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Help with NHS prescription costs
In England, most working-age adults have to pay for their prescriptions. Certain groups are entitled to free NHS prescriptions.
Use our eligibility checker to see if you are entitled to free NHS prescriptions and other help with health costs.
The…
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…
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.…
Pharmacies selling Prescription Prepayment Certificates (PPCs)
If you are a pharmacy, you can process PPCs sold at your pharmacy in Manage Your Service (MYS).
This is for both:
3 or 12 month PPCs that cover all NHS prescriptions
HRT PPCs that cover certain hormone replacement therapy medicines
When you…
Terms and conditions for buying an NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC)
The HRT PPC service we offer is for you, the customer. Your use of this service means you agree to the following terms and conditions.
Definitions
‘You’ means the person named on the HRT PPC.
Legal identity
The NHS Business Services Authority (…
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…
NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC)
If you pay for NHS prescribed HRT medicine 3 or more times in 12 months, an HRT PPC could save you money.
Each item on an NHS prescription usually costs £9.90. You can buy an HRT PPC for a one-off payment of £19.80 (the cost of two single items).…
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…
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…
NHS Prescription Prepayment Certificate (PPC)
A PPC could save you money if you pay for your NHS prescriptions.
The certificate covers all your NHS prescriptions for a set price. You will save money if you need more than 3 items in 3 months, or 11 items in 12 months.
The prescription charge…