Getting free prescriptions in England

A photo of my NHS Medical Exemption Certificate which entitles me to free prescriptions

As well as a free bus pass, one of the silver linings of being diagnosed with epilepsy is that I no longer have to pay for prescription medication. Epilepsy is one of several medical conditions which makes me eligible for a medical exemption certificate which you can get from the NHS Business Services Authority.

There are several other reasons why you may qualify for free prescriptions:

  1. You live in Scotland, Wales or Northern Ireland. The devolved administrations in these countries have abolished prescription charges, so all their residents get free prescriptions. Yorkshire hasn’t yet obtained sufficient devolution from the rest of England to roll this out, and we’re not in a position to move over the borders at the moment.
  2. You’re under 16, 16-18 and in full-time education, or over 60. Children don’t pay for prescriptions, nor do those receiving full-time further education, and once you turn 60, you don’t have to pay either.
  3. You’re in receipt of certain benefits. Some recipients of universal credit, pension credits or who are on low incomes can claim free prescriptions too.
  4. You have a medical condition that requires regular medication. This is the one I now fall into.

Asthma and free prescriptions

Now, I’ve been asthmatic since I was three, and have had to take prescription medication every day since then to literally help me breathe. However, asthma is not one of the medical conditions where you can claim a medical exemption certificate. This means that, since I turned 19, I have been paying for my asthma medication – until this summer, that is.

In recent years I have had an NHS Prescription Prepayment Certificate (PPC), which is like a season pass for prescriptions. I make 10 monthly payments by direct debit, and can then get as many medicines as I am prescribed without having to pay for them individually. If you need at least one item of medication each month, then a PPC will save you money.

How to apply for free prescriptions

Once it became clear that I would need to take Levetiracetam twice a day, every day, probably for the rest of my life, I filled out an exemption form. Most pharmacies should have a supply of these forms (which are on paper), and you’ll just need to take it along to your GP practice for it to be signed and stamped. Within a few weeks, I had received my medical exemption certificate – a credit-card sized piece of card which gives me free prescriptions for five years. Notably, my direct debit payments for my PPC were also automatically cancelled when this was issued, which was nice.

It would have been nice if my asthma would have been enough to get free prescriptions on its own. Over the years, I have literally spent thousands of pounds on medication just to ensure that I can breathe. But at least now I probably won’t have to pay any prescription charges again – unless we manage to somehow cure my epilepsy within the next five years.

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