# NIHSS+ vs MSD Focus Portal

NIHSS+ and MSD Focus Portal are too close to call on the numbers: across 6 compared parameters — price, update cadence, ads and in-app purchases among them — neither pulls far enough ahead to decide it. What separates them is feature set and interface, not measurable difference.

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

NIHSS+ ships an update every 2 weeks, MSD Focus Portal monthly. Both last shipped on October 25, 2026.

## The numbers

| Metric | NIHSS+ | MSD Focus Portal |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[4.4 (8 ratings)](https://appshunter.io/ios/app/nihss-plus/id1669590578/reviews)** | — |
| Number of ratings | **8** | — |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Monthly |
| Monetization | Free | — |
| Size | 148 MB | 29 MB |
| Requires iOS | 16.0 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 4+ |
| Developer | [Apex Innovations](https://appshunter.io/developer/1669590580) | [Focus School Software](https://appshunter.io/developer/860665264) |

## What reviewers say

### NIHSS+

[App page](https://appshunter.io/ios/app/nihss-plus/id1669590578)

This app provides a digital learning format for evaluating stroke symptoms based on the established NIHSS scale. It offers guidance for accurate stroke assessment, tips, and support for telestroke situations, intended for educational purposes.

**Highlights:** Stroke symptom evaluation, Digital learning format, Accurate stroke assessment guidance, Tips and tricks for assessment, Telestroke situation support, Educational training

**Features:** Vision Pro support

**In-app purchases:** none


### MSD Focus Portal

[App page](https://appshunter.io/ios/app/msd-focus-portal/id6760335862)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is NIHSS+ free?

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

### Is MSD Focus Portal free?

MSD Focus Portal is free to download, with no in-app purchases.

### Do NIHSS+ or MSD Focus Portal have ads?

Neither NIHSS+ nor MSD Focus Portal shows ads.

### Which is updated more often, NIHSS+ or MSD Focus Portal?

NIHSS+ ships an update every 2 weeks, and MSD Focus Portal monthly. Most recently, NIHSS+ was updated on October 25, 2026 and MSD Focus Portal on October 25, 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.*