When I got put on anticoagulants for life I found out that diabetics don't have to pay for their meds.
When I asked why I had to pay for mine I was told that diabetics would die without their prescription drugs for life so the NHS pays.
I pointed out that I would
also die without my prescription drugs for life...
And similarly... Why are some prescriptions cheap, but some like full-strength CBD extremely expensive?
Declaration of interest upfront: retired GP.
The rules about who pays for prescriptions and who doesn't were made in 1968 when prescription charges were reintroduced after they had been abolished in 1965. Cancer was added in 2009. GPs - individually and collectively - and patient groups have complained throughout that time to the Dept of Health and have been ignored. The rules and exemption groups are bonkers, illogical and unfair. Further inconsistencies were introduced when health was devolved to the smaller countries of the UK, starting with Wales abolishing charges in 2007, and Scotland and N Ireland following suit. Nb..these are countries who get higher funding of public money from Westminster.
As to the cost of drugs.... some very important and usually older drugs cost literally a few pennies for a month's worth; same for some newer ones like some statins..yet the patient is expected to pay £9.90 per item. On the other hand, getting a drug for £9.90 that costs many hundreds a month is a bargain! A few items that have 2 compounds in the one prescription eg some HRTs attract two charges. As a dispensing GP I used to issue a private prescription for very cheap items such as a week of common antibiotics and charge about half the prescription charge - the local health authority threatened to sue me the day after I was interviewed about it for BBC national news but they backed down when I suggested I'd give it and their threat even more publicity
The official line from the DoH is that non-exempt patients should be advised to buy an annual season ticket for £114.50 which will cover unlimited items; there is a also now an annual season ticket for £19.80 for HRT. That's all a help but it avoids the DoH having to tackle the root of the problem.
Other quirks...some conditions like having a colostomy, diabetes, epilepsy, hormone deficiencies such as thyroid bring exemption for ALL drugs even those wholly unconnected with the exemption group. HRT treats hormonal deficiency yet is deemed not worthy of exemption. Other serious conditions such as heart disease or asthma (1200-1500 die annually in UK from asthma, and most of them young too) are not exempt at all. The contraceptive pill has always been exempt from charges but does not grant exemption from charges for other drugs; what's more, a charge should be paid if the Pill is prescribed for other reasons such as acne. Similarly a diabetic drug used by a non-diabetic for something other than diabetes attracts a charge. Finally on charges - as chemists get a fee per item per month they love monthly prescriptions from the GP rather the 3-month ones that patients prefer and which are appropriate for stable conditions.
I hope you can see how complicated it all is!