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 | Mobile app | CME credit |
|---|---|---|---|---|---|---|---|---|---|
| FirstPassPA | $14.99/mo or $129.99/yr |
Monthly or annual | 7,200+ | All 7 rotations | ✓ Yes | 7-day, no card | ✓ Yes annual plan |
Installable web app (PWA) | — |
| UWorld PA | $279+ 90–360-day access |
Fixed-length access | 2,050+ | — | ✗ No | 7-day, 60 Q | — | Yes (iOS & Android) | — |
| Rosh / Blueprint PA | $259+ EOR bundle $349; stacks to ~$699 |
Fixed-length access | ~3,800 | Yes (bundle) | ✗ No | Free tier | ✓ Yes | Yes (iOS & Android) | Yes (PANRE QBank) |
| BoardVitals | $79+ 1–6 months |
Fixed-length access | ~1,650 | No | ✗ No | — | ✓ Yes | — | Yes (CME options) |
| SmartyPANCE | $55+ 2-wk to 1-yr; $79/yr |
Subscription | ~4,500–5,000+ | — | ✗ 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 July 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 offers one too, on its annual plan).
Choose FirstPassPA if…
- Much lower cost and a true monthly plan with a full-access no-card trial — Rosh/Blueprint's paid QBank starts around $259 (stacks reach ~$699); it offers a free limited-question account rather than a full trial.
- A larger question bank (7,200+ vs ~3,800), with all seven 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.
What PA students say
“It was an awesome tool -Recertifying after being in specialty for the past 20 years was unnerving - but Firstpass PA and a couple podcasts I used during my commute helped me get through. Awesome prep tool and highly recommend to assess strengths and weakness, practice, check progress and ultimately help you achieve positve results. I'm so glad I signed up.”
“I had a week between graduation and my boards, and I hadn't gotten any sort of Qbank prior, and many others were hundreds of dollars, and the free trials included like nothing. FirstPassPA gave all access to the Qbank, blueprints, tests and more. I used this all week, the blueprints were super helpful, and then you could do questions on just one topic, or just one system, or everything. 10/10, definitely recommend, and its affordable whether you do all year, or just a month!”
“FirstPassPA definitely helped me pass my PANRE. I took a few days off work — my husband helped take care of our four children so I could study and do as many practice questions as possible. I've already recommended it to a few coworkers who need to take their PANRE soon.”
Reviewers receive a free month of Pro for any honest review, including critical ones. Reviews are from FirstPassPA members and are shown as written.
FAQ
Do Rosh Review and FirstPassPA both offer a pass guarantee?
Yes. Rosh/Blueprint offers a pass guarantee on its QBank, and FirstPassPA offers one on its annual plan (answer at least 35% of the PANCE-track bank — about 1,500 unique questions today — and if you don't pass your first PANCE attempt you get a free six-month extension or a refund — terms apply). 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
7,200+ questions, all 7 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 July 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.