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Alternatives to Vetspire

Vetspire ranks #6 on the Top 11 The 11 Best Veterinary Practice Management Software (2026). Below: the higher-ranked alternatives we’d steer you to instead, by use case.

Verified . No paid placement — see methodology.

  1. #1ezyVet

    9.2 / 9.4

    The most powerful and integrated PIMS for large, complex veterinary practices and hospitals.

    Best for: Large or specialty hospitals · Pricing: $$$$ ($500 to $1500+/mo) · www.ezyvet.com/

  2. #2Shepherd

    9 / 9.4

    The most intuitive PIMS, designed to simplify charting and automate billing.

    Best for: Workflow and ease-of-use · Pricing: $$$ ($399 to $999/mo) · www.shepherd.vet/

  3. #3Covetrus Pulse

    8.8 / 9.4

    A scalable cloud PIMS with deep ties to the Covetrus supply and services ecosystem.

    Best for: Scalable all-in-one platform · Pricing: $$$ ($400 to $1200/mo) · software.covetrus.com/veterinary-solutions/pulse-veterinary-pims/

  4. #4IDEXX Neo

    8.5 / 9.4

    Simple, cloud-based PIMS with the best IDEXX lab integration available.

    Best for: IDEXX-centric small practices · Pricing: $$ ($299 to $699/mo) · www.idexx.com/en/veterinary/software-services/neo-software/

  5. #5Provet Cloud

    8.3 / 9.4

    A highly customizable PIMS ideal for universities and large veterinary groups.

    Best for: Customizable multi-location PIMS · Pricing: $$$$ ($500 to $1500+/mo) · www.provet.cloud/us/

See the full ranked list: The 11 Best Veterinary Practice Management Software (2026). Or compare any two: side-by-side.