Count each individual item on your prescription (e.g., 3 different medications = 3 items)
Cost Details
What is a Prescription Prepayment Certificate (PPC)?
A Prescription Prepayment Certificate (PPC) is a way to pay upfront for your NHS prescriptions in England. If you need regular prescriptions, it can save you a lot of money.
Current Prescription Costs (2025-26)
Standard prescription charge: £9.90 per item
3-month PPC: £32.05 (covers all prescriptions for 3 months)
12-month PPC: £114.50 (covers all prescriptions for 12 months)
Break-even point:
• 3-month PPC: Worth it if you need 4+ items in 3 months (more than 1 item per month)
• 12-month PPC: Worth it if you need 12+ items per year (1+ item per month)
Who Can Get Free Prescriptions?
You don't need to pay for prescriptions if you:
Are 60 or over
Are under 16 (or under 19 and in full-time education)
Are pregnant or have had a baby in the last 12 months
Have certain medical conditions (like diabetes, epilepsy, or a continuing physical disability)
Receive Income Support, income-based Jobseeker's Allowance, or income-related Employment and Support Allowance
Receive Pension Credit Guarantee Credit
Receive Universal Credit and meet certain criteria
Have a valid NHS tax credit exemption certificate
Have a valid HC2 certificate (full help with health costs)
Important: This calculator is for England only. Prescriptions are free in Scotland, Wales, and Northern Ireland.
How to Buy a PPC
You can buy a Prescription Prepayment Certificate:
In monthly instalments with Direct Debit (12-month PPC only - 10 payments of £11.45)
When Does It Start?
Your PPC starts from the date you select when buying it. You can choose a start date up to 1 month in advance.
Frequently Asked Questions
Can I get a refund if I don't use it?
Generally no, but you may get a refund if you become exempt from prescription charges (e.g., you turn 60, become pregnant, or develop a qualifying medical condition).
Does it cover dental and optical costs?
No, a PPC only covers NHS prescription charges. It doesn't cover dental treatment, eye tests, or glasses.
Can I use it anywhere in the UK?
No, PPCs are only valid in England. Scotland, Wales, and Northern Ireland have free prescriptions for everyone.
What if I lose my PPC?
Contact the NHS Business Services Authority and they can reissue it for a small fee (usually around £5).