Full access to the service requires a subscription, which costs US$559 a year as of 2021 for a physician in the United States (lower cost for longer term subscription). Through the Norwegian Electronic Health Library, people in Norway have free access to BMJ Best Practice, UpToDate and drug database Micromedex. UpToDate was made available for free in New Zealand after the 2011 Christchurch earthquake, in Haiti after the 2010 earthquake and in Nepal after the April 2015 earthquake. The Global Health Delivery Project at Harvard University administers access to UpToDate for those who offer medical care to poor or underserved populations outside the United States.