# MAPPP vs avoMD

The clearest difference is review sentiment: avoMD at 100% against MAPPP's 50%. avoMD also leads on rating (5.0 vs 4.2) and update cadence (every 9 days vs every 4 months). MAPPP's advantage is in-app purchases (none vs 4). On price, ads, device support and iOS requirement there is nothing between them.

Both are free to download. avoMD sells 4 in-app purchases, starting at $9.99 per year. MAPPP asks for nothing beyond the download.

avoMD holds the better App Store score, 5.0 against 4.2. Both are backed by a comparable volume of ratings — 5 and 15 respectively. Written reviews point the same way: 50% of MAPPP's written reviews are positive against 100% of avoMD's.

MAPPP ships an update every 4 months, avoMD every 9 days. The most recent releases landed on October 12, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | MAPPP | avoMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.2 (5 ratings)](https://appshunter.io/ios/app/mappp/id986004720/reviews) | **[5.0 (15 ratings)](https://appshunter.io/ios/app/avomd-preoperative-eval/id1550142027/reviews)** |
| Number of ratings | 5 | **15** |
| Positive reviews | 50.0% of reviews | **100.0% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 9 days** |
| Monetization | **Free** | Free with in-app purchases |
| Size | 54 MB | 20 MB |
| Requires iOS | 13.0 | 13.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Island Peer Review Organization, Inc](https://appshunter.io/developer/986004719) | [avoMD, Inc](https://appshunter.io/developer/1504289347) |

## What reviewers say

### MAPPP

[App page](https://appshunter.io/ios/app/mappp/id986004720)

This medical guide assists clinicians in managing patients on anticoagulation therapy undergoing surgery or invasive procedures. It helps evaluate bleeding and thrombosis risks, guiding decisions on interrupting anticoagulation and using bridging therapy.

**Highlights:** Evaluate bleeding and thrombosis risk, Guide anticoagulation interruption, Provide bridging therapy guidance, Detail drug dosing, Offer laboratory monitoring advice, Encourage clinician communication

**Features:** macOS Compatibility

**In-app purchases:** none


### avoMD

[App page](https://appshunter.io/ios/app/avomd-preoperative-eval/id1550142027)

This app offers interactive guidance for clinicians evaluating adult patients for noncardiac surgery. It incorporates co-morbidities, medications, and medical calculators based on established guidelines and literature reviews. Enhance your learning with evidence-based references and detailed explanations.

**Highlights:** Interactive patient evaluation, Preoperative risk assessment, Medical calculators (RCRI, MICA, etc.), Evidence-based references, Literature review integration, Co-morbidity and medication tracking

**Features:** macOS Compatibility

**In-app purchases (4)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Year Assitance 1 month trial | $9.99 | per year |
| 1 year assistance 3 month free | $9.99 | per year |
| Institutional Plan | $14.99 | per year |
| 1 year assistance 6 month free | $19.99 | per year |


## Frequently asked questions

### Is MAPPP free?

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

### Is avoMD free?

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

### Which has better reviews, MAPPP or avoMD?

avoMD is rated higher. MAPPP averages 4.2 out of 5 from 5 ratings, while avoMD averages 5.0 from 15 ratings.

### Do MAPPP or avoMD have ads?

Neither MAPPP nor avoMD shows ads.

### Which is updated more often, MAPPP or avoMD?

MAPPP ships an update every 4 months, and avoMD every 9 days. Most recently, MAPPP was updated on October 12, 2026 and avoMD on October 24, 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.*