# The Washington Manual vs Huppert's Notes

The clearest difference is review sentiment: Huppert's Notes at 100% against The Washington Manual's 60%. Huppert's Notes also leads on rating (4.9 vs 4.7) and iOS requirement (13.0 vs 15.0). The Washington Manual's advantage is ads (none vs shown) and ratings volume (211 vs 17). On price, update cadence, in-app purchases and monetization model there is nothing between them.

Both are free to download. The Washington Manual sells 4 in-app purchases, starting at $39.99 per year and Huppert's Notes sells 4 in-app purchases, starting at $24.99 per 6 months. Whichever you choose, the download price is not the number that matters.

Huppert's Notes holds the better App Store score, 4.9 against 4.7. That said, the two scores are not equally well evidenced: The Washington Manual has 211 ratings behind it against 17, so its average is the more settled of the two. Written reviews point the same way: 60% of The Washington Manual's written reviews are positive against 100% of Huppert's Notes's.

The Washington Manual ships an update every 9 months, Huppert's Notes every 6 months. The most recent releases landed on September 24, 2026 and September 19, 2026 respectively.

## The numbers

| Metric | The Washington Manual | Huppert's Notes |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.7 (211 ratings)](https://appshunter.io/ios/app/the-washington-manual/id533185430/reviews) | **[4.9 (17 ratings)](https://appshunter.io/ios/app/hupperts-notes-internal-med/id1574447101/reviews)** |
| Number of ratings | **211** | 17 |
| Positive reviews | 60.0% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 9 months | **Every 6 months** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Size | 17 MB | 47 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | iPhone, iPad, iPod, Mac | iPhone, iPad, iPod, Mac |
| Age rating | 17+ | 17+ |
| Developer | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### The Washington Manual

[App page](https://appshunter.io/ios/app/the-washington-manual/id533185430)

This app provides expert medical diagnosis and treatment recommendations, integrated with a comprehensive drug guide and access to medical literature. It offers evidence-based information for hundreds of conditions, drug monographs, and decision support algorithms, all accessible offline.

**Highlights:** Offline diagnosis and treatment recommendations, Comprehensive drug database, Prime PubMed integration for medical literature, Decision support algorithms, Evidence-based therapeutic options, Pill images and audio pronunciations

**Features:** Vision Pro support

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Davis's Drug Guide | $39.99 | per year |
| The Washington Manual Bundle | $99.99 | per year |
| The Washington Manual | $79.99 | one-time |
| Washington Manual 37e | $79.99 | one-time |


### Huppert's Notes

[App page](https://appshunter.io/ios/app/hupperts-notes-internal-med/id1574447101)

This app provides a concise outline of internal medicine topics, bridging pathophysiology and clinical medicine. It's designed for medical trainees to take notes, access high-yield diagrams, and understand concepts mechanistically. The app offers a yearly subscription for full content access and updates.

**Highlights:** Personal note-taking on chapters, Audio and text notes, Outline format for rapid access, Concise descriptions of medical conditions, Diagnostic and management pearls, High-yield diagrams and tables

**Features:** Vision Pro support

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Huppert's Notes 6 Month Sub. | $24.99 | per 6 months |
| #1 Resource for IM Residency | $36.99 | per year |
| Huppert's Notes 1 Year Sub. | $41.99 | per year |
| Huppert's Notes IM | $39.99 | one-time |


## Frequently asked questions

### Is The Washington Manual free?

The Washington Manual is free to download, with in-app purchases available.

### Is Huppert's Notes free?

Huppert's Notes is free to download, with in-app purchases available.

### Which has better reviews, The Washington Manual or Huppert's Notes?

Huppert's Notes is rated higher. The Washington Manual averages 4.7 out of 5 from 211 ratings, while Huppert's Notes averages 4.9 from 17 ratings.

### Do The Washington Manual or Huppert's Notes have ads?

Huppert's Notes shows ads; The Washington Manual does not.

### Which is updated more often, The Washington Manual or Huppert's Notes?

The Washington Manual ships an update every 9 months, and Huppert's Notes every 6 months. Most recently, The Washington Manual was updated on September 24, 2026 and Huppert's Notes on September 19, 2026.

---

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