# PVA ePubs vs ALS Manager

The clearest difference is in-app purchases: ALS Manager at none against PVA ePubs's 12. PVA ePubs's advantage is iOS requirement (11.0 vs 14.0). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. PVA ePubs sells 11 one-off in-app purchases. ALS Manager asks for nothing beyond the download.

Both ship on a similar rhythm, roughly every 4 months. The most recent releases landed on October 29, 2026 and October 8, 2026 respectively.

## The numbers

| Metric | PVA ePubs | ALS Manager |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[5.0 (1 ratings)](https://appshunter.io/ios/app/als-manager/id1596799767/reviews)** |
| Number of ratings | — | **1** |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 4 months | Every 4 months |
| Monetization | Free with in-app purchases | **Free** |
| Size | 40 MB | 20 MB |
| Requires iOS | **11.0** | 14.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 12+ |
| Developer | [Paralyzed Veterans of America](https://appshunter.io/developer/596481960) | [@Point of Care](https://appshunter.io/developer/916313675) |

## What reviewers say

### PVA ePubs

[App page](https://appshunter.io/ios/app/pva-epubs/id596481957)

Access specialized medical information and self-help guides for individuals with spinal cord injuries. This reader app provides clinical practice guidelines and publications from the Paralyzed Veterans of America.

**Highlights:** Reader for PVA publications, Access clinical practice guidelines, Self-help guides for spinal cord injury, Information for healthcare professionals, Purchasable individual publications

**Features:** macOS Compatibility

**In-app purchases (11)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Sexuality and Reproductive Health in Adults with Spinal Cord Injury | $5.99 | one-time |
| Preservation of Upper Limb Function Following Spinal Cord Injury | $5.99 | one-time |
| Respiratory Management Following Spinal Cord Injury | $5.99 | one-time |
| Yes You Can - Fourth Edition | $5.99 | one-time |
| Early Acute Management in Adults with Spinal Cord Injury | $5.99 | one-time |
| Bladder Managment for Adults with Spinal Cord Injury | $5.99 | one-time |
| Autonomic Dysreflexia | $5.99 | one-time |
| Pressure Ulcer Prevention and Treatment | $5.99 | one-time |
| Spinal Cord Medicine CPG | $5.99 | one-time |
| Neurogenic Bowel Dysfunction | $5.99 | one-time |
| MGMT of Mental Health Disorder | $5.99 | one-time |


### ALS Manager

[App page](https://appshunter.io/ios/app/als-manager/id1596799767)

This app helps individuals manage daily symptoms of Amyotrophic Lateral Sclerosis (ALS). It allows users to track pain, medications, moods, and other health data, presenting it in easy-to-understand charts. Users can also connect with care providers to share progress and access educational resources about ALS.

**Highlights:** Daily symptom and mood tracking, Medication and treatment management with reminders, Photo upload for visible symptom sharing, Care provider connection for progress monitoring, Educational resources on ALS, Data visualization with charts and graphs, Progress tracking and journaling

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is PVA ePubs free?

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

### Is ALS Manager free?

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

### Do PVA ePubs or ALS Manager have ads?

Neither PVA ePubs nor ALS Manager shows ads.

### Which is updated more often, PVA ePubs or ALS Manager?

PVA ePubs ships an update every 4 months, and ALS Manager every 4 months. Most recently, PVA ePubs was updated on October 29, 2026 and ALS Manager on October 8, 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.*