# DynaMedex vs ACP MKSAP

The clearest difference is rating: DynaMedex at 4.8 against ACP MKSAP's 4.2. DynaMedex also leads on in-app purchases (none vs 1) and ratings volume (687 vs 17). ACP MKSAP's advantage is update cadence (every 10 days vs every 6 weeks) and iOS requirement (13.0 vs 18.4). On price, review sentiment, ads and device support there is nothing between them.

Both are free to download. ACP MKSAP sells 1 in-app purchase, starting at $999.99 per year. DynaMedex asks for nothing beyond the download.

DynaMedex holds the better App Store score, 4.8 against 4.2. That said, the two scores are not equally well evidenced: DynaMedex has 687 ratings behind it against 17, so its average is the more settled of the two. Written reviews complicate that: 50% of DynaMedex's written reviews are positive against 57% of ACP MKSAP's, so the app with the better star average is not the one people write more warmly about.

DynaMedex ships an update every 6 weeks, ACP MKSAP every 10 days. The most recent releases landed on November 5, 2026 and November 3, 2026 respectively.

## The numbers

| Metric | DynaMedex | ACP MKSAP |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.8 (687 ratings)](https://appshunter.io/ios/app/dynamedex/id1519312217/reviews)** | [4.2 (17 ratings)](https://appshunter.io/ios/app/acp-mksap/id6739636797/reviews) |
| Number of ratings | **687** | 17 |
| Positive reviews | 50.0% of reviews | **57.1% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Every 10 days** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 38 MB | 540 MB |
| Requires iOS | 18.4 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [EBSCO Publishing](https://appshunter.io/developer/433269590) | [American College of Physicians](https://appshunter.io/developer/371090673) |

## What reviewers say

### DynaMedex

[App page](https://appshunter.io/ios/app/dynamedex/id1519312217)

This clinician-focused tool provides timely, objective analysis and guidance on patient care, drawing from rigorously reviewed medical literature. It offers comprehensive disease and medication content to support informed decision-making for healthcare professionals.

**Highlights:** Evidence-based patient care guidance, Daily medical literature review, Comprehensive disease content, Medication information, Mobile and desktop syncing, Clinician-focused tool

**Features:** Vision Pro support

**In-app purchases:** none


### ACP MKSAP

[App page](https://appshunter.io/ios/app/acp-mksap/id6739636797)

Access comprehensive internal medicine knowledge and practice exam-style questions offline. This app syncs your progress with the online version when connected to the internet. It's designed for physicians to stay updated on the latest evidence and enhance their clinical decision-making skills.

**Highlights:** Offline access to text and questions, Thousands of exam-like multiple-choice questions, Patient-based clinical scenarios, Syncs progress with online version, Includes figures, charts, and tables, Targets knowledge gaps

**Features:** Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Non-member in-app price | $999.99 | per year |


## Frequently asked questions

### Is DynaMedex free?

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

### Is ACP MKSAP free?

ACP MKSAP is free to download, with in-app purchases available.

### Which has better reviews, DynaMedex or ACP MKSAP?

DynaMedex is rated higher. DynaMedex averages 4.8 out of 5 from 687 ratings, while ACP MKSAP averages 4.2 from 17 ratings.

### Do DynaMedex or ACP MKSAP have ads?

Neither DynaMedex nor ACP MKSAP shows ads.

### Which is updated more often, DynaMedex or ACP MKSAP?

DynaMedex ships an update every 6 weeks, and ACP MKSAP every 10 days. Most recently, DynaMedex was updated on November 5, 2026 and ACP MKSAP on November 3, 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.*