# TOXBASE vs COSA

The clearest difference is rating: COSA at 3.7 against TOXBASE's 1.0. COSA also leads on in-app purchases (none vs 1) and update cadence (every 3 months vs every 6 months). TOXBASE's advantage is ads (none vs shown). On price and device support there is nothing between them.

Both are free to download. TOXBASE sells 1 one-off in-app purchase. COSA asks for nothing beyond the download.

COSA holds the better App Store score, 3.7 against 1.0. Both are backed by a comparable volume of ratings — 1 and 3 respectively.

TOXBASE ships an update every 6 months, COSA every 3 months. The most recent releases landed on September 21, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | TOXBASE | COSA |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.0 (1 ratings)](https://appshunter.io/ios/app/toxbase/id519248940/reviews) | **[3.7 (3 ratings)](https://appshunter.io/ios/app/cosa-medication-information/id1626158440/reviews)** |
| Number of ratings | 1 | **3** |
| Positive reviews | 20.5% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | **No** | Yes |
| Update frequency | Every 6 months | **Every 3 months** |
| Monetization | **Free** | Ad-supported |
| Size | 413 MB | 28 MB |
| Requires iOS | 15.5 | **11.0** |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 4+ |
| Developer | [NHS Lothian](https://appshunter.io/developer/417219250) | [MEDICAL EDUCATION RESOURCES, LLC](https://appshunter.io/developer/1561046509) |

## What reviewers say

### TOXBASE

[App page](https://appshunter.io/ios/app/toxbase/id519248940)

This clinical toxicology database offers healthcare professionals comprehensive advice on poisoning features and management. It provides detailed information on various toxins and clear, evidence-based treatment guidance. The app is designed for quick reference and can be used offline.

**Highlights:** Detailed poisons information, Traffic light triaging system, Point-by-point treatment advice, Evidence-based and peer-reviewed, Offline database access, 24/7 updated information

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 year subscription | $6.99 | one-time |


### COSA

[App page](https://appshunter.io/ios/app/cosa-medication-information/id1626158440)

Access essential drug information and advanced patient resources. This app provides a portion of licensed drug data from a leading healthcare information provider, based on industry-standard databases.

**Highlights:** Essential drug information, Advanced patient resources, Licensed drug data, Industry-standard databases, Physician-focused resources

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is TOXBASE free?

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

### Is COSA free?

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

### Which has better reviews, TOXBASE or COSA?

COSA is rated higher. TOXBASE averages 1.0 out of 5 from 1 ratings, while COSA averages 3.7 from 3 ratings.

### Do TOXBASE or COSA have ads?

COSA shows ads; TOXBASE does not.

### Which is updated more often, TOXBASE or COSA?

TOXBASE ships an update every 6 months, and COSA every 3 months. Most recently, TOXBASE was updated on September 21, 2026 and COSA on September 10, 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.*