What is Microsoft Dragon Copilot?

Microsoft Dragon Copilot is an AI assistant for clinical workflow that combines voice dictation, ambient listening and generative AI to draft clinical documentation from patient encounters for clinician review. It runs as web, desktop and mobile (iOS and Android) apps and can also be embedded in third-party EHR applications.

Who it's for

It is aimed at clinicians and healthcare organizations: Microsoft lists physician, nursing and radiology (U.S. preview) experiences, and it is sold to organizations, not to consumers. Microsoft's documentation says it is designed to augment, not replace, clinical expertise, and a clinician must review all generated content.

Pros & cons

Strengths

Microsoft's docs say it drafts clinical notes from ambient conversation capture and can suggest discrete orders, conditions and flowsheet data, plus summaries, after-visit summaries and referral letters.
Microsoft says physicians can use standalone web, desktop and mobile apps, or an embedded experience in a third-party EHR through the Dragon Copilot Developer Kit, with no manual note transfer when embedded.
A March 2026 Microsoft post says it captures conversations in 58 languages and writes the note in each country's primary language; physician availability is listed as U.S., Canada, UK, Ireland, France, Germany, Austria, Belgium and the Netherlands.
The same post lists a nursing experience (U.S. only) that turns ambient capture into structured flowsheet entries, and a radiologist experience with PowerScribe One that is in preview in the U.S.
Microsoft says users moving from Dragon Medical One keep existing commands, vocabularies, profiles, templates and AutoTexts.
Microsoft's transparency note says the output includes a timeline of activities and versioning, and recommends marking AI-generated sections and linking to the source transcript so clinicians can verify them.

Limitations

Microsoft's transparency note says it is not designed or intended to be a medical device or a substitute for professional medical advice, diagnosis, treatment or judgment. It lists no FDA clearance, and the pages read do not mention HIPAA.
The same note lists limits: possible transcription errors with background noise or accents, summaries that may omit findings or contain invented details, recordings over 75 minutes unsupported, and a single authenticated user per documentation session.
Patient consent for recording is the customer's responsibility under Microsoft's product terms and docs; the customer must also keep its own EHR license, and Microsoft does not sell or support the third-party EHR.
Pricing is not published on the Microsoft pages read. Independent sources describe a Flex license with metered ambient and AI usage (reported $0.25 per session beyond 10 included sessions per license a month) and a per-user license, and their dollar figures disagree.
Microsoft's pages do not clearly state whether customer data is excluded from AI training: its transparency note says a comprehensive data set can improve the system when used for AI training and quality assurance, and its product terms are silent. Check the Data Protection Addendum.

Plans and pricing

Dragon Copilot (Physician Per User): Contact sales. One monthly fee per user for speech dictation, ambient and AI features, per an independent licensing guide (Reported). Microsoft does not publish the price on the pages read.
Dragon Copilot (Physician Flex): Contact sales. Monthly fee for speech dictation; ambient and AI features billed pay-as-you-go through a linked Azure subscription (Reported). The same guide says each license includes 10 sessions a month and extra sessions are 25 units at $0.01 per unit.
Dragon Copilot (Nurse Per User): Contact sales. Nursing workflows including flowsheets for RNs, LPNs, CNAs and PCTs (Reported); U.S. only per Microsoft's March 2026 post.
Radiologist (with PowerScribe One): Contact sales. Described by Microsoft as in preview in the U.S.; no SKU or price found.

No official price list was found: the Microsoft licensing page names the Flex, Per User, Nursing Per User and Physician Practice Per User products but shows no prices, and the main Microsoft product page could not be fetched. Third-party figures conflict (one reseller listing shows $150 a month, another article shows $1,512 a month), so none is used on the card. Confirm on the live pricing page or with Microsoft or a Cloud Solution Provider.

Details checked October 2026 against the vendor's own pages. Prices and limits change, so confirm before you buy. Official pricing page ↗

Sources

This profile was compiled from these public pages. We have not run hands-on tests.

Summary