NHS Business Services Authority (NHSBSA) carry out checks on claims for free prescriptions. If our checks cannot confirm that you were entitled to collect a free NHS prescription, we send an enquiry letter asking if you were entitled.

If we do not receive a response within 28 days, a Penalty Charge Notice (PCN) is sent.

If you're sent a PCN, you'll be asked to pay the original NHS prescription charges, and an additional penalty charge. The penalty charge is 5 times the original amount owed, up to a maximum of £100.

If you do not make payment within 28 days, a surcharge may be added. The surcharge is 50% of the penalty charge, up to a maximum of £50.

Pay or challenge your PCN on our website.

Check what help you could get to pay for NHS costs and apply online.