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.
If you have to pay for four or more prescription items in three months, or more than 15 items in 12 months, you may find it cheaper to buy a 3 month or 12 month PPC (Prescription Prepayment Certificate). For up to date information on current prescription charges, please follow the link at the bottom of this page.
How to apply for a medical exemption certificate
Ask your doctor for an FP92A form to apply for a medical exemption certificate.
Your GP will sign the form to confirm that your statement is correct. At your GP's discretion, a member of the practice who has access to your medical records can also sign the form.
Your certificate will be valid from 1 month before the date the NHS Business Services Authority receives the application form.
The MedEx lasts for 5 years and then needs to be renewed. You may receive a reminder that your certificate needs to be renewed.
If you do not receive a reminder, it's your responsibility to make sure it's renewed.
Important numbers
- NHS Help with Health Costs helpline: 0300 330 1343
- Prescription services helpline: 0300 330 1349
- Queries about medical exemption certificates: 0300 330 1341
- Queries about prescription prepayment certificates (PPCs): 0300 330 1341
- Queries about tax credit certificates: 0300 330 1347
- Call 0300 123 0849 to order a paper copy of the HC12, HC5 and HC1 (SC) forms
There is further information about prescription exemptions and fees on the NHS website