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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.
Check if you have an NHS exemption
Tax Credit payments made by HMRC ended on 5 April 2025
People receiving tax credits were moved to Universal Credit. After your tax credits were stopped, you must meet the Universal Credit conditions to be entitled to full help with health costs.…
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…
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…
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…
Maternity exemption certificates
It is the maternity exemption certificate that entitles you to free NHS prescriptions, not being pregnant or having given birth in the last 12 months. If you do not have a valid maternity exemption certificate, you may be liable for a penalty charge…
HRT PPC guidance
On 1 April 2023, the Department of Health and Social Care (DHSC) introduced a new Prescription Prepayment Certificate (PPC) to reduce the cost of hormone replacement therapy (HRT) for patients.
The certificate will be valid for 12 months and covers…