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NHS prescription costs

  • The current prescription charge is £9.00 per item (£16.80 per pair of elastic hosiery).

Pre-Payment Certificates (PPC)

  • A three monthly PPC is £29.10 and could save you money if you need more than three prescribed items in three months.  
  • A 12-month certificate is £104.00 and could save you money if you need more than 12 prescribed items in a year.

PPCs are available by 10 monthly direct debit instalment payments. The prescription prepayment certificates allow anyone to obtain all the prescriptions they need for £2 per week. 

Find out more about the prescription prepayment certificate.

If you need to access the services below then medicines are free:

Help with prescription costs - Health costs - NHS Choices

People with certain medical conditions can get free NHS prescriptions if:

  • they have one of the conditions listed below, and
  • they hold a valid medical exemption certificate.

Medical exemption certificates are issued on application to people who have:

  • a permanent fistula (for example caecostomy, colostomy, laryngostomy or ileostomy) requiring continuous surgical dressing or requiring an appliance
  • a form of hypoadrenalism (for example Addison's disease) for which specific substitution therapy is essential
  • diabetes insipidus or other forms of hypopituitarism
  • diabetes mellitus, except where treatment is by diet alone
  • hypoparathyroidism
  • myasthenia gravis
  • myxoedema (that is, hypothyroidism requiring thyroid hormone replacement)
  • epilepsy requiring continuous anticonvulsive therapy
  • a continuing physical disability which means the person cannot go out without the help of another person. Temporary disabilities do not count even if they last for several months

Or are undergoing treatment for cancer:

  • including the effects of cancer, or
  • the effects of current or previous cancer treatment

Also read the medical exemption certificate FAQ.

How to apply for a medical exemption certificate

To apply for a medical exemption certificate ask your doctor for an FP92A form. Your GP, hospital or service doctor will sign the form to confirm that your statement is correct. At your GP's discretion, a member of the practice who has access to your medical records can also sign the form.

Your certificate will be valid from one month before the date that the NHS Business Authrority receives the application form.

The MedEx lasts for five years and then needs to be renewed. You may receive a reminder that your certificate needs to be renewed. If you don't receive a reminder, it is your responsibility to ensure that it is renewed.

You can find more information about the application process and refunds on the NHS Business Authority's website.

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