# OSDE vs AVALIAN e

The clearest difference is ads: OSDE at none against AVALIAN e's shown. OSDE also leads on update cadence (monthly vs every 6 months) and iOS requirement (14.0 vs 16.0). On price, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

OSDE ships an update monthly, AVALIAN e every 6 months. The most recent releases landed on August 16, 2026 and May 16, 2026 respectively.

## The numbers

| Metric | OSDE | AVALIAN e |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[2.1 (45 ratings)](https://appshunter.io/ios/app/osde/id1470295613/reviews)** | — |
| Number of ratings | **45** | — |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | No | No |
| Ads | **No** | Yes |
| Update frequency | **Monthly** | Every 6 months |
| Monetization | Free | — |
| Size | 98 MB | 54 MB |
| Requires iOS | **14.0** | 16.0 |
| Devices | **iPhone, iPod** | iPhone |
| Age rating | 12+ | 17+ |
| Developer | [OSDE](https://appshunter.io/developer/388965947) | [ACA SALUD COOPERATIVA DE PRESTACION DE SERVICIOS MEDICO ASISTENCIALES LIMITADA](https://appshunter.io/developer/1235120617) |

## What reviewers say

### OSDE

[App page](https://appshunter.io/ios/app/osde/id1470295613)

Access your digital credentials instantly and securely, 24/7. Once logged in, explore updated medical directories, manage procedures, view upcoming appointments, and find contact channels. The app offers offline access after initial login.

**Highlights:** Digital credential access, Offline functionality, Updated medical directory, Procedure management, Appointment tracking, Contact channels

**Features:** Vision Pro support

**In-app purchases:** none


### AVALIAN e

[App page](https://appshunter.io/ios/app/avalian-e-doc/id1492736255)

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is OSDE free?

OSDE is free to download, with no in-app purchases.

### Is AVALIAN e free?

AVALIAN e is free to download, with no in-app purchases.

### Do OSDE or AVALIAN e have ads?

AVALIAN e shows ads; OSDE does not.

### Which is updated more often, OSDE or AVALIAN e?

OSDE ships an update monthly, and AVALIAN e every 6 months. Most recently, OSDE was updated on August 16, 2026 and AVALIAN e on May 16, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*