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Prescription Charge Exemptions (England) (From April 2026)

Everything you need to know about NHS prescription charge exemptions

Written by Raj Patel
Updated over 2 weeks ago

NHS Prescription Exemption Categories

You may be entitled to free NHS prescriptions if you meet specific eligibility criteria. To claim exemption, the appropriate category must be selected on the prescription form and valid evidence may be required. The exemption categories are listed below:

Age-Related Exemptions

  • A: Aged 60 or over, or under 16 (unless date of birth is printed on the form)

  • B: Aged 16, 17, or 18 and in full-time education

Certificate-Based Exemptions

  • D: Maternity exemption certificate

  • E: Medical exemption certificate

  • F: Prescription prepayment certificate

  • W: HRT-only prescription prepayment certificate

  • G: Ministry of Defence prescription exemption certificate

  • L: HC2 (full help) certificate

Benefit-Related Exemptions

  • H: Receiving Income-related Employment and Support Allowance (ESA)

  • S: Receiving Pension Credit Guarantee Credit (including partners)

  • U: Receiving Universal Credit and meeting eligibility criteria (Earnings ≤ £435, or ≤ £935 [if UC includes child element or limited capability for work)], in most recent assessment period)

Important

You must only claim an exemption if they are entitled to it. Incorrect claims can result in penalty charges. Proof of eligibility should be provided if requested when collecting medication.

Prescription Item Level Exemptions

You may be entitled to certain medication items for free as listed below. Make sure you declare this when you checkout your prescription order.

  • For Contraceptive Use

  • For STI (Sexually Transmitted Infection) Treatment

  • For latent or active Tuberculosis (TB) or to treat adverse effects of TB treatment

Check if you have an exemption from paying NHS costs

You can check your exemption status by clicking below


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