Prescription Charge Exemptions
Prescription charge exemptions enable patients with certain conditions to obtain there prescribed medication[s] free of charge.
The medical conditions included are:
- a permanent fistula (for example caecostomy, colostomy, laryngostomy or ileostomy) requiring continuous surgical dressing or requiring an appliance
- Epilepsy which requires continuous anti-convulsive therapy
- diabetes mellitus, except where treatment is by diet alone
- myxoedema (that is, hypothyroidism requiring thyroid hormone replacement)
- diabetes insipidus or other forms of hypopituitarism
- Forms of hypoadrenalism (for example Addison's disease) for which specific substitution therapy is essential
- myasthenia gravis
- a continuing physical disability which means the person cannot go out without the help of another person. Temporary disabilities do not count even if they last for several months
Or are undergoing treatment for cancer:
- including the effects of cancer, or
- the effects of current or previous cancer treatment
How to apply for a medical exemption certificate
To apply for a medical exemption certificate ask at your doctors surgery for an FP92A form.
Your GP, hospital or service doctor will sign the form to confirm that your statement is correct. At your GP's discretion, the Practice Manager, can verify your condition and can also sign the form.
Your certificate will be valid from one month before the date that the NHS Business Authrority receives the application form.
The FP92A lasts for five years and then needs to be renewed. You may receive a reminder that your certificate needs to be renewed. If you don't receive a reminder, it is your responsibility to ensure that it is renewed.
NHS Prescription Charges from April 2020
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.
The charges for England are:
- Prescription (per item): £9.15
- 12-month prepayment certificate (PPC): £105.90
- 3-month PPC: £29.65
If you will have to pay for four or more prescription items in three months, or more than 14 items in 12 months, you may find it cheaper to buy a PPC.
There is further information about prescription exemptions and fees on the NHS website