Patient Group Directions and NHS prescription charges

Jo Jenkins, Specialist Pharmacist (Patient Group Directions) SPS Medicines Use and Safety Division Source NHS PGD WebsitePublished Last updated See all updates

This Q&A summarises the position regarding the levying of prescription charges for medicines supplied under a PGD.

NHS prescription charge rules apply to all patients receiving a supply of medicines under a PGD unless the patient is entitled to free prescriptions or where prescription charges do not apply.

If all of the medicine is administered to the patient during the consultation, no charge is levied. If any part of the medicine is given to the patient to take home, the patient should be charged, unless there is no fee to be levied (see below) or they are otherwise exempt.

NHS Prescription charges do not apply in the following circumstances:

  • Medicines administered under a Patient Group Direction.
  • Where a person is exempt from paying NHS prescription charges. Details of those entitled to prescription charge exemptions is listed at NHS Choices.
  • Medicines supplied under a PGD at an NHS trust or foundation trust, or by or service arranged by an NHS organisation or a local authority for:
    • the treatment of a sexually transmissible infection (STI)
    • the treatment of tuberculosis
    • the supply of contraceptives
    • medication to treat a mental disorder supplied to a person subject to a supervised community treatment order.

Services supplying medicines under a PGD need to arrange for collection of the appropriate fees. For convenience some NHS organisations have introduced systems that avoid healthcare professionals collecting the charges themselves including arranging for finance departments to invoice patients following treatment.


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