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

The current prescription charge is £9.65 per item.

Some items are always free, including contraception and medicines prescribed for hospital inpatients.

If you know you'll have to pay for a lot of NHS prescriptions, it may be cheaper to buy a prescription prepayment certificate (PPC).

There are 3 PPC options:

  • a 3-month PPC costs £31.25 and will save you money if you need more than 3 prescribed items in 3 months
  • a 12-month PPC costs £111.60 and will save you money if you need more than 11 prescribed items in a year
  • a hormone replacement therapy (HRT) PPC costs £19.30 and will save you money if you need more than 2 prescribed qualifying HRT items in a year

How to apply for a PPC

Check if you can get free prescriptions before you apply for a PPC.

It's quickest to buy a PPC online. The PPC will start from the day you submit your application, unless you ask for a different start date. The start date must be within 1 month before or after the date of your application.

You can also apply using the PPC order line on 0300 330 1341. Your PPC will be valid from the day you make the phone call, unless you request otherwise.

Some pharmacies may be able to sell you a 3-month PPC or the HRT PPC, which will be valid from the day you purchase it.

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

Prepayment & Exemption Certification

Please ensure that you keep your pre-payment or exemption cards/certificates up to date. It is your responsibility to ensure they are valid.

We do ask that you bring your pre-payment or exemption cards with you when collecting any medication as proof.

If we have not seen your pre-payment or exemption details, you may need to be charged or in the case of exemption be fined by the regulatory authorities if you make a false declaration.