# ModMed Practice Sandbox vs ZRefractive

The clearest difference is rating: ZRefractive at 5.0 against ModMed Practice Sandbox's 3.3. ZRefractive also leads on device support (3 vs 1) and iOS requirement (14.0 vs 18.0). ModMed Practice Sandbox's advantage is update cadence (weekly vs every 10 months). On price, ratings volume, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ZRefractive holds the better App Store score, 5.0 against 3.3. Both are backed by a comparable volume of ratings — 7 and 5 respectively.

ModMed Practice Sandbox ships an update weekly, ZRefractive every 10 months. The most recent releases landed on October 24, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | ModMed Practice Sandbox | ZRefractive |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.3 (7 ratings)](https://appshunter.io/ios/app/modmed-practice-sandbox/id906476435/reviews) | **[5.0 (5 ratings)](https://appshunter.io/ios/app/zrefractive/id1391502868/reviews)** |
| Number of ratings | **7** | 5 |
| Positive reviews | 0.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Weekly** | Every 10 months |
| Monetization | Free | Free |
| Size | 444 MB | 114 MB |
| Requires iOS | 18.0 | **14.0** |
| Devices | iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 4+ |
| Developer | [Modernizing Medicine, Inc.](https://appshunter.io/developer/387022758) | [BigTinCan Mobile Pty. Ltd.](https://appshunter.io/developer/1057042058) |

## What reviewers say

### ModMed Practice Sandbox

[App page](https://appshunter.io/ios/app/modmed-practice-sandbox/id906476435)

This iPad app allows medical professionals to record patient visit data in real-time, automating documentation. It's designed for use with a subscription-based web service and is ideal for various medical specialties.

**Highlights:** Real-time data recording, Automated documentation, Designed for medical specialties, iPad native application, Subscription-based web service integration

**In-app purchases:** none


### ZRefractive

[App page](https://appshunter.io/ios/app/zrefractive/id1391502868)

This app provides educational and marketing content related to ZEISS refractive procedures for customers. Healthcare professionals can use it to inform patients directly from digital devices, share content, and connect with their practice development team.

**Highlights:** ZEISS refractive content access, Patient education tools, Digital content sharing, Email content option, Contact practice development team

**Features:** macOS Compatibility

**In-app purchases:** none


## Frequently asked questions

### Is ModMed Practice Sandbox free?

ModMed Practice Sandbox is free to download, with no in-app purchases.

### Is ZRefractive free?

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

### Which has better reviews, ModMed Practice Sandbox or ZRefractive?

ZRefractive is rated higher. ModMed Practice Sandbox averages 3.3 out of 5 from 7 ratings, while ZRefractive averages 5.0 from 5 ratings.

### Do ModMed Practice Sandbox or ZRefractive have ads?

Neither ModMed Practice Sandbox nor ZRefractive shows ads.

### Which is updated more often, ModMed Practice Sandbox or ZRefractive?

ModMed Practice Sandbox ships an update weekly, and ZRefractive every 10 months. Most recently, ModMed Practice Sandbox was updated on October 24, 2026 and ZRefractive on November 2, 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.*