# Nurses Notes vs Azelva

The clearest difference is in-app purchases: Nurses Notes at none against Azelva's 2. Azelva's advantage is update cadence (every 2 months vs every 18 months). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. Azelva sells 2 in-app purchases, starting at $9.99 per month. Nurses Notes asks for nothing beyond the download.

Nurses Notes ships an update every 18 months, Azelva every 2 months. The most recent releases landed on September 30, 2026 and September 28, 2026 respectively.

## The numbers

| Metric | Nurses Notes | Azelva |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 18 months | **Every 2 months** |
| Size | 19 MB | 88 MB |
| Requires iOS | 13.4 | **13.0** |
| Devices | iPhone, iPod | iPhone, iPod |
| Age rating | 4+ | 17+ |
| Developer | [Knit Together Healthcare, LLC](https://appshunter.io/developer/1741550786) | [Azelva LLC](https://appshunter.io/developer/1877466860) |

## What reviewers say

### Nurses Notes

[App page](https://appshunter.io/ios/app/nurses-notes/id6497953630)

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

**In-app purchases:** none


### Azelva

[App page](https://appshunter.io/ios/app/azelva/id6759214338)

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

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Monthly subscription | $9.99 | per month |
| Yearly subscription | $99.99 | per year |


## Frequently asked questions

### Is Nurses Notes free?

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

### Is Azelva free?

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

### Do Nurses Notes or Azelva have ads?

Neither Nurses Notes nor Azelva shows ads.

### Which is updated more often, Nurses Notes or Azelva?

Nurses Notes ships an update every 18 months, and Azelva every 2 months. Most recently, Nurses Notes was updated on September 30, 2026 and Azelva on September 28, 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.*