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

From 1 April 2021

Most adults in England have to pay prescription charges.

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

The current prescription charge is £9.35 per item.

A prescription prepayment certificate (PPC) could save you money on NHS prescription costs:

• a 3-month PPC costs £30.25
• a 12-month PPC is £108.10

Find out more about the prescription prepayment certificate.

Other costs:

• a surgical bra is £30.70
• an abdominal or spinal support is £46.30
• a stock acrylic wig is £75.70
• a partial human hair wig is £200.50
• a full bespoke human hair wig is £293.20

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