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‘Check before you tick’ for free prescriptions

NHS England and the NHS Business Services Authority (NHSBSA) have launched a campaign to help people understand their eligibility for free prescriptions.

The ‘Check Before You Tick’ campaign encourages patients to check whether they are entitled to free prescriptions before claiming them to help reduce the £256 million cost per year to the NHS when people incorrectly claim them for free.

Patients will be able to access a new online tool to help everyone to understand eligibility criteria for free prescriptions, and pharmacists will also be helping to raise awareness.

Anyone incorrectly claiming a free prescription risks a penalty charge of up to £100 from the NHS Business Services Authority which carries out prescription checks each month.

Patients are entitled to free prescriptions if they are under 16 years old or 16, 17 or 18 and in full time education, or over 60. Certain illnesses can also exempt a patient from prescription charges as well as being pregnant or having a baby under one year.

Certain benefits, but not all, qualify people for free prescriptions, so it’s important that patients check their entitlement, and pharmacists should support them with this and ask to see up-to-date proof of eligibility.

Pregnant women and new mothers, although eligible to claim free prescriptions, may not always realise they need a valid Maternity Exemption Certificate.

Without a valid certificate, they too could receive a penalty charge.

For individuals who experience financial difficulties but are not eligible for free prescriptions, there are other means of support available to them and pharmacists should help advise, such as prepayment certificates and the NHS low income scheme.

Keith Ridge, Chief Pharmaceutical Officer for NHS England said: “Free prescriptions ensure that at-risk groups of people get the medication they need, but it’s crucial that this support also offers best value for taxpayers. Pharmacy teams are at the front-line in helping people understand the criteria for free prescriptions, and because mistaken claims place an extra cost burden on the NHS, it’s important that patients, carers and pharmacists know how and when they can make a claim.”

Alison O’Brien, Head of Loss Recovery Services, from NHSBSA said: “The NHS Business Services Authority (NHSBSA) checks claims randomly and retrospectively in order to appropriately recover funds and return them to NHS services. We encourage all patients to check their entitlement before claiming free prescriptions and our online tool provides support to understand if they are eligible.”

Further advice to help protect patients and the NHS from the consequences of incorrect claims for free prescriptions, can be found in the ‘Check Before You Tick’ pharmacy communications toolkit available on the Public Health England website.


The online eligibility checker can be accessed on the NHS website: