Covetrus vRxPro vs Cornerstone Software

Covetrus Avimark

Covetrus Pulse

ezyVet

Covetrus Impromed

iTRUST

Liquid EHR

Compare Covetrus vRxPro and Cornerstone Software based on features, pricing, verified reviews, integrations & more on GetApp. Find out which software is best for your business in 2026.

DaySmart Vet

DaySmart Vet provides easy-to-use practice management software to automate tasks, streamline workflows, and improve communication.

Instinct Science

Instinct is the new cloud-based operating system for the modern veterinary hospital: a full electronic medical records and practice management system.

Meet Covetrus Pulse, the industry’s first all-in-one vOS. With Covetrus AI, save 6+ hours a week*, streamline visits, and auto-generate SOAP notes, all while focusing on delivering exceptional patient care. And it's all at no extra cost!

Prescription Management Software by Covetrus is designed to help vet clinics manage patient prescriptions, compounded medications, and diets. The application enables organizations to streamline patient management, billing, appointment scheduling, and performance tracking operations.

Activity Dashboard

Alerts/Notifications

Billing & Invoicing

Client Management

Confirmations/Reminders

Customer Database

Customizable Templates

Data Import/Export

Electronic Signature

EMR/EHR

E-Prescribing

For Medical Purposes

Formulary Management

Healthcare Compliance

Historical Reporting

Inventory Management

Medication History

Multi-Location

Online Refills

Patient Records Management

Prescription Cancellation

Prescription Management

Prescription Processing

Prescription Renewal

Pricing Data

Records Management

Reminders

Reporting & Statistics

Revenue Management

Search/Filter

Self Service Portal

Task Management

Task Scheduling

Third-Party Integrations

Treatment Planning

Workflow Management

By industry, Covetrus vRxPro reviewers are most commonly professionals in veterinary (95%). The most frequent use case cited by reviewers is veterinary (88%).

Users and use cases

Covetrus vRxPro is a veterinary solution offering key features such as prescription processing, patient records management, and client management, among others.

Covetrus vRxPro

Web-based

Practice Manager

Also, allows us to place the RX on file on the client's account and an email is sent letting them know their RX is ready to order.  

Veterinary Assistant and Office Manager

Has bugs that occur more often than they should that prevents logging in and prescribing medication as well as writeback.

Receptionist

Also, the portal has to be refreshed often for changes to take effect. If I remove a renewal it will stay in there until I hit the refresh button. If I approve an order the numerical bubble on my home screen will still say I have the same number of requests as before until I press the refresh button.

When we edit a client's rx request, it sends them a notice saying it was declined and then an entirely new rx request is sent to the client.

Writes back to automatically to practice software which decreases workload from staff.

It allows us to help the client from our side instead of instructions via email or phone.  

You are able to help the client on our end with just about anything including shipping, orders, autoship etc

Client Solutions Navigator

We also have to send reports monthly of our new clients to manually add in to our database.

We have lost a client over this, and when calling to ask if there was a way to know if it is auto-ship vs. request, I was told that I could look in their previous order to see if it was auto-ship.

Ease of use, able to modify quantities, the ability to write RX's directly from pulse.

It is also too difficult to figure out at a glance if an order is auto-ship generated or something the owner requested on their own.

Practice Manager CVT

Avimark integration works seamlessly to avoid having to note what was done at a third party pharmacy.

Veterinarian

We , as vets didnt get any notification that our clients had ordered anything. When I went onto approve the script, I found 2 other requests that we didnt know about.

Office Manager

We have had so many clients complaining about it taking over a week just for their order to be shipped out, not even delivered.

Is getting better, can help clients check out and switch things now, still can't order for clinic like could on old platform. When I have had to call in all reps have been super helpful and friendly!!!

Wait times for customer support were sometimes over 30 minutes, and online chat was seldom available.at the end of 2023.

When RX is filled for whatever reason, we usually don't have a good way to follow up to make sure owner gets meds.  

lab pharm manager

searching for food to prescribe is a pain    wish it was easier search better key words searching or set a favorite list

Veterinary Technician and Admin

Sometimes I must refresh the page and repeat something I have already done due to error messages.

This takes up a lot of our valuable time that we don't have if we need to keep refreshing the page.

I like that fact that it is a place where clients can shop online for prescriptions and it cuts down on the number of written prescriptions that we have do to.

Medical Director

Customer service can be hit or miss, cannot control drug prices

Front Desk Supervisor

When going on the website to look up an rx, it is a lot of steps to get to where you need to be.

The fact that i have to manually link all patients with their file

Director of Communications

Positive overall, most often I can get answers within minutes, but there have been times in the past when client service lines were unanswered.

Hospital Manager

Hard to help clients with issues in hospital

Wait times were sometimes over 30 minutes and online chat wasn't available much.

We can't see clients' order history from before the upgraded platform.

Administrative Assistant

I love how you can add automatic labels/instructions for medications.

CVT, Inventory Manager

I love that it integrates with our PMS, it make workflow so much more effecient

The shortages/issues with compounds over the last year have been a struggle also, but the pharmaceutical laws changing isnt anyone's fault.

Practice manager

no Free shipping on food orders unless they are auto shipped.

the prescription cancelling when you change the quantity requested

Manager

It's very convenient for clients and it is helpful as we cannot keep every medication on our shelves.

We have too many clients taking their business elsewhere because it is simpler to ship to their house.

Customer Care Representative

I would like the option to send via text message as well.

Nurse Manager

It also communicates automatically with our EMR ensuring patient records are always up to date with less workload on the CSRs.

Office Manager, LVT

I like the client outreach with emails and promo codes.

Hard to tell what is in stock when quoting prices.

Sometimes if your in a hurry it can be difficult to navigate, but once you get there its fine.

We have to call in to get that info, which is time consuming.

Integration is smooth, a little trouble importing clients/patients

We still have more RX requests from chewy than our own website.

office manager

It seems to be a little harder to actually help the client when they arent able to do it themselves.

I wish it was quicker to get meds or food we want to dispense on there.  

Support staff can put prescriptions on there easily.

Trust the products sent to clients are authentic and stored properly

It is very convenient with the online platform and clients appreciate the at home service.

Not able to do whatever pricing the CLINIC demes their normal

good   compounding products can be a bit of a pain they are always changing or out of stock  

Client Prescription Management

Bugs and Issues

Client Email Notifications

Phone Support

Pricing

Training and Learning Curve

Features

Online Pharmacy

Approval Process

Customer Support

Small Business

Freelancers

Mid-size Business

Large Enterprises

Covetrus Software Services

Cornerstone from IDEXX is versatile, feature-rich software that can be customized to meet your every need. 

Accounting

Appointment Scheduling

Charting

Communication Management

Electronic Payments

Email Reminders

Imaging and X-rays

Invoice Management

Payment Processing

SMS Messaging

SOAP notes

Status Tracking

Telemedicine

Template Management

Cornerstone Software

Windows

Linux

Android

Basic

Patient Management, Reporting, Security, Customer Support, Appointment Scheduling, Staff Training, and that is it

It contains all of the patient's data that we need for appointments (scheduling, history, attachments, etc)

I also favored the appointment scheduler and the ability to copy and paste appointments which is not something that is available with our current practice management system.

The fact that Cornerstone is tied to a server and can't be a cloud based software. If the server crashes it causes a lot of headaches.

It was a little "clunky" at times and counterintuitive on how to find some information. But it does the job. If you don't need a lot of bells and whistles.

I did not like how the integration with other products, such as IDEXX, would sometimes not work for some patients.

The scheduling software is very simple and allows for ease of use and efficiency in managing your time, since it is not complicated.

It served me well in those 15 years. But sadly there are better options out now if you want advanced software.

For instance, creating reports was quite difficult when it could be fixed with a few tech-savvy updates.

Veterinary Technician

Good reports with lots of details and search options to narrow down my report.

Fairly neutral; not the worst software that the practice has ever used, but difficult to learn at first, and cannot be used for all in-hospital needs, auxiliary programs are needed for treatment sheets and imaging files.

Not great at syncing with other data (ex: Idexx lab results).

Hospital Administrator

It is simple to use and integrates well will all Idexx blood analyzers, which is nice.  

The customer support and initial staff training are extensive.

Lead vet assistant

It’s easy patient management and navigation.

Worked as interim HM at clinic that had cornerstone, took awhile to learn even basic thinga within system.

Customer Service Manager

Invoice mistakes, server issues, and LONG wait times for customer service eventually led to us terminating out contract with IDEXX and moving over to a new PIMS.

It has so many wonderful features but until recently they were like easter eggs and you had to find them and teach yourself how to use them.

Used daily and for many different reasons, great diagnostic tool with fast reporting

While using cornerstone it was very easy to locate something on a medical record.

Lead Veterinary Assistant

It is a outdated slower software program.

There are a few features that require a right click and drop down menu that I feel would be better set to just a double click.

In the nearly 10 years I used Cornerstone I found reporting and boarding/scheduling features to be the best aspect of the program.

We have been a CS client since 1999 and while we love it, we have hated it at times.

Cornerstone is a massive program and for the price and what we utilized of it, the cost didn't work for us.

Owner/Veterinarian

As a relief vet, I use this software from time to time and the practices that have it rarely switch.

Once you get the hang of cornerstone, it is easy.

Surgical veterinary nurse

The software was often very slow and lagged for us.

Newer PIMS could definitely learn a thing or two from those designs.

Facilities Manager

It was fine, and we still run the server for access to records that did not migrate well to our current platform.  

That said, we haven't used the platform daily in almost two years and logging on intermittently I can still easily navigate through - innovation is still lacking.

owner

Old fashioned - can't do on line bookings, SMS remnders and now can't email from the program.  

Covetrus vRxPro vs Cornerstone Software Comparison (2026)

Covetrus vRxPro

Cornerstone Software

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives