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Prescriptions: Fees and Charges

Asked by Martin WrigleyLiberal DemocratDepartment of Health and Social CareTabled Answered 7 March 2025UIN 34419

The question

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that prescription charges do not act as a barrier to treatment for people with long-term medical conditions.

Answered by Karin Smyth

Approximately 89% of prescription items are dispensed free of charge in the community in England, and there is a wide range of exemptions from prescription charges already in place to help those with the greatest need. Eligibility depends on the patient’s age, whether they are in qualifying full-time education, whether they are pregnant or have recently given birth, whether they have a qualifying medical condition, or whether they are in receipt of certain benefits or a war pension.

People with certain long-term medical conditions may qualify for a medical exemption, which entitles them to claim free prescriptions. The medical exemption is a long-standing exemption from prescription charges, which covers all the patient’s prescriptions, not just those for the qualifying condition. A list of the qualifying medical conditions and information on how to apply for a medical exemption certificate is available at the following link:

www.nhsbsa.nhs.uk/medex

People who do not qualify for an exemption and who need many prescription items could save money with a prescription prepayment certificate (PPC). PPCs allow people to claim as many prescriptions as they need for a set cost, with three-month and 12-month certificates available, and the 12-month PPC can be paid for in instalments.

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