1. Why clinics outgrow it
Start with the fair version: at $99/mo for the first practitioner and no setup fee, OptiMantra is a strong deal for a solo provider, and the breadth of specialties it covers is genuinely wide.
The friction shows up as the clinic grows. Every clinical staff seat is $25/mo, additional practitioners are $49/mo, EPCS arrives as a $38/mo licence, two-way texting is $75/mo. Individually these are small. Assembled into a clinic with three prescribers, five support staff and controlled-substance prescribing, they stop being small — and the model is generalist by design, so an optimization clinic bends inventory, dispensing and membership allowances into tools that were built for something broader.
2. The comparison, with real numbers
Same table, same sources — each vendor's own published pricing page, checked 11 August 2026.
| Platform | Pricing model | Cost at 3 prescribers | EPCS | Non-prescribing staff | Setup fee |
|---|---|---|---|---|---|
| Aminova | Flat, per tier | $599/mo (Core) | Included | Unlimited, free | $1,000 |
| Cerbo | Per provider | $843/mo + $79 portal = $922/mo | Supported | $63/mo each | $1,195 |
| OptiMantra | Per seat | $197/mo + EPCS $38 = $235/mo | $38/mo add-on | $25/mo per clinical seat | None published |
| Praxis EMR | Not published | Not published | Not published | Not published | Not published |
Note what this table shows honestly: at three prescribers OptiMantra is the cheapest option on the page, and by a wide margin. The figures that change that picture are the ones a table cannot hold — how many non-prescribing staff you employ, and whether dispensing and memberships run inside the record or beside it.
3. What per-seat billing costs as you hire
The comparison above uses prescribers only, which flatters a per-seat model. Real clinics are mostly not prescribers.
Take three prescribers, five clinical support staff and EPCS. On OptiMantra that is $99 + $49 + $49 for the practitioners, $25 × 5 for clinical staff, and $38 for the eRx licence — $360/mo. On Aminova Core it is $599/mo flat with the support staff free and EPCS included. Still in OptiMantra's favour.
Now add two-way texting at $75, a second location's worth of staff, or the sixth and seventh clinical seat, and the lines converge. The point is not that one is always cheaper. It is that per-seat pricing is cheapest exactly while you are small, and flat pricing gets better precisely as you grow — so the right comparison is against the clinic you expect to be in eighteen months, not the one you are today.
4. EPCS: add-on versus included
OptiMantra lists eRx with EPCS as a $38/mo licence. Aminova includes controlled-substance prescribing on every tier, because for the clinics it serves testosterone and other Schedule III drugs are the core of the workload rather than an occasional need.
The $38 is not really the issue at three prescribers. The distinction that matters is architectural: whether the DEA schedule is derived reliably from the drug rather than typed into a free-text field, whether a prescription that fails in transit shows up on the chart or disappears into a queue nobody reads, and whether there is a documented path for the day e-prescribing is unavailable and a patient still needs their medication.
5. Inventory, dispensing and memberships
This is where a generalist platform and a purpose-built one genuinely diverge, and it is worth being concrete rather than adjectival.
Dispensing: lot and expiry on the vial, stock decrementing when the dose is administered, reorder thresholds, cold-chain records. Memberships: a plan that carries an allowance, credits that draw down as visits happen, and a booking screen that tells the front desk whether this appointment is already covered before they ask for a card.
Both are doable elsewhere with a spreadsheet and a subscription-billing tool. The cost is not licence fees, it is the reconciliation somebody performs every week and the revenue that leaks when they get it wrong.
6. Where OptiMantra is still the better choice
For a solo practitioner watching every dollar, OptiMantra at $99/mo with no setup fee and a 30-day notice period is a better deal than anything in this comparison, including Aminova Solo at $199. That is simply true, and if that is your situation you should take it.
It is also the broader platform. If you run acupuncture, chiropractic, behavioural health or physical therapy alongside your medical work, OptiMantra covers that range and Aminova deliberately does not — Aminova is built narrowly for hormone, peptide, weight-loss and longevity medicine, and narrowness is the whole point of it.
The switch makes sense when you have grown past a couple of people, when dispensing and memberships have become real revenue lines rather than side activities, and when the accumulated per-seat and add-on lines have quietly caught up with a flat fee.
7. Frequently asked questions
Is Aminova cheaper than OptiMantra?
Not for a solo practitioner — OptiMantra is $99/mo for the first practitioner against Aminova Solo at $199. It becomes cheaper as you add non-prescribing staff, because those seats are free on Aminova and $25/mo each on OptiMantra.
Do we have to pay extra for EPCS?
No. Controlled-substance prescribing is included on every Aminova tier. OptiMantra publishes it as a $38/mo eRx licence.
What about our existing patient data?
It imports — records, demographics, appointment history and documents. The real constraint is what your current platform will export, so establish that before you fix a switchover date.
Is this comparison independent?
No. Aminova publishes it and is one of the platforms in it, which is stated at the top of the page. Every competitor figure is drawn from that vendor's own published pricing so you can verify each one yourself.