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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
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…
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…
Help with Health Costs – England 2024/25
This is an upcoming publication to be released on 26 June 2025. Visit our statistical publication calendar for the release date of our other publications.
The NHSBSA administer a range of services to help people with health costs, including help…