Prescriptions Charges and Exemptions

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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 – £9.65 per item
• three-month PPC – £31.25; this will save you money if you need 4 or more prescribed items in three months 
• 12-month PPC – £111.60; this will save you money if you need 12 or more prescribed items in a year
• There are several payment options available. If you choose the 12-month PPC, you can pay for this upfront, or by 10 monthly direct debit instalments.

HRT Prescription Prepayment Certificate:

From 1 April 2023, a new HRT PPC has been introduced to help reduce the costs of certain Hormone Replacement Therapy (HRT) medicines 

> 12-month HRT PPC - £19.30; this will save you money if you need more than 2 HRT medicines in 12 months

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