Prescription Fees

Help with NHS costs

In England, around 90% of prescription items are dispensed free. This includes exemptions from charging for those on low incomes, such as:

  • those on specific benefits or through the NHS Low Income Scheme
  • those who are age exempt
  • those with certain medical conditions
  • More information is available at NHS Choices

NHS Charges

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

  • Prescription (per item): £9.90
  • 3-month PPC: £32.05
  • 12-month prepayment certificate (PPC): £114.50

If you will have to pay for four or more prescription items in three months or more than 14 items in 12 months, you may find it cheaper to buy a PPC.

  • Telephone advice and order line 0845 850 0030
  • General Public - Buy or Renew a PPC On-line

Before buying a PPC, check if you’re entitled to free NHS prescriptions and other help with health costs using our eligibility checker

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

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

NHS Hormone Replacement Therapy Prescription Prepayment certificate (HRT PPC)

NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC)

If you pay for NHS prescribed HRT medicine 3 or more times in 12 months, a HRT PPC could save you money.

Each item on an NHS prescription usually costs £9.90. You can buy a HRT PPC for a one-off payment of £19.80 (the cost of two single items).

The HRT PPC covers an unlimited number of certain HRT medicines for 12 months, regardless of why they are prescribed.

The HRT PPC does not cover all HRT medicines. Check if it covers your HRT medicine.

If your HRT medicine is not covered, or you also get prescriptions for items other than HRT medicine, you may save more with a 3 or 12 month PPC that covers all NHS prescriptions.

Before buying an HRT PPC, check if you’re entitled to free NHS prescriptions and other help with health costs using our eligibility checker.

Buy an HRT PPC

You can also buy a HRT PCC in-person at some pharmacies. 

Page last reviewed: 23 May 2025
Page created: 01 February 2022