Prescriptions Charges and Exemptions

Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs). 

The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines.  Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.

NHS charges

From 1 April 2023, the charges are:

• current prescription charge – £9.35 per item 
• three-month PPC – £31.25; this will save you money if you need more than three prescribed items in three months 
• 12-month PPC – £111.60; this will save you money if you need more than 12 prescribed items in a year
• HRT costs £19.30 and will save you money if you need more than 2 prescribed HRT items in a year

PPCs are available by 10 monthly direct debit instalment payments. Go to Buy an NHS Prescription Prepayment Certificate - NHSBSA to urchase a PPC.

Find out more about the prescription prepayment certificate.

If you need to access the services below, the medicines you're prescribed are free:

• medicines administered at a hospital or an NHS walk-in centre
• prescribed contraceptives
• medicines personally administered by a GP or provided via a patient group direction (PGD)
• medicines supplied at a hospital or clinical commissioning group (CCG) clinic for the treatment of a sexually transmitted infection, tuberculosis, or a mental disorder for those subject to a supervised community treatment order 

There is further information about prescription exemptions and fees on the NHS website