# ACP MKSAP vs Cephra

The clearest difference is review sentiment: Cephra at 100% against ACP MKSAP's 57%. Cephra also leads on rating (5.0 vs 4.2) and in-app purchases (none vs 1). ACP MKSAP's advantage is ratings volume (16 vs 1) and iOS requirement (13.0 vs 15.1). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. ACP MKSAP sells 1 in-app purchase, starting at $999.99 per year. Cephra asks for nothing beyond the download.

Cephra holds the better App Store score, 5.0 against 4.2. That said, the two scores are not equally well evidenced: ACP MKSAP has 16 ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 57% of ACP MKSAP's written reviews are positive against 100% of Cephra's.

ACP MKSAP ships an update every 10 days, Cephra every 9 days. The most recent releases landed on September 14, 2026 and June 3, 2026 respectively.

## The numbers

| Metric | ACP MKSAP | Cephra |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.2 (16 ratings)](https://appshunter.io/ios/app/acp-mksap/id6739636797/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/cephra/id6746087131/reviews)** |
| Number of ratings | **16** | 1 |
| Positive reviews | 57.1% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 10 days | **Every 9 days** |
| Monetization | Free with in-app purchases | **Free** |
| Size | 542 MB | 38 MB |
| Requires iOS | **13.0** | 15.1 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 12+ |
| Developer | [American College of Physicians](https://appshunter.io/developer/371090673) | [Ankit Patel](https://appshunter.io/developer/1815099340) |

## What reviewers say

### ACP MKSAP

[App page](https://appshunter.io/ios/app/acp-mksap/id6739636797)

Access comprehensive internal medicine knowledge and practice exam-style questions offline. This app syncs your progress with the online version when connected to the internet. It's designed for physicians to stay updated on the latest evidence and enhance their clinical decision-making skills.

**Highlights:** Offline access to text and questions, Thousands of exam-like multiple-choice questions, Patient-based clinical scenarios, Syncs progress with online version, Includes figures, charts, and tables, Targets knowledge gaps

**Features:** Vision Pro support

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Non-member in-app price | $999.99 | per year |


### Cephra

[App page](https://appshunter.io/ios/app/cephra/id6746087131)

This app helps you privately track migraine episodes, identify triggers, and monitor medication effectiveness. It keeps all your sensitive health data on your device with no cloud uploads or sharing. Gain actionable insights to better understand and manage your condition.

**Highlights:** Offline migraine logging, Trigger identification, Medication effectiveness tracking, Intelligent pattern analysis, Data export to CSV, Optional menstruation tracking

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is ACP MKSAP free?

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

### Is Cephra free?

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

### Which has better reviews, ACP MKSAP or Cephra?

Cephra is rated higher. ACP MKSAP averages 4.2 out of 5 from 16 ratings, while Cephra averages 5.0 from 1 ratings.

### Do ACP MKSAP or Cephra have ads?

Neither ACP MKSAP nor Cephra shows ads.

### Which is updated more often, ACP MKSAP or Cephra?

ACP MKSAP ships an update every 10 days, and Cephra every 9 days. Most recently, ACP MKSAP was updated on September 14, 2026 and Cephra on June 3, 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.*