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. 2025 Aug 22;25:2879. doi: 10.1186/s12889-025-24121-0

Table 1.

Current National Health Service (NHS) per-prescribed item charge exemption criteria applied in England

Age based criteria • Under 16
• Aged 16–18 and in full time education
• Aged 60 or over
Benefits based criteria • If you receive income Support
• If you receive income-based Jobseeker’s Allowance
• If you receive income-related Employment and Support Allowance
• If you have a HC2 certificate
Tax credit based criteria • If your annual family income is £15,276 or less and you receive either:
(1) Child Tax Credit
(2) Working Tax Credit and Child Tax Credit paid together
(3) Working Tax Credit including a disability element
Pregnant women and those who have had a baby in the last 12 months
MedEx Criteria • A permanent fistula (for example, caecostomy, colostomy, laryngostomy or ileostomy) which needs continuous surgical dressing or an appliance
• A form of hypoadrenalism (for example, Addison’s Disease) for which specific substitution therapy is essential
• Diabetes insipidus and other forms of hypopituitarism
• Diabetes mellitus, except where treatment is by diet alone
• Hypoparathyroidism
• Myasthenia gravis
• Myxoedema (that is, hypothyroidism which needs thyroid hormone replacement)
• Epilepsy which needs continuous anticonvulsive therapy
• A continuing physical disability which means you cannot go out without the help of another person
• Cancer and are undergoing treatment for either:
(1) cancer
(2) the effects of cancer
People who receive War Pension Scheme or Armed Forces Compensation Scheme payments