# RNotes® vs IV Medications Elsevier

The clearest difference is ads: RNotes® at none against IV Medications Elsevier's shown. IV Medications Elsevier's advantage is review sentiment (33% vs 0%) and chart position (#198 vs unranked). On price, rating, ratings volume and update cadence there is nothing between them.

Both are free to download. RNotes® sells 3 one-off in-app purchases and IV Medications Elsevier sells 8 in-app purchases, starting at $25.99 per 3 months. Whichever you choose, the download price is not the number that matters.

On the App Store both sit at effectively the same score — 4.5 for RNotes® against 4.6 for IV Medications Elsevier. Both are backed by a comparable volume of ratings — 41 and 71 respectively. Written reviews are what separate them: 0% of RNotes®'s written reviews are positive against 33% of IV Medications Elsevier's.

RNotes® ships an update every 7 months, IV Medications Elsevier every 5 months. The most recent releases landed on October 15, 2026 and October 13, 2026 respectively.

## The numbers

| Metric | RNotes® | IV Medications Elsevier |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.5 (41 ratings)](https://appshunter.io/ios/app/rnotes/id940109641/reviews) | **[4.6 (71 ratings)](https://appshunter.io/ios/app/iv-medications-elsevier/id1143476433/reviews)** |
| Number of ratings | 41 | **71** |
| Positive reviews | 0.0% of reviews | **33.3% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | **No** | Yes |
| Update frequency | Every 7 months | **Every 5 months** |
| Monetization | Free with in-app purchases | Free with in-app purchases |
| Best chart rank | — | **#198** |
| Size | 13 MB | 149 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | iPhone, iPad, iPod | **iPhone, iPad, iPod, Mac** |
| Age rating | 17+ | 17+ |
| Developer | [Unbound Medicine, Inc.](https://appshunter.io/developer/300420400) | [Skyscape Medpresso Inc](https://appshunter.io/developer/818609416) |

## What reviewers say

### RNotes®

[App page](https://appshunter.io/ios/app/rnotes/id940109641)

This clinical reference app provides nurses and students with quick access to essential medical information, including guidelines, procedures, and exam preparation tools. It features full-color images, charts, and customizable notes to enhance patient care and learning.

**Highlights:** Quick-reference clinical nursing information, Updated AHA guidelines, Full-color images and charts, NCLEX exam topic indicators, Step-by-step procedures and assessment guidance, Customizable notes and highlights, Nursing alerts for critical safety information

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

**In-app purchases (3)**

| Purchase | Price | Billing |
| --- | --- | --- |
| RNotes® 4th Edition | $29.99 | one-time |
| RNotes® 5th Edition | $29.99 | one-time |
| RNotes | $29.99 | one-time |


### IV Medications Elsevier

[App page](https://appshunter.io/ios/app/iv-medications-elsevier/id1143476433)

**Currently charting:** #198 Top Grossing · Medical (US App Store)

This comprehensive IV drug handbook provides nurses and health professionals with up-to-date information on over 400 intravenous drugs. It features quick-access monographs, highlighted warnings, and life-stage dosage variances to ensure safe and accurate medication administration.

**Highlights:** Over 400 IV drug monographs, New FDA-approved drug updates, Highlighted Black Box Warnings, Life stage dosage variances, Alphabetical drug format, Annual publication

**Features:** Vision Pro support

**In-app purchases (8)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Elsevier’s IV Med HBK 3/M Sub | $25.99 | per 3 months |
| Elsevier’s IV Med HBK 6M Sub | $32.99 | per 6 months |
| 25% Off-Elsevier IVMed 1Y Sub | $37.49 | per year |
| Elsevier IV Med HBK 1Y Sub off | $39.99 | per year |
| 20% Off-Elsevier IVMed 1Y Sub | $39.99 | per year |
| 15% Off-Elsevier IVMed 1Y Sub | $42.49 | per year |
| Elsevier’s IV Med HBK 1Y Sub | $49.99 | per year |
| Intravenous Medications 2022 | $49.99 | one-time |


## Frequently asked questions

### Is RNotes® free?

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

### Is IV Medications Elsevier free?

IV Medications Elsevier is free to download, with in-app purchases available.

### Which has better reviews, RNotes® or IV Medications Elsevier?

IV Medications Elsevier is rated higher. RNotes® averages 4.5 out of 5 from 41 ratings, while IV Medications Elsevier averages 4.6 from 71 ratings.

### Do RNotes® or IV Medications Elsevier have ads?

IV Medications Elsevier shows ads; RNotes® does not.

### Which is updated more often, RNotes® or IV Medications Elsevier?

RNotes® ships an update every 7 months, and IV Medications Elsevier every 5 months. Most recently, RNotes® was updated on October 15, 2026 and IV Medications Elsevier on October 13, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*