# NMV／r vs ACP MKSAP

The clearest difference is in-app purchases: NMV／r at none against ACP MKSAP's 1. ACP MKSAP's advantage is update cadence (every 10 days vs every 2 months) and iOS requirement (13.0 vs 15.0). On price, 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. NMV／r asks for nothing beyond the download.

NMV／r ships an update every 2 months, ACP MKSAP every 10 days. The most recent releases landed on September 19, 2026 and September 14, 2026 respectively.

## The numbers

| Metric | NMV／r | ACP MKSAP |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.2 (16 ratings)](https://appshunter.io/ios/app/acp-mksap/id6739636797/reviews)** |
| Number of ratings | — | **16** |
| Positive reviews | — | 57.1% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 10 days** |
| Monetization | — | Free with in-app purchases |
| Size | 2 MB | 542 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [GARMENMED, SCP](https://appshunter.io/developer/1178687025) | [American College of Physicians](https://appshunter.io/developer/371090673) |

## What reviewers say

### NMV／r

[App page](https://appshunter.io/ios/app/nmvr/id1642487695)

**Features:** macOS Compatibility, 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 NMV／r free?

NMV／r is free to download, with no in-app purchases.

### Is ACP MKSAP free?

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

### Do NMV／r or ACP MKSAP have ads?

Neither NMV／r nor ACP MKSAP shows ads.

### Which is updated more often, NMV／r or ACP MKSAP?

NMV／r ships an update every 2 months, and ACP MKSAP every 10 days. Most recently, NMV／r was updated on September 19, 2026 and ACP MKSAP on September 14, 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.*