Understanding whether you need to pay for your prescription can be confusing, especially with regular changes to NHS guidance and exemptions. At Midnight Pharmacy in Bradford, we’re often asked who qualifies for free prescriptions — and whether it’s ever worth paying for a private prescription instead.

This guide will help you determine whether you qualify for an NHS prescription payment exemption, and why paying privately for some treatments could still offer value depending on your needs.

What Is the NHS Prescription Charge?

As of 2025, the standard NHS prescription payment in England is £9.90 per item. This fee applies to each medication dispensed, even if multiple are listed on the same prescription. It’s worth noting that prescriptions are still free in Scotland, Wales, and Northern Ireland.

While many people pay this charge routinely, others qualify for exemptions — either temporarily or permanently.

Who Qualifies for Free NHS Prescriptions?

The NHS offers a range of exemptions to make essential medications more accessible. You may be entitled to free prescriptions if you meet any of the following criteria:

Age-Related Exemptions

• Under 16 years old

• Aged 16 to 18 and in full-time education

• Aged 60 or over

Medical Exemptions

You may qualify for a medical exemption certificate (MedEx) if you have a qualifying condition, including:

• Diabetes (except if managed by diet alone)

• Epilepsy requiring continuous anti-epileptic medication

• Cancer, or the effects of cancer/treatment

• A permanent fistula

• Addison’s disease

• Hypoparathyroidism

• Myxoedema

• Hypopituitarism

Ask your GP for a medical exemption form if you believe you qualify.

Income-Related Exemptions

You may be exempt from NHS prescription payments if you receive:

• Income Support

• Income-based Jobseeker’s Allowance

• Income-related Employment and Support Allowance

• Pension Credit Guarantee Credit

• Universal Credit, if your earnings are below the qualifying threshold

In these cases, you may be required to show proof, such as a benefit award letter or exemption certificate.

Maternity and Tax Credit Exemptions

• Pregnant or given birth in the last 12 months (with a valid maternity exemption certificate)

• Receive Child Tax Credit or Working Tax Credit and meet certain income limits

NHS Prescription Prepayment Certificate (PPC)

If you’re not eligible for a free prescription but need multiple items regularly, a PPC can save money. You pay a fixed amount (£32.05 for 3 months or £114.50 for 12 months), and it covers all prescriptions during that period.

We can help you apply for a PPC at Midnight Pharmacy — just ask a member of our team.

What If You Don’t Qualify? Are Private Prescriptions Worth It?

For some patients, paying the standard NHS prescription charge may still come with delays — especially if appointments are difficult to book or if certain treatments aren’t covered on the NHS.

That’s where private prescriptions can offer added value:

• Faster access to treatment without needing a GP appointment

• A wider range of medications, including those not routinely prescribed by the NHS

• The ability to receive advice directly from your pharmacist and start treatment sooner

At Midnight Pharmacy, we offer private prescribing services for various conditions, including travel medicine, weight loss treatment, period delay, erectile dysfunction, and minor infections. While you pay for the medication in full, the convenience and speed can make it worthwhile — especially if your condition needs prompt attention.

When to Consider a Private Prescription

You might choose a private prescription if:

• You’re travelling soon and need vaccines or anti-malarials

• You want to start weight loss medication such as Saxenda or Mounjaro

• You require a treatment that isn’t covered by the NHS

• You’re unable to get a timely GP appointment

Our pharmacists are trained to advise, assess, and prescribe privately where appropriate. In many cases, you can walk in, have a short consultation, and leave with the medication the same day.

Support at Midnight Pharmacy in Bradford

Whether you’re managing a chronic condition or just picking up a one-off treatment, we’re here to help you navigate the system. We’ll explain NHS prescription payment rules, help you apply for exemption certificates, and offer private alternatives when it’s in your best interest.

We believe healthcare should be accessible, flexible, and tailored to your needs. Visit us in-store or contact us to speak to a pharmacist about NHS or private prescriptions today.

This blog was written on behalf of Midnight Pharmacy by Pharmacy Mentor.