Round Health no longer appears on the App Store. When we checked on 23 October 2026, it was not listed in the US, UK, Australian, Canadian or German stores. If you are looking for a replacement with the same forgiving approach to dose timing, Cadence is free for unlimited medications on iPhone and Apple Watch, with an optional one-time Pro upgrade and no subscription.
Download Cadence free on the App Store
We built Cadence, so weigh this accordingly. Round Health was a well-loved app, and plenty of people still have it on their phones. This page explains what has changed and how the two compare.
At a glance
| Cadence | Round Health | |
|---|---|---|
| On the App Store today | Yes, updated regularly | Not listed (checked 23 Oct 2026) |
| Price | Free, optional Pro $9.99 once | Was free |
| Devices | iPhone, Apple Watch | iPhone, Apple Watch |
| Account | None | Optional, for sync |
| Forgiving timing | Dose windows | Reminder windows |
| Adherence insights | Yes | Basic history |
| PDF report for appointments | Yes (Pro) | No |
| Prescription label scanning | Yes | No |
What happened to Round Health
Round Health was made by Circadian Design, a small team of former Apple engineers, and was reported to have been acquired by Alto Pharmacy in 2017. Its App Store page now returns "not found", and Apple's store lookup does not list it in any of the countries we checked.
If Round is still installed on your phone, it may keep working for now. An app that is no longer on the App Store doesn't get fixes for new iOS versions, so it is worth moving your reminders somewhere that is maintained before an update breaks them.
They agree on timing, and that matters
Round Health was known for reminder windows: instead of nagging you the instant a dose time passed, it reminded you across a window you set. Cadence shares that idea with dose windows. A dose taken inside the window still counts as on time, so you are not marked late for being a few minutes off. Read more about why dose windows matter.
Where Cadence goes further
- Insights from your own history. Your on-time rate, your most-missed weekday and time, and a month-by-month history. See how to read those insights.
- Apple Health correlations (Pro). See how your doses line up with resting heart rate, blood pressure, sleep and more.
- A PDF report for appointments (Pro). Something you can hand your doctor or pharmacist.
- Prescription label scanning to add a medication in seconds.
- Rhythm, not streaks. One missed day doesn't wipe your progress.
- No account. Your data stays on your iPhone with no sign-up.
Moving from Round Health to Cadence
- Write down each medication, its dose and your reminder times from Round (a few screenshots work).
- Install Cadence and add each medication. You can scan the prescription label to fill in the name and dose.
- Set your times and a dose window that matches how flexible your schedule is.
- Keep Round until Cadence's reminders are working the way you want, then remove it.
The bottom line
Round Health got an important idea right: real life doesn't run to the minute. It is no longer on the App Store, so if you relied on it, now is a good time to move. Cadence keeps the same forgiving timing and adds insights, a report you can take to appointments and Apple Watch support, free for unlimited medications.
For other options, see our best medication tracker apps for iPhone, or compare Cadence with Apple Health and MyTherapy.
Frequently asked questions
Is Round Health still available?
When we checked on 23 October 2026, Round Health was not listed on the App Store in the US, UK, Australia, Canada or Germany, and its App Store page returned "not found".
Will Round Health keep working on my phone?
It may keep working for a while, but an app that is no longer on the App Store doesn't receive fixes for new versions of iOS. Moving your reminders to a maintained app avoids a surprise after an update.
What is the best Round Health alternative?
If you liked Round's forgiving reminder windows, look for an app with dose windows. Cadence has them, is free for unlimited medications on iPhone and Apple Watch, and has no account or subscription.
Does Cadence have reminder windows like Round?
Yes. Cadence uses dose windows, so a dose taken inside the window you set still counts as on time.
Cadence is a free medication reminder app for iPhone and Apple Watch with unlimited medications and no account required. Cadence Pro is $9.99 as a one-time purchase.
