusion 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 Practice Fusion and RxWorks actually diverge.

Attributes where Practice Fusion and RxWorks differ
AttributePractice FusionRxWorks
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
PlatformsWeb, iOS, AndroidWindows
CategoryHealthcareVeterinary
Founded2005Unknown

Identical on both: 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 Practice Fusion

  • Electronic Health Records
  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

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.

Practice Fusion

  • Small to medium medical practicesnot RxWorks
  • Primary care clinicsnot RxWorks
  • Independent clinicians needing electronic chartingnot RxWorks
  • Practice management and billing workflowsnot RxWorks

RxWorks

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

Where each one falls short

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

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

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

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

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 Practice Fusion if

  • You need electronic health records.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want e-prescribing.
Practice Fusion 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 Practice Fusion or RxWorks better?
Neither clearly leads. Practice Fusion starts at Free and RxWorks at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or RxWorks?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and On request for RxWorks.
Does Practice Fusion or RxWorks run on more platforms?
Practice Fusion runs on Web, iOS, Android. RxWorks runs on Windows.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. RxWorks starts at On request.
What is Practice Fusion best used for?
Practice Fusion is most often used for small to medium medical practices, primary care clinics, independent clinicians needing electronic charting, practice management and billing workflows. Of those, small to medium medical practices and primary care clinics are not what RxWorks is typically brought in for.
What can Practice Fusion do that RxWorks cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. RxWorks covers Multi-site group operation, Dispensing and stock control, Client accounts, On-premise database.

Answered from the vendors’ own pages

Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

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.

Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

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.

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.

Share

Related pages

More on Practice Fusion

More on RxWorks

Keep looking

Other head to heads