Prescriptions Charges and Exemptions

Extensive exemption and remission arrangements protect those likely to have difficulty in paying charges (NHS prescription and dental charges, optical and hospital travel costs).

The NHS prescription charge is a flat-rate amount which successive Governments have thought it reasonable to charge for those who can afford to pay for their medicines.  Prescription prepayment certificates (PPCs) offer real savings for people who need extensive medication.

NHS Medical Exemption Certificate

If you suffer from certain medical conditions you are entitled to free NHS prescriptions throughout the UK. A Medical Exemption Certificate is the document that provides proof of entitlement to free NHS prescriptions throughout the UK.

The medical conditions listed below entitle you to free NHS prescriptions throughout the UK:

  • Permanent Fistula (including caecostomy, colostomy, laryngostomy, or ileostomy) requiring continuous surgical dressing or requiring an appliance
  • forms of Hypoadrenalism (including Addison's disease) for which specific substitution therapy is required
  • Diabetes Insipidus and other forms of hypopituitarism
  • Diabetes mellitus except when treatment is by diet alone
  • Hypoparathyroidism
  • Myasthenia Gravis
  • Myxoedema
  • Epilepsy requiring continuous anti-convulsive therapy

If you require a prescription and you have one of the conditions which entitle you to free NHS prescriptions throughout the UK, please contact us and ask your GP to complete a Medical Exemption (EC92A) form. Your GP is required to complete the EC92A to verify that you have a medical condition that entitles you to free NHS prescriptions throughout the UK.

Medical exemption certificates last for five years or until your 60th birthday, whichever is sooner.

To renew your medical exemption certificate you will need to ask your doctor to complete and submit a new FP92A application form. You should be sent a reminder letter approximately one month before your certificate is due to expire.

For more information about medical exemptions please visit NHS Business Services Authority

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