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Veterinary · head to head

RxWorks vs SimplePractice

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
SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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.; SimplePractice no API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • They diverge on capability: RxWorks covers Multi-site group operation, SimplePractice covers Scheduling.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which RxWorks and SimplePractice actually diverge.

Attributes where RxWorks and SimplePractice differ
AttributeRxWorksSimplePractice
Starting priceOn request$49/month
Pricing modelquoteUnknown
PlatformsWindowsWeb, iOS, Android
CategoryVeterinaryHealthcare
FoundedUnknown2011

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 RxWorks

  • Multi-site group operation
  • Dispensing and stock control
  • Client accounts
  • On-premise database
  • Regional configuration
  • Laboratory integration

Only in SimplePractice

  • Scheduling
  • Client Portal
  • Notes
  • Billing
  • Telehealth
  • Documents
  • Stripe
  • PayPal

What people use each for

The jobs each tool is most often brought in to do.

RxWorks

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

SimplePractice

  • Patient Carenot RxWorks
  • Medical Recordsnot RxWorks
  • Practice Managementnot RxWorks
  • Telehealthnot RxWorks

Where each one falls short

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

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.

SimplePractice

  • No API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • Lacks AI clinical documentation in base plan, requiring manual note typing which takes 15-30 minutes per session
  • Reporting and customization features are limited compared to competitors, with weak insurance workflow support
  • Hidden costs beyond base pricing, with real cost often 3x higher after add-ons and annual increases
  • Telehealth component reported as unstable and frequently unreliable by some users

Pricing, plan by plan

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

SimplePractice

$49/month
  • Starter$49/month
    • Scheduling
    • Documentation
    • Client portal
  • Essential$79/month
    • Billing and payments
    • Insurance claim filing
    • Telehealth
  • Plus$99/month
    • Website builder
    • Advanced reporting
    • ePrescribe integration

Which should you pick?

Choose RxWorks if

  • You need multi-site group operation.
  • You work on Windows.
  • You also want dispensing and stock control.
RxWorks review

Choose SimplePractice if

  • You need scheduling.
  • You work on Web, iOS, Android.
  • You also want client portal.
SimplePractice review

Questions people ask

Is RxWorks or SimplePractice better?
Neither clearly leads. RxWorks starts at On request and SimplePractice at $49/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, RxWorks or SimplePractice?
RxWorks starts at On request and SimplePractice at $49/month.
Does RxWorks or SimplePractice run on more platforms?
RxWorks runs on Windows. SimplePractice runs on Web, iOS, Android.
What is RxWorks best used for?
RxWorks is most often used for a practice joining an australian, new zealand or united kingdom group that already standardises on rxworks, a group that needs consolidated reporting and centrally controlled price lists across many sites, a mixed or large animal practice that runs account customers on credit terms rather than payment at the time of service, a site that cannot rely on its internet connection and needs the clinical record held locally. Of those, a practice joining an australian, new zealand or united kingdom group that already standardises on rxworks and a group that needs consolidated reporting and centrally controlled price lists across many sites are not what SimplePractice is typically brought in for.
What can RxWorks do that SimplePractice cannot?
RxWorks covers Multi-site group operation, Dispensing and stock control, Client accounts, On-premise database. SimplePractice covers Scheduling, Client Portal, Notes, Billing.

Answered from the vendors’ own pages

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.

SimplePractice: What does SimplePractice pricing include?

SimplePractice tiers start at $49 (Starter), $79 (Essential), and $99 (Plus) per clinician per month. Add-ons cost extra, including AI Note Taker at $35/month and ePrescribe at $49/month plus $89 setup.

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.

SimplePractice: Does SimplePractice include telehealth?

Yes, all SimplePractice tiers include HIPAA-compliant integrated telehealth, allowing therapists to conduct secure video sessions directly from the platform.

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.

SimplePractice: Is AI documentation included in SimplePractice?

No, AI clinical notes are not included in base pricing. SimplePractice offers an optional AI Note Taker add-on for $35/month that provides basic transcription, though it lacks advanced note generation features of competitors.

Source
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.

SimplePractice: Does SimplePractice support international or non-US workflows?

No, SimplePractice is designed for US practices only and does not support non-US workflows, insurance structures, or currencies, limiting its use for international practitioners.

Source
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