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Medical conditions
People with certain medical conditions can get free NHS prescriptions if they have a valid medical exemption certificate.
Find out more about medical exemption certificates and how to apply for one.
Medical Exemption Certificate Survey
Your views are important to us
Please take part in our short survey to give us your views on our medical exemption certificate service. Your answers will help us to see how we are doing overall and find out how we can improve.
You can be sure that…
Check if you have an NHS exemption
You can use our exemption checker to find out if you have a valid:
medical exemption certificate
maternity exemption certificate
HC2 certificate
3 or 12 month Prescription Prepayment Certificate that covers all NHS prescriptions
It will…
Medical exemption certificates
It is the medical exemption certificate that entitles you to free NHS prescriptions, not the medical condition. If you do not have a valid medical exemption certificate, you may be liable for a penalty charge.
Find out if you’re entitled to NHS…
Real Time Exemption Checking (RTEC)
Pharmacy contractors can find more information about RTEC, including how to register, on the Community Pharmacy England (CPE) website.
RTEC lets your local pharmacy see if you need to pay for your NHS prescriptions. They will do this when you pick…
Don't get caught out by penalty charges
If you're claiming free prescriptions or dental treatment, do not assume you're automatically covered. Always check before you claim.
Free prescriptions
You're only entitled to claim if you meet the requirements:
Age
You’re entitled to free…
Check before you tick
Find out if you're entitled to free NHS prescriptions, NHS dental treatment and help with other NHS costs using our eligibility checker.
It usually takes 3 minutes to check.
If you claim free NHS prescriptions or NHS dental treatment when you're…
Free NHS prescriptions
Some groups are automatically entitled to free NHS prescriptions. Others can apply for certificates that entitle them to free NHS prescriptions.
Some prescribed items are always free, including contraceptives and medication given to hospital…
Help with Health Costs – England 2024/25
Published 26 June 2025.
Publication
NHS Help with Health Costs 2024/25 statistical summary narrative (HTML)
The Help with Health Costs 2024/25 dashboard will allow you to explore the data in more detail.
Summary
The NHSBSA administer a range of…
Pregnant or had a baby in the past 12 months
If you’re pregnant or have given birth in the last 12 months, you are entitled to:
free NHS dental treatment
free NHS prescriptions, if you have a valid maternity exemption certificate
Speak to your midwife, doctor or health visitor and they…