How much does Microsoft Dragon Copilot cost?

No public pricing; purchase through Microsoft or partners.

What are the best alternatives to Microsoft Dragon Copilot?

Based on documented capability coverage across the Agentic Index 14 point taxonomy, the closest alternatives to Microsoft Dragon Copilot among healthcare agents are Nabla, Prosper AI, SuperDial, Cohere Health. Each is graded on the same public evidence, and no vendor pays for placement.

Does Microsoft Dragon Copilot support MCP and tool calling?

Full under the Agentic Index verification standard. Microsoft Dragon Copilot publishes public evidence of Model Context Protocol (MCP) support, tool calling, and API or SDK extensibility for connecting agents to external tools. Evidence basis: The Dragon Copilot Developer Kit documents REST APIs for partners, SDKs for JavaScript, Android and iOS (DAXKit), an ambient audio streaming service and Entra ID access token requirements, and an extension framework (adaptive cards, configu. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Does Microsoft Dragon Copilot have SOC 2, SSO and role based access control?

Full under the Agentic Index verification standard. Microsoft Dragon Copilot publishes public evidence of enterprise security and identity controls, covering a compliance posture such as SOC 2 or ISO 27001, single sign on (SSO or SAML), and role based access control (RBAC). Evidence basis: Users sign in through the customer's Entra ID tenant (OpenID Connect) and the Dragon admin center assigns user roles per experience plus Environment Administrator and Analytics Reader roles; Dragon Copilot is HITRUST CSF certified with SOC. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Can Microsoft Dragon Copilot be self hosted or run in a private VPC?

Full under the Agentic Index verification standard. Microsoft Dragon Copilot publishes public evidence of self hosted or private VPC deployment, along with data residency options for controlling where agent data is processed and stored. Evidence basis: Customer data is stored by the customer's location: US in the US, Canada in Canada, UK in the UK, France, Ireland and Belgium in France (EU), and Germany, Austria, the Netherlands and Switzerland in Germany (EU), within the EU Data Boundary. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

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Microsoft Dragon Copilot

Q: Who is Microsoft Dragon Copilot for?

large health systems, hospitals on Epic, radiology groups, nursing teams

Also known as: DAX Copilot, Nuance DAX, Dragon Ambient eXperience

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Healthcare agentfirst party productVerified 2026-09-29

Entry priceNot published; contact Microsoft or a partnerFull pricing detail

Microsoft's ambient clinical documentation and workflow assistant, bringing Nuance DAX and Dragon dictation together, that drafts specialty specific notes, orders and summaries inside Epic and other EHRs for clinician review, with an AI apps and agents storefront and a developer kit for partners.

Microsoft Dragon Copilot is Microsoft's clinical documentation and workflow assistant, the successor to Nuance's DAX Copilot and Dragon ambient products. It captures multi-party, multilingual conversations and dictation at the point of care and drafts specialty specific notes, orders, flowsheet documentation, referral letters, after-visit summaries and coding suggestions, with separate experiences for physicians, nurses (Epic Rover) and radiologists (PowerScribe One).

Clinicians can ask Copilot questions answered from the transcript, notes and trusted medical references. Everything it generates is a draft: Microsoft requires the clinician to review and validate content before it becomes part of the medical record. It runs inside Epic and other partner EHRs as well as in its own web, desktop and mobile apps.

Since August 2026 US organizations can deploy AI apps and agents for coding, decision support, risk adjustment, prior authorization and screening from a Dragon Copilot storefront in Microsoft Marketplace, and partners build on a developer kit of REST APIs, SDKs and an extension framework.

Access runs through the customer's Entra ID with roles in the Dragon admin center; Microsoft lists HITRUST CSF, SOC 2 Type 2 and ISO 27001 among its certifications and stores data in the customer's country or region (US, Canada, UK, France and Germany for the EU). Pricing is not published.

Vendor details

Canonical URL

https://www.microsoft.com/en-us/health-solutions/clinical-workflow/dragon-copilot

Company status

first party product

Use cases & customers

Target customers

large health systemshospitals on Epicradiology groupsnursing teams

Deployment options

SaaScloudEHR embedded

Integrations

Embedded in Epic (Epic Rover for nurses), PowerScribe One for radiology and other partner EHRs; summaries delivered into the EHR; connectors and AI apps and agents managed in the Dragon admin center; developer kit with REST APIs and JavaScript, Android and iOS SDKs.

In practice

Your health system runs Epic and the copy and paste step between a scribe tool and the chart is the friction nobody will tolerate. Dragon Copilot drafts inside the EHR workflow and delivers summaries directly into the record for the clinician to sign.

Documentation needs differ between physicians, nurses and radiologists. Separate experiences give each group its own workflow and deployment path rather than one generic note format.

Your organization is in Canada, the UK or the EU and patient data must stay in country. Dragon Copilot stores customer data in the customer's country or region and inside the EU Data Boundary.

Sources & related URLs

Research sources

https://www.microsoft.com/en-us/health-solutions/clinical-workflow/dragon-copilot https://learn.microsoft.com/en-us/industry/healthcare/dragon-copilot/about/ https://learn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/security https://learn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whats-new/5-0

Agentic Index coverage score

9.0 / 14 capabilities · 64%

Integrations & Tool Calling	Full
Dragon Copilot runs inside Epic (including Epic Rover for nurses), PowerScribe One for radiology and other partner EHR integrations, delivers generated summaries directly into the EHR, and admins manage connectors in the Dragon admin center. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/aboutread 2026-09-29
Workflow Orchestration	Full
Beyond note drafting, organizations deploy AI apps and agents (coding, decision support, risk adjustment, prior authorization, screening) that run inside the Dragon Copilot point-of-care workflow alongside its own generation, and admins manage them per environment, so multiple agents work in one clinical workflow. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/extensionsread 2026-09-29
Knowledge Grounding & RAG	Partial
Copilot answers from the encounter transcript and notes, pulls EHR visit diagnoses into notes, and draws on trusted internal and third-party medical references. No maintained retrieval structure over the organization's own knowledge is documented, and the reference sources are not named. Sourcemicrosoft.com/en-us/health-solutions/clinical-workflow/dragon-copilotread 2026-09-29
Human Oversight & Guardrails	Full
All generated content must be reviewed and validated by the clinician before it becomes part of the medical record; output is a draft for the clinician's review, with AI-generated sections marked and the source transcript one click away. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/transparencyread 2026-09-29
Security, Identity & Governance	Full
Users sign in through the customer's Entra ID tenant (OpenID Connect) and the Dragon admin center assigns user roles per experience plus Environment Administrator and Analytics Reader roles; Dragon Copilot is HITRUST CSF certified with SOC 2 Type 2, ISO 27001, 27017 and 27018, FedRAMP, C5 and HDS listed. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/securityread 2026-09-29
Observability & Auditability	Partial
Each encounter keeps its transcript beside the draft, and admin analytics report usage by site, session type and dropped users. No per-encounter record of the steps and actions the AI took is documented; the audit logs in the security white paper record access to Microsoft's own environment rather than the AI's actions. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whats-new/5-0read 2026-09-29
Memory & State Persistence	Not documented
Templates, custom prompts, shared and personal vocabulary and auto-style are settings and instructions the product applies, and finalized notes are the EHR's record, so no agent memory with a scope and lifetime is documented. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whats-new/5-0read 2026-09-29
Deployment & Data Residency	Full
Customer data is stored by the customer's location: US in the US, Canada in Canada, UK in the UK, France, Ireland and Belgium in France (EU), and Germany, Austria, the Netherlands and Switzerland in Germany (EU), within the EU Data Boundary, and never leaves the geography. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/privacyread 2026-09-29
Prebuilt Agents, Templates & Packs	Full
Organizations find, deploy and manage AI apps and agents from the Dragon Copilot storefront in Microsoft Marketplace, covering coding and documentation, decision support, risk adjustment, prior authorization, behavioral health screening and preventive care (US), beside separate physician, nurse and radiologist experiences. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whats-new/5-0read 2026-09-29
Triggers & Channel Coverage	Partial
Work starts when a clinician records an ambient conversation or dictates, from the EHR, the web, desktop or mobile apps, or asks Copilot a question. Each of those surfaces is invoked by the clinician, and no autonomous event, schedule or inbound trigger is documented. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/aboutread 2026-09-29
Model Flexibility & Routing	Not documented
Microsoft describes LLM functionality and its own speech and generation models, with Azure OpenAI classifiers named only for content filtering; no model provider list or customer choice of model is documented. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/transparencyread 2026-09-29
APIs, SDKs & MCP Extensibility	Full
The Dragon Copilot Developer Kit documents REST APIs for partners, SDKs for JavaScript, Android and iOS (DAXKit), an ambient audio streaming service and Entra ID access token requirements, and an extension framework (adaptive cards, configuration package, Marketplace offer) for building AI apps and agents on the platform. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/sdk/get-startedread 2026-09-29
Testing, Debugging & Optimization	Partial
User feedback mechanisms feed continuous improvement. That is stated in one line with nothing on how a change is measured for the customer, and Microsoft's own pre-release accuracy tests, red teaming and A/B gating of new models against baselines test the vendor's product rather than giving the buyer an evaluation surface. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/whitepapers/transparencyread 2026-09-29
Browser & Computer Use	Not documented
No browser, desktop or computer control by the agent is documented; Dragon Copilot captures audio and works through EHR integrations and its own apps. Sourcelearn.microsoft.com/en-us/industry/healthcare/dragon-copilot/aboutread 2026-09-29

The Agentic Index coverage score grades every vendor Full, Partial or Not documented against the same 14 buyer facing capabilities, from public evidence only. Each capability links to how all vendors in the index score on it. How this evidence is graded

Pricing

Not published; contact Microsoft or a partner

What is public

No rates, plans or billing basis are published on Microsoft's product page or in the Learn documentation; AI apps and agents are listed in the Dragon Copilot storefront in Microsoft Marketplace.

Billing mechanics

Not published first party.

Variable cost rationale

No billing basis is published first party, so exposure to encounter volume cannot be checked from Microsoft's pages.

Additional watchouts

Confirm which experiences (physicians, nurses, radiologists) and which countries your license covers, and price any Marketplace AI apps and agents separately.

Sales call required

Yes, required for paid access

Free / trial

No published free tier or self serve trial; access runs through Microsoft licensing channels or authorized resellers

Key ambiguities

Microsoft publishes no rates; the effective cost per provider and per encounter needs a quote from Microsoft or a partner, and Marketplace AI apps and agents are priced separately.

Missing data

Microsoft's per user and per encounter rates, and how Marketplace AI apps and agents are billed.

Agentic Index verified 2026-09-29

Official pricing page

Related vendors

Alternatives to Microsoft Dragon Copilot

The closest documented capability profiles to Microsoft Dragon Copilot among healthcare agents tracked by Agentic Index, ordered by similarity on the same 14 point evidence the rankings use. No vendor pays for placement.

Nabla7.5 / 14A lighter documented profile than Microsoft Dragon Copilot
Prosper AI10.0 / 14Adds documented Memory & State Persistence
SuperDial9.0 / 14Adds documented Browser & Computer Use
Cohere Health10.5 / 14Fuller documented coverage on Knowledge Grounding & RAG and Observability & Auditability
Corti9.5 / 14Adds documented Memory & State Persistence and Model Flexibility & Routing
Scribeberry10.5 / 14Adds documented Memory & State Persistence and Model Flexibility & Routing, among others

Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded

Compare Microsoft Dragon Copilot with other vendors →Compare all healthcare agents →See where Microsoft Dragon Copilot ranks →

Data confidence: high