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Certain medical conditions are exempt from prescription charges.

See below: 

It may be cost effective to get a prepayment certificate for prescription charges. Your chemist will be able to offer more details about this.

You can get free NHS prescriptions if, at the time the prescription is dispensed, you:

You can get free NHS prescriptions if, at the time the prescription is dispensed you:

  • are 60 or over
  • are under 16are 16-18 and in full-time education 
  • are pregnant or have had a baby in the previous 12 months and have a valid maternity exemption certificate (MatEx)                 
  • have a specified medical condition and have a valid medical exemption certificate (MedEx) •have a continuing physical disability that prevents you from going out without help from another person and have a valid MedEx •hold a valid war pension exemption certificate and the prescription is for your accepted disability •are an NHS inpatient 
  • You are also entitled to free prescriptions if you or your partner (including civil partners) are named on, or are entitled to, an NHS tax credit exemption certificate or a valid HC2 certificate (full help with health costs), or you receive either:
  • Income Support
  • Income-based Jobseeker’s Allowance 
  • Income-related Employment and Support Allowance, or   
  • Pension Credit Guarantee Credit
  • Universal Credit

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 

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 Authority receives the application form. 

The Medical Exemption form 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.

Get help with prescription costs:

Prescription prepayment certificates (PPC) are available in England and they can save you money.


NHS charges

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

  • Prescription (per item): £8.20
  • 12-month prepayment certificate (PPC): £104.00
  • 3-month PPC: £29.10

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.

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

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