# SBIRT vs USMLE

The clearest difference is in-app purchases: SBIRT at none against USMLE's 1. SBIRT also leads on review sentiment (67% vs 49%) and iOS requirement (12.0 vs 15.0). USMLE's advantage is update cadence (every 6 weeks vs every 55 months) and ratings volume (5K vs 5). On price, rating, ads and device support there is nothing between them.

Both are free to download. USMLE sells 1 in-app purchase, starting at $49.99 per month. SBIRT asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 4.6 for SBIRT against 4.7 for USMLE. That said, the two scores are not equally well evidenced: USMLE has 5K ratings behind it against 5, so its average is the more settled of the two. Written reviews are what separate them: 67% of SBIRT's written reviews are positive against 49% of USMLE's.

SBIRT ships an update every 55 months, USMLE every 6 weeks. The most recent releases landed on November 1, 2026 and November 6, 2026 respectively.

## The numbers

| Metric | SBIRT | USMLE |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.6 (5 ratings)](https://appshunter.io/ios/app/sbirt/id877624835/reviews) | **[4.7 (5K ratings)](https://appshunter.io/ios/app/usmle-rx/id1222119266/reviews)** |
| Number of ratings | 5 | **5K** |
| Positive reviews | **66.7% of reviews** | 48.9% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 55 months | **Every 6 weeks** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 4 MB | 40 MB |
| Requires iOS | **12.0** | 15.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 17+ |
| Developer | [James Bray](https://appshunter.io/developer/877624838) | [MedIQ Learning, LLC](https://appshunter.io/developer/344457828) |

## What reviewers say

### SBIRT

[App page](https://appshunter.io/ios/app/sbirt/id877624835)

This app guides healthcare professionals through the SBIRT process for substance use interventions. It offers evidence-based screening tools and motivational interviewing techniques for patients aged 12 and older.

**Highlights:** SBIRT intervention steps, Evidence-based screening questions, CRAFFT, AUDIT, DAST screening tools, Motivational interviewing guidance, Patient/client intervention support, Substance use assessment

**Features:** macOS Compatibility

**In-app purchases:** none


### USMLE

[App page](https://appshunter.io/ios/app/usmle-rx/id1222119266)

Master medical school and the USMLE with a comprehensive resource app. Access board-style questions, interactive learning modules, flashcards, and videos. Study anytime, anywhere with cloud syncing and personalized study tools.

**Highlights:** Thousands of USMLE board-style questions, Nearly 800 eLearning modules, Over 14,000 flashcards, Over 80 hours of high-yield videos, Cloud syncing across devices, Spaced repetition study tool

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| RX360+ | $49.99 | per month |


## Frequently asked questions

### Is SBIRT free?

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

### Is USMLE free?

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

### Which has better reviews, SBIRT or USMLE?

USMLE is rated higher. SBIRT averages 4.6 out of 5 from 5 ratings, while USMLE averages 4.7 from 5K ratings.

### Do SBIRT or USMLE have ads?

Neither SBIRT nor USMLE shows ads.

### Which is updated more often, SBIRT or USMLE?

SBIRT ships an update every 55 months, and USMLE every 6 weeks. Most recently, SBIRT was updated on November 1, 2026 and USMLE on November 6, 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.*