Prescription charges

In England, as of 1st April 2017 prescription charges are now £8.60 per item, whilst they are free in Scotland, Wales and Northern Ireland.

Prescription charges for people with Scleroderma and Raynaud's in England

Medical exemption certificates are available for a number of listed medical conditions below. The list of medical exemptions was set in 1968 and has remained largely unchanged since. Scleroderma or Raynaud's is not currently included in the list of medical exemptions, though some people with these conditions may still be entitled to free prescriptions due to their circumstances or an overlapping condition.

You can still get free NHS prescriptions in England if, at the time the prescription is dispensed, you:

  • Are 60 or over
  • Are under 16
  • Are 16-18 and in full-time education
  • Are pregnant or have had a baby in the previous 12 months and have a valid maternity exemption certificate
  • Have a specified medical condition and have a valid medical exemption certificate
  • Have a continuing physical disability that prevents you from going out without help from another person and have a valid medical exemption certificate
  • Hold a valid war pension exemption certificate and the prescription is for your accepted disability
  • Are an NHS inpatient

Medical exemption certificates are issued on application to people who have:

  • A permanent fistula (for example caecostomy, colostomy, laryngostomy or ileostomy) requiring continuous surgical dressing or requiring an appliance
  • A form of hypoadrenalism (for example Addison's disease) for which specific substitution therapy is essential
  • Diabetes insipidus or other forms of hypopituitarism
  • Diabetes mellitus, except where treatment is by diet alone
  • Hypoparathyroidism (blood deficiency which can cause muscle spasms)
  • Myasthenia gravis (abnormal weakness of certain muscles)
  • Myxoedema (that is, hypothyroidism requiring thyroid hormone replacement)
  • Epilepsy requiring continuous anticonvulsive therapy
  • 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

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