IDEXX Neo vs Covetrus Impromed

Covetrus Avimark

Covetrus Pulse

ezyVet

Cornerstone Software

IntraVet

HVMS

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

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

AVImark by Covetrus is an on-premise practice management software designed to help veterinarians and vet hospitals automate and manage finance and administration tasks, such as appointment scheduling, invoicing, budgeting, medical records management, and more.

Next-generation cloud-based software that transforms, innovates, and automates the way vets run their practices.

IDEXX Neo is the cloud-based practice software that is intuitive to use, easy to learn and built to make switching simple.

Access Controls/Permissions

Alerts/Notifications

Appointment Management

Appointment Scheduling

Automated Scheduling

Billing & Invoicing

Calendar Management

Charting

Client Management

Coding Assistance

Communication Management

Confirmations/Reminders

Credit Card Processing

Customer Database

Customizable Forms

Customizable Reports

Customizable Templates

Data Import/Export

Decision Support

Document Management

Document Storage

Drag & Drop

Electronic Payments

Email Reminders

Historical Reporting

Imaging and X-rays

Inventory Management

Invoice Management

Live Chat

Mobile Access

Multi-Location

No-Show Tracking

Patient Records Management

Payment Processing

Prescription Processing

Real-Time Reporting

Reminders

Reporting & Statistics

SMS Messaging

Task Scheduling

Template Management

Third-Party Integrations

Workflow Management

IDEXX Neo

Linux

Web-based

Windows

iPad

iPhone

Veterinarian/Owner

My biggest complaint is that they will not let me type in a date when doing date entry for birthdays vaccine reminders. It is a drop down calendar and it is horrible.

I love that this software is accessible anywhere. I also really like the ease of use and the ability to be truly paper free.

Office Manager

There are several things that I love about IDEXX Neo. First, the ease of use with integrated training is great.

Idexx neo customer support has always been polite and helpful trying the best they can to resolve problems. Can use any computers you want- mac or PC.

Owner 

It's perpetually updated for no extra cost and it's very inexpensive. Those are great but their customer service is really excellent.

Auto Finance Underwriter

I have be happy with the customer service and the way the company learns my scoring model. I also enjoy being able to text the customer through the program.

Veterinary Doctor

User friendly app, was happy in using this app for my regular practice.

Veterinarian

Inability to change items/order of items on consults without deleting, cannot send complete record (consults, files, results) as one document, and difficult to edit templates.

Manager

We switched from Idexx Cornerstone to Neo because it is cloud based and inexpensive. We have been happy for the most part.

Owner/veterinarian

This has made my business more efficient even after a few months of use. I am so glad that I made the change to this software.

Neo provides a greater efficiency that what I was previously using. It is self intuitive how to use the software and my technician was able to start using it easily.

Practice Manager

Neo was easy to implement, their conversion team was thorough and helpful.

I also love that there is no down time for updates, as the system is cloud based-this also eliminates the need for expensive servers and their replacement.

No whiteboard built in, editing of estimates/invoices, overwriting when other users are in the record.

Owner/Veterinarian 

Ease of use, integration with our lab equipment, integration with smartflow.

So far all the new roll outs have been positive.

Owner/Practice Manager

Lastly, integration with other software is very limited. Software for client communication and education that is compatible with Neo is almost non-existent.

No standardized way to input phone numbers so searching a client by phone number is impossible.

IDEXX Neo screenshot: Appointment Scheduler: At-a-glance view of your day, appointment status and type.

IDEXX Neo screenshot: Appointment Hover: Review reason for visit or create a consult or estimate with one click.

IDEXX Neo screenshot: Practice Dashboard: Real-time, graphical view of key practice performance metrics.

IDEXX Neo screenshot: Built-in Texting: Text clients right from Neo.

IDEXX Neo screenshot: Patient Record: Neo puts patient information and key tasks right where you need them.

IDEXX Neo screenshot: Results Screen: View complete diagnostic history, trend results, share, or access IDEXX Clinical Decision Support.

IDEXX Neo screenshot: Order Tests: Search the IDEXX Reference Laboratory menu in seconds and add tests with a single click.

Freelancers

Small Business

IntraVet is a veterinary practice management software designed to help clinics manage patients, invoicing, records, messaging, payments, social media engagement, and more via a unified portal. The application includes an appointment calendar, which allows businesses to create color-coded appointments using a drag-and-drop interface to manage patient bookings and clinic visits.

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!

HVMS is a cloud-based practice management software designed to help veterinary hospitals streamline various administrative processes related to accounting, invoicing, inventory, and more. Supervisors can generate batch invoices, assign bills to specific profit centers or departments, and filter invoices based on partner, status, date, practice or location.

ImproMed aims to streamline business operations and create ideal workflows for veterinarian practices. It helps track client data and aids the creation of wellness plans. Key features include inventory optimization, product and pricing management, enhanced reporting, and schedule management.

Telemedicine

Treatment Planning

Covetrus Impromed

We used it for 6 years and once we became comfortable with the system, everyone enjoyed using it. We liked the ability to upload photos into the dental record.

Hospital Administrator

I have had excellent customer service with Impromed. I also have been very happy with the software.

Office manager

Our clients complain all the time and don't understand what they are being charged for.

owner

Whenever we have a windows 10 update (not optional as to time or place) come through, it tends to either crash our server or cause problems with all of our printers and other connections.

Patients with split billing are a nightmare. On statements, charges for split billed patients are listed in a very confusing way and it doesnt' list what percentage each owner gets billed for.

Some tech support needs MORE training. I can always tell when they’re Struggling to fix an issue and that usually results compounding the problem.

I really appreciate the support for this product. Every time I have called in or done a live chat, the support person is knowledgeable, professional, and helps resolve the issue quickly.

practice manager

Its great to print out reports of any kind to see how we are doing.

It doesn't match up and I can calculate from the D.O.B. their actual age if I needed to, but I fear new users can easily get confused.

I find Impromed to be on of the more user friendly and intuitive programs I've used, it's still really nice to have assistance with any questions that pop up.

You can have mobile units for field work. Tech support is awesome and they are easy to contact by phone or chat or email.

Veterinarian 

This software is very easy to use and has so many features that I probably don’t even use most of them but are nice to have the option to use if needed.

Reception

It is also hard to change any errors with patient processing and refunds are also multiple unnecessary steps. It took me a long time to get used to impromed.

This software has depth that allows for customization for each hospital's processing. It also has great integration with other systems such as laboratories and payment processing.

I think the easytime appointment scheduler has been the most difficult to adapt to, it is difficult to look quickly for an available time slot, because it does not give you a view of entire day.

Hospital Manager

Some of the reporting options can be difficult to extract data from.

Inventory, patient records and accounting all work well. System has the ability to do so much with added cost of additional modules.

8 months later, there is still no timeline for fixing the integration. This is just one example.

IDEXX Neo vs Covetrus Impromed Comparison (2026)

IDEXX Neo

Covetrus Impromed

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives