FirstPassPA vs Rosh / Blueprint PA
Rosh Review (now part of Blueprint) is a well-established PANCE QBank with deep content and a pass guarantee. FirstPassPA is the more affordable, lower-commitment option with a larger bank and an AI tutor. Here is the spec-level comparison.
Side-by-side specs
| Provider | Lowest price | Billing | Questions | EOR | AI tutor | Free trial | Pass guarantee |
|---|---|---|---|---|---|---|---|
| FirstPassPA | $14.99/mo or $129.99/yr |
Monthly or annual | 5,500+ | All 8 rotations | ✓ Yes | 7-day, no card | ✓ Yes annual plan |
| UWorld PA | $279+ 90–360-day access |
Fixed-length access | ~1,850 | — | ✗ No | — | — |
| Rosh / Blueprint PA | $259+ EOR bundle $349; stacks to ~$699 |
Fixed-length access | ~3,800 | Yes (bundle) | ✗ No | — | ✓ Yes |
| BoardVitals | $79+ 1–6 months |
Fixed-length access | ~1,650 | No | ✗ No | — | ✓ Yes |
| SmartyPANCE | $55+ 2-wk to 1-yr; $79/yr |
Subscription | ~5,000 (beta) | — | ✗ No | — | — |
| The PA Platform | $199 lifetime course (~$169 w/ code) |
One-time (not a QBank) | Not a QBank | No native EOR | ✗ No | — | — |
Pricing and features as of June 2026, summarized from each provider's public pages; they change often — confirm current details with each provider. "—" means we could not confirm that detail publicly (not necessarily "no").
When each is the better choice
Choose Rosh / Blueprint PA if…
- A large, well-regarded bank (~3,800) with an optional live course and EOR bundles.
- An established, widely recommended brand with a long track record.
- A pass guarantee on its QBank (FirstPassPA now offers one too, on its annual plan).
Choose FirstPassPA if…
- Much lower cost and a true monthly plan with a no-card trial — Rosh/Blueprint QBank starts around $259 and stacks can reach ~$699.
- A larger question bank (5,500+ vs ~3,800), with all eight EOR rotations in the base subscription rather than a separate bundle.
- An AI tutor on every answer plus a 514-diagnosis review library and free public sample content.
FAQ
Do Rosh Review and FirstPassPA both offer a pass guarantee?
Yes. Rosh/Blueprint offers a pass guarantee on its QBank, and FirstPassPA now offers one on its annual plan (pass your first PANCE, or get a free extension or refund, with proof of preparation). FirstPassPA also keeps the entry point low with a monthly plan and a no-card trial.
Which is more affordable, FirstPassPA or Rosh/Blueprint?
FirstPassPA. It is $14.99/month or $129.99/year with a free trial, versus roughly $259+ for the Rosh/Blueprint QBank (more once you add EOR or live-course bundles).
Try FirstPassPA free
5,500+ questions, all 8 EOR rotations, and an AI tutor on every answer. 7-day trial, no credit card.
Start free → See today's free questionHow we compare. Figures above are summarized from each provider's public pages as of June 2026 and are meant as a neutral, spec-level starting point — plans and features change, so verify current details with each company before buying. FirstPassPA is independent and not affiliated with, endorsed by, or sponsored by UWorld, Rosh Review, Blueprint, BoardVitals, SmartyPANCE, or The PA Platform; all product names and trademarks belong to their respective owners. FirstPassPA is also not affiliated with NCCPA; PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants.