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What happens if you can't afford your medication?

475 replies

Frequency · 16/01/2026 10:28

I can btw, this is not a begging thread, but I'm taking the money from my savings, and I don't always have money in my savings, which has got me pondering.

If I didn't have savings and my asthma medication ran out, is there a scheme where I can buy now, pay later, or is it a case of risking death or needing A&E?

Are there any other life-saving medications you have to pay for, or is it just asthma? I know my mum gets free prescriptions because she needs thyroid medication, but that doesn't seem as serious or life-threatening as asthma to me.

What's the criteria for a medication being free, and why doesn't it seem to make sense?

OP posts:
JambonetFromage · 16/01/2026 11:26

Automagical · 16/01/2026 10:46

Because there are a lot of exemptions

Around 89% of prescriptions in England are already dispensed free of charge to children, the over 60s, pregnant women and those with certain medical conditions. This freeze will not impact that scheme.

In addition to the freeze on charges, the NHS Low Income Scheme offers help with prescription payments, with free prescriptions for eligible people in certain groups such as pensioners, students and those who receive state benefits or live in care homes.

https://www.gov.uk/government/news/cost-of-living-boost-for-millions-as-prescription-charges-frozen

Edited

I think most people pay for their prescriptions but most prescriptions aren’t paid for - simply because most are dispensed to people who are in an exempt group.

Nancylancy · 16/01/2026 11:26

Sorry haven't read the full thread. You can get pre payment certificates to make it a lot cheaper if you have lots of medication - I only have one prescription a month but it was still cheaper for me to get a yearly pre payment certificate.

Absolutely no idea what happens if you genuinely can't afford it. It's only 9.50 so presumably if someone can't afford that, they may be entitled to some form of UC or support, I'm not sure!
Interesting question.

BowlyLarr · 16/01/2026 11:28

The thyroid thing is baffling though (and I have hypothyroidism so I do know a little about it). If someone has an asthma attack or an anaphylactic allergic reaction they could easily die there and then if they don’t have their prescribed inhaler or EpiPen. Someone with hypothyroidism who runs out of levothyroxine is going to take a long time to get life-threateningly unwell (just think about how the NHS won’t even diagnose you until your tsh level gets to 10 or something bonkers). It just doesn’t stack up, to me.

Interested in this thread?

Then you might like threads about these subjects:

TreeDudette · 16/01/2026 11:29

Speak to your GP and tell them of the financial strain this is putting on you and ask for a prescription for 2 inhalers so it is half the number of scripts per year. Are you entitled to a Medical Exemption Certificate? Asthma is one of the conditions that can entitle you to this. Speak to your GP or Pharmacist. If you claim certain benefits or are on low income you may also be exempt. Your pharmacist should have a small consulting room and will have a private discussion with you on these issues if you ask.

BountifulPantry · 16/01/2026 11:30

That sucks for you OP.

This might sound incredibly patronising so apols but if I were you, I’d look at your bills and cut whatever I could then look to increase your income. To get the prescription, you’d only need to work for one hour and a bit. Could you increase your hours? Could you work one evening in a pub? Could you sell some bits and bobs? Could you do some babysitting or dog walking?

nicky2512 · 16/01/2026 11:31

I’m in NI so free prescriptions but my son is at university in England. He was just paying for each item but is seeing GP today and will potentially need three items so a three month prepayment would make more sense. Does he pay for that at the chemist or is that something I buy online before he goes? Thank you.

Further complicated by having hospital appointments at home and frequent changes of medication. Would have been so much easier if he didn’t have to completely transfer GP to England. Maybe some kind of shared care with his home GP? Makes it so hard to get any help when he’s at home.

Frequency · 16/01/2026 11:31

The article someone linked above says that 57% of adults have missed meds they need due to prescription costs. I don't know if that is just asthma sufferers or everyone, but if it is true, the system is not working.

Maybe the income threshold should be higher if we cannot afford free prescriptions for everyone. Or maybe we should stop giving out Calpol and paracetamol on prescription and give people a £2 Tesco voucher instead if they can't afford it, and make all life-saving meds free.

I don't know what the answer is, it just seems wrong to me that someone might have to go without a medication that they could die without.

OP posts:
ParmaVioletTea · 16/01/2026 11:34

Badbadbunny · 16/01/2026 10:35

Surely you buy a yearly prepayment certificate which makes it a lot cheaper??

This!

nevernotmaybe · 16/01/2026 11:36

It shouldn’t be realistically possible. The low income support, is calculated after expenses not on how much you earn. So if you actually genuinely have no money after you pay all your bills, you can get free prescriptions, dentist, and eye tests/glasses.

TheRealMagic · 16/01/2026 11:36

Frequency · 16/01/2026 11:31

The article someone linked above says that 57% of adults have missed meds they need due to prescription costs. I don't know if that is just asthma sufferers or everyone, but if it is true, the system is not working.

Maybe the income threshold should be higher if we cannot afford free prescriptions for everyone. Or maybe we should stop giving out Calpol and paracetamol on prescription and give people a £2 Tesco voucher instead if they can't afford it, and make all life-saving meds free.

I don't know what the answer is, it just seems wrong to me that someone might have to go without a medication that they could die without.

Edited

Who is giving out paracetamol or calpol on prescription? In my experience that's only ever when it's given in hospital - and that makes sense, you can see the logistics of making patients provide their own when hospitalised don't make sense. GPs sometimes used to prescribe things like that to save patients the cost but in my experience that stopped long ago, as did GPs putting multiple months' doses on one prescription so that the patient saved on the prescription charge.

IsThisLifeNow · 16/01/2026 11:37

ithinkilikethislittlelife · 16/01/2026 10:32

Move to wales. Prescriptions are free for all. Not means tested at all.

Or Scotland,my prescriptions are free here too!

Lisavanderpumpsdog · 16/01/2026 11:38

Badbadbunny · 16/01/2026 10:35

Surely you buy a yearly prepayment certificate which makes it a lot cheaper??

There will be a huge amount of people reading this who do not currently have the funds to pay for a single one off prescription, never mind the cost of a pre-payment - regardless of how much it's going to save them in the long term.

PinkDaffodil2 · 16/01/2026 11:38

If you’re needing one inhaler a month, explain to your GP and ask them to prescribe 3 at a time - you only pay the prescription charge once.
@Horrace most people who need prescriptions fall into at least one category of young / old / pregnant / on eligible benefits / has an eligible long term condition. From memory about 10% of prescriptions are paid for.

Lisavanderpumpsdog · 16/01/2026 11:39

If I needed a prescription and didn't have the money to pay for it, I'd just lie and tick the box that says I do pre-pay or receive benefits. I'm aware that's fraud and may land me in trouble, but I'd take my chances if I was in that situation.

Negroany · 16/01/2026 11:39

Badbadbunny · 16/01/2026 10:35

Surely you buy a yearly prepayment certificate which makes it a lot cheaper??

That only works out if you have a minimum of two prescriptions most months.

So, when I had just one thing it wasn't worth it. But luckily I got an infection, so then it made it worthwhile!

hahagogomomo · 16/01/2026 11:40

If you get the prepayment certificate it’s the same as one a month but any additional meds are essentially free. Based on how much people spend on non essentials like coffee, take aways etc there can’t be many who can’t afford prescriptions (those on certain benefits don’t pay already)

Negroany · 16/01/2026 11:40

Frequency · 16/01/2026 10:36

I think I've looked into this before, and it only works out if you get multiple medications. I only need one inhaler a month.

Can you ask the GP to prescribe three at a time, on one script? I think they're allowed to prescribe up to three months of most medications.

PinkDaffodil2 · 16/01/2026 11:41

TheRealMagic · 16/01/2026 11:36

Who is giving out paracetamol or calpol on prescription? In my experience that's only ever when it's given in hospital - and that makes sense, you can see the logistics of making patients provide their own when hospitalised don't make sense. GPs sometimes used to prescribe things like that to save patients the cost but in my experience that stopped long ago, as did GPs putting multiple months' doses on one prescription so that the patient saved on the prescription charge.

I’m a GP in a deprived area and if requested give patients longer scripts to save money (though very few of my patients pay for prescriptions). I also prescribe things we shouldn’t really if someone actually can’t afford to buy - it isn’t ideal for the NHS, but much cheaper than them needing further doctor appointments because they didn’t buy Calpol / hydrocortisone etc

MyrtleLion · 16/01/2026 11:41

Frequency · 16/01/2026 11:31

The article someone linked above says that 57% of adults have missed meds they need due to prescription costs. I don't know if that is just asthma sufferers or everyone, but if it is true, the system is not working.

Maybe the income threshold should be higher if we cannot afford free prescriptions for everyone. Or maybe we should stop giving out Calpol and paracetamol on prescription and give people a £2 Tesco voucher instead if they can't afford it, and make all life-saving meds free.

I don't know what the answer is, it just seems wrong to me that someone might have to go without a medication that they could die without.

Edited

I know this will cost more but I think you should ask your GP for a drug called montelukast. It will help your asthma a great deal.and stop you getting quite so unwell when you have a cold or flu. I used to have 4-6 infections a year that then gave me asthma, and that's now reduced to 1-2 a year and they're less damaging.

You may also want a review of your inhaler to.see.if you should switch to a different brand or higher dose.

A prepaid certificate costs £114.50 a year and a single monthly prescription costs £114. So right now it's not cheaper, but would be if you are prescribed montelukast.

Frequency · 16/01/2026 11:41

PinkDaffodil2 · 16/01/2026 11:38

If you’re needing one inhaler a month, explain to your GP and ask them to prescribe 3 at a time - you only pay the prescription charge once.
@Horrace most people who need prescriptions fall into at least one category of young / old / pregnant / on eligible benefits / has an eligible long term condition. From memory about 10% of prescriptions are paid for.

This is what I am questioning. Why isn't asthma classed as a long-term condition? I was diagnosed over 30 years ago; to me, that's pretty long-term. Ditto allergies severe enough to need an EpiPen.

I understand that sometimes very young children grow out of asthma, but it's not always the case, and adults never do.

OP posts:
Whyhaveibeencutoutofmamsnot · 16/01/2026 11:41

Missey85 · 16/01/2026 10:42

I take two kinds of medicine for epilepsy here in Australia scripts aren't free so I have to pay every month it's the First thing I budget for because I know I need it

We in the uk are led to believe that healthcare in Australia is fantastic - didn't know you have to pay for medication if you had epilepsy

blankittyblank · 16/01/2026 11:42

Frequency · 16/01/2026 10:52

It seems shortsighted to me that people have to pay. Surely, it costs more in the longrun when people can't afford it and end up in A&E or needing a hospital stay?

And I still don't understand why some prescriptions are free because they're classed as ongoing and chronic or whatever thyroid meds are classed as, and some, like inhalers and EpiPens, aren't. It just doesn't make sense.

I appreciate the budgeting suggestions, but if my inhalers ran out and I didn't have a tenner, I'd borrow one of my dad's blue ones until I could afford one. It's more of a mindlessly pondering thread than a call for help.

Also, I get the red inhalers, not the blue ones. I take it twice a day, and as needed as a reliever, but I really only need it twice a day, unless I have a cold or flu. I can only get a prescription for the blue ones on an as-and-when-needed basis if I'm ill and taking my red one more than 4 times a day.

Why don't you get the prepayment certificate, and in that 3 month period get your inhaler way more regularly than normal (so get one once every two or three weeks, instead of once every four). Then, when your three months is up you'll have a small supply.

If you doctor mentions this you can just say you lost one, or you've had flare up etc. I've lost my blue inhaler before, or needed one earlier due to allergies etc, and it's never been mentioned by the GP.

TigerRag · 16/01/2026 11:43

TreeDudette · 16/01/2026 11:29

Speak to your GP and tell them of the financial strain this is putting on you and ask for a prescription for 2 inhalers so it is half the number of scripts per year. Are you entitled to a Medical Exemption Certificate? Asthma is one of the conditions that can entitle you to this. Speak to your GP or Pharmacist. If you claim certain benefits or are on low income you may also be exempt. Your pharmacist should have a small consulting room and will have a private discussion with you on these issues if you ask.

No idea where you got it from that people with asthma are exempt from prescription charges? They're not unless they have another condition which entities then yo free prescriptions

towhoknowswhere · 16/01/2026 11:43

Nevermind17 · 16/01/2026 10:41

My DS has to pay for EpiPens, even though he will almost definitely die without them if he has an attack (he has multiple severe allergies).

Ds is only young so on a low wage, I pay for his EpiPens but find it shocking that something so vital isn’t free!

blankittyblank · 16/01/2026 11:44

Also agree with two prescribed at once. I have this and it's brilliant (plus it allows me to leave on by my bed and one in my bag or pocket)

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