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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 prescription charges

These charges apply in England only. In Northern Ireland, Scotland and Wales prescriptions are free of charge.

  • Prescription (per item): £9.15
  • 12-month prepayment certificate (PPC): £105.90
  • 3-month PPC: £29.65

Prices correct as of 01/04/2019

If you will have to pay for four or more prescription items in three months, or more than 15 items in 12 months, you may find it cheaper to buy a PPC.

NHS prescription exemptions

Patients who fall into the following categories are exempt from prescription charges.

Medical Exemptions

Patients with:

  • 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

If you meet the above criteria then please complete an FP92A form available at reception. This will then be passed to your GP to check and sign.

Maternity Exemption

Patients who:

  • are pregnant, or have had a baby in the last 12 months

If you meet the above criteria then please complete a FW8 form available at reception. This will then be passed to your GP to check and sign. Alternatively your midwife or health visitor can complete the form for you.

Low Income Exemptions

Patients who:

  • are on a low income you may be eligible to receive financial help through the NHS Low Income Scheme

To find out if you are eligible please complete an HC1 form available online or at your local Jobcentre Plus office.


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

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