Dragon Medical One vs Dragon Copilot
Microsoft is inviting Dragon Medical One users to move to Dragon Copilot. What is changing, what Microsoft publishes on price, and an option you can undo.
The Short Answer
Dragon Medical One is Microsoft's dictation product. Dragon Copilot is the newer one. It puts Dragon dictation and the DAX ambient scribe together, and Microsoft is inviting Dragon Medical One customers to move across. You do not have to decide this week, and Dragon Copilot is not your only choice.
- Dragon Medical One still works. Microsoft is still releasing new versions. Only the old 2021.4 build stops working, after December 31, 2026.
- Dragon Copilot has no monthly price on its product page. The button says "Contact us". The one public listing we found starts at $7,200 a user a year.
- VoiceboxMD does both jobs from $49 a month. Dictation into your EHR and an ambient scribe, with the price on the website and a free trial.
- Trying it costs you nothing you cannot get back. Keep Dragon while you test. If VoiceboxMD is not for you, cancel and carry on as before.
Who wrote this page: VoiceboxMD publishes it and sells one of the options on it. Every fact about Microsoft's products comes from Microsoft's own pages. Each one is linked where it appears and was read on November 11, 2026.
What Is Actually Changing
There is a lot of talk about Dragon being "folded into" Copilot. This is what Microsoft itself has published.
| Topic | What Microsoft says |
|---|---|
| The new product | Dragon Copilot "brings together the trusted natural language voice dictation capabilities of DMO with the ambient listening capabilities of DAX". DMO is Dragon Medical One. Source: Microsoft announcement, March 3, 2025. |
| The invitation | The Dragon Medical One page has a section titled "Migrate from Dragon Medical One to Dragon Copilot". Source: Dragon Medical One product page. |
| What carries over | The move is described as "preserving existing commands, vocabularies, profiles, templates, and AutoTexts". Source: Microsoft industry blog, March 5, 2026. |
| The old build | "Dragon Medical One LTSR (version 2021.4.5 or earlier) will be end of life and no longer function after December 31, 2026." Source: Dragon Medical One LTSR page. |
| New versions | Dragon Medical One is still updated. The release notes for version 2026.3 are dated September 18, 2026. Source: Microsoft Learn. |
So two things are true at once. Microsoft wants Dragon Medical One customers on Dragon Copilot, and says the move keeps your commands, vocabulary and auto-texts. Dragon Medical One is also still a current product.
What we did not find is a date on which Dragon Medical One stops being sold or supported. If someone tells you there is a deadline, ask them for the Microsoft page that says so. If you are on the old 2021.4 build, the December 31, 2026 date is real, and Microsoft's installer now moves you to the current version.
See it in your own EHR. The trial takes minutes, no sales call.
Try it freeWhat Dragon Copilot Costs
Microsoft does not publish one monthly price for Dragon Copilot. These are the numbers it does publish.
| Where we looked | What is published |
|---|---|
| Product page | No price. The button is "Contact us". Source: Dragon Copilot product page. |
| Marketplace | A listing named "Dax Copilot per user - US", by Nuance, "Starting at $7,200.00/user/year". That is $600 a month for each user. Source: Microsoft Marketplace. |
| Licensing guide | The Flex license includes 10 AI-Assisted Sessions a month. Extra sessions are $0.25 each, and the license needs an Azure subscription. Source: Dragon Copilot licensing guidance. |
The Marketplace listing is not a checkout. It says "Pre-purchase coordination with DragonMarketplace@microsoft.com is required." The price your practice is quoted may be different, and we do not know what Microsoft charges an existing Dragon Medical One customer to move.
Before you agree to anything, ask your Microsoft partner for a written quote for the license you would actually use. Put it next to what you pay for Dragon Medical One today. Our Dragon Copilot alternatives and pricing page goes through the licenses in more detail.
What VoiceboxMD Costs
| Plan and price | What you get |
|---|---|
| Essential, $49 a month | Live dictation into your EHR, the ambient scribe, SOAP and H&P notes, macros and your own templates |
| Power, $79 a month | ICD-10 and CPT code suggestions, letters, pre-recorded audio upload |
| Premium, $99 a month | A writing style learned from your own edits |
Prices are per clinician. Each plan includes everything in the cheaper one. A business associate agreement is included on every plan, and there are no setup fees. Full details are on the pricing page.
Why It Is an Easy Move
Nothing to train
There is no voice profile to build. Sign in, click into a field and start talking. Medical terms and drug names are recognized from the first dictation.
It types where your cursor is
The Windows and Mac app types into whatever field you clicked in, in any EHR. There is no plugin to install in your EHR and nothing for your EHR vendor to approve.
Your habits carry over
Say "period", "new line" and "new paragraph" the way you do now. In the desktop app, say "next field" to move through a template. A Philips SpeechMike Record button works as push-to-talk.
Dictation and the scribe together
Both are on every plan, so you are not buying two products. It runs on Windows, Mac, the web, iPhone and Android.
A Decision You Can Undo
Some decisions are one-way doors. You walk through and you cannot easily come back. Trying VoiceboxMD is a two-way door. You can walk through, look around and walk back out, and nothing behind you has changed.
- Dragon stays exactly as it is. VoiceboxMD does not import, change or remove anything in Dragon. Your license, your profile, your commands and your auto-texts are untouched. Leave Dragon installed.
- You are not charged during the trial. Monthly plans start with a 7-day free trial and annual plans with 14 days. A card is collected at checkout and is not charged during the trial. Cancel before it ends and you pay nothing.
- After the trial, you pay one month at a time. On a monthly plan you can cancel from the billing page of your account whenever you like, and you keep access until the end of the month you paid for.
- Your notes already live in your EHR. VoiceboxMD types into your chart, and you sign the note there. There is nothing to move back if you leave.
- Going back takes no work. Open Dragon and dictate the way you did last week.
The door stays open for as long as you keep your Dragon license. So do not cancel Dragon first. Use VoiceboxMD on real clinic days, then decide which one you want to keep paying for.
What You Set Up Once
Nothing is copied across from Dragon, so you bring over only what you use. Start with the handful of things you reach for every day and add the rest when you miss them.
| In Dragon | In VoiceboxMD |
|---|---|
| Voice profile | Not needed. You dictate from the first minute. |
| Custom words | Add each term on the Vocabulary page. One checkbox shares it with your whole practice. Your specialty comes with starter terms. |
| AutoTexts | Paste each one in as a macro and say its trigger phrase, or save it as a dictation template and say "insert", its name, then "template". |
| Spoken punctuation | Works as you expect: "period", "comma", "new line", "new paragraph" and numbered lists. |
| Microphone | A built-in microphone, a USB headset or a handheld. Your phone can also act as a wireless microphone for the desktop app. |
When Dragon Copilot Is the Better Fit
VoiceboxMD is not the right answer for everyone. Going by Microsoft's own pages, stay with Microsoft when one of these is true.
- Your organization already licenses Dragon Copilot. Ask for a seat before you pay for anything else.
- You want the scribe inside Epic. Microsoft says Dragon Copilot is available "embedded within supported EHRs such as Epic". VoiceboxMD is not embedded in any EHR. It types into the field your cursor is in.
- Your visits are not in English. Microsoft says Dragon Copilot can "ambiently capture multi-party, multilingual conversations". VoiceboxMD's ambient scribe is English only.
- Your organization buys through Microsoft. Dragon Copilot comes through the same agreements as your other Microsoft products.
How to Try It in One Week
- Leave Dragon alone. Do not cancel or uninstall anything.
- Start the VoiceboxMD trial. Write to support@voiceboxmd.com for the business associate agreement and sign it before you use it with a real patient.
- Install the desktop app and dictate into your EHR. Click into a note field and talk. If you work in Citrix or a remote desktop, test there first.
- Bring over your everyday items. Add the terms you use most and the auto-texts you use daily.
- Use it on real clinic days. Dictate, and record a few visits with the ambient scribe. Use one product at a time so both are not listening at once.
- Decide. Keep VoiceboxMD, or cancel from your account page and go back to Dragon.
How We Wrote This Page
Every statement about Dragon Medical One and Dragon Copilot comes from a Microsoft or Nuance page, linked next to it and read on November 11, 2026. We did not use reseller pages, forums or press coverage, and we did not test Dragon Copilot for this page, so it does not compare accuracy. Everything about VoiceboxMD was checked against the product on the same day. Prices and product pages change. If you find something out of date, write to support@voiceboxmd.com and we will correct it. For a side-by-side look at dictation, see Dragon Medical alternative. For the ambient scribe on its own, see AI medical scribe.
Frequently Asked Questions About Dragon Medical One and Dragon Copilot
Is Dragon Medical One being discontinued?
We did not find a Microsoft announcement that ends Dragon Medical One. Microsoft still releases new versions, and the release notes for version 2026.3 are dated September 18, 2026. What ends after December 31, 2026 is the old long-term build, version 2021.4.5 or earlier. Microsoft does invite Dragon Medical One customers to migrate to Dragon Copilot. We checked this on November 11, 2026.
What is the difference between Dragon Medical One and Dragon Copilot?
Dragon Medical One is speech recognition: you talk and it types. Dragon Copilot is the newer product. Microsoft says it brings together the dictation of Dragon Medical One with the ambient listening of DAX, which drafts a note from the visit conversation.
How much does Dragon Copilot cost?
Microsoft does not put a monthly price on the Dragon Copilot product page. Its button is "Contact us". Microsoft Marketplace has a listing named "Dax Copilot per user - US" that starts at $7,200.00 per user per year and requires contact with Microsoft before purchase. The Flex license charges $0.25 for each AI-assisted session beyond the 10 included each month. Ask a Microsoft partner for a written quote.
Do I have to move from Dragon Medical One to Dragon Copilot?
We did not find a Microsoft page that says you must. Your own contract or reseller may have terms of their own, so ask them in writing what happens at your next renewal and what each option costs.
Can I try VoiceboxMD while I still have Dragon?
Yes. VoiceboxMD does not import, change or remove anything in Dragon. Keep your Dragon license and leave Dragon installed while you test. Use one product at a time so both are not listening to the same microphone.
What happens if I cancel VoiceboxMD?
If you cancel during the free trial, you are not charged. If you cancel a monthly plan after the trial, you keep access until the end of the month you paid for. Dragon is not affected either way, and the notes you signed stay in your EHR.
Do my Dragon commands and AutoTexts transfer to VoiceboxMD?
Not automatically. There is no voice profile to bring, because none is needed. You add your own terms on the Vocabulary page and paste the auto-texts you use into macros or dictation templates. Spoken punctuation such as "period" and "new paragraph" works from the start.
Does VoiceboxMD work on a Mac?
Yes. The desktop app runs on Windows and on macOS 12 or later, and there are apps for the web, iPhone and Android.
Try It While You Keep Dragon
Monthly plans start with a 7-day free trial and annual plans with 14 days, on the plan you choose. A card is collected at checkout and is not charged during the trial. Keep Dragon running until you have decided.
Last updated November 11, 2026. Dragon, Dragon Medical One, DAX and Dragon Copilot are products of Microsoft and Nuance. VoiceboxMD is not affiliated with either company.
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