ScriptSwitch vs iatroX (2025): The Cost Control vs The Clinical Assistant

Last reviewed: 2025-12-19 · Reviewed by Dr Kola Tytler, MBBS CertHE MBA MRCGP

At a Glance

Who is it for?

iatroX:GPs needing clinical advice.

ScriptSwitch / OptimiseRx:Medicines Management Teams.

Why choose iatroX?

  • **Clinical Focus**: Prioritises patient outcome and guidelines over cost.
  • **Proactive**: Helps you choose the drug *before* you type it.
  • **Explanation**: Tells you *why* a drug is recommended (NICE NG guidelines).

Why choose ScriptSwitch / OptimiseRx?

  • **Cost Saving**: Saves the NHS millions by enforcing formularies.
  • **Integrated**: embedded directly into the prescribing workflow (EMIS/SystmOne).
  • **Automatic**: No user input required, it just appears.

Feature Comparison

CapabilityiatroXScriptSwitch / OptimiseRx
Driver-Cost Efficiency
Experience-Push (System interrupts)

In-Depth Analysis

Overview

ScriptSwitch (and OptimiseRx) are the "Computer Says No" of the NHS. They are vital for cost control, but often frustrate clinicians by interrupting workflow to save pennies.

iatroX is the "Computer Says Here's How." It helps you make the right clinical decision before you prescribe, ensuring you are following NICE guidelines (which usually align with cost-effectiveness anyway).

Use-Cases

Choosing a Statin

When to choose iatroX

  • **Recommended.** 'What is the NICE target for QRISK > 10%?'

When to choose ScriptSwitch / OptimiseRx

  • Pop-up: 'Switch Atorvastatin 20mg to Simvastatin' (Cost decision).