When your NHS prescription can't be filled due to a shortage, a private prescription is sometimes an option. Private pharmacies may have access to different supply lines. However, this comes at significant cost and raises equity concerns.
How Private Prescriptions Work
A private prescription can be issued by:
- Any GMC-registered doctor (including your NHS GP, acting privately)
- Private clinics and consultants
- Online prescribing services (GPhC-regulated)
With a private prescription, you pay the full cost of the medicine rather than the NHS prescription charge. This can be significantly more expensive.
Cost Comparison
| Medicine | NHS Charge | Typical Private Cost |
|---|---|---|
| Methylphenidate 36mg (28 tabs) | £9.90 | £40-80 |
| Lisdexamfetamine 30mg (28 caps) | £9.90 | £80-120 |
| Oestrogel (80g) | £9.90 | £15-25 |
| Sertraline 50mg (28 tabs) | £9.90 | £5-15 |
When Private Might Help
- When NHS pharmacies can't source your medicine but private pharmacies have stock from different wholesalers
- When you need medication urgently and NHS routes will take too long
- When your NHS GP can't see you quickly enough to prescribe an alternative
The Equity Problem
Private prescriptions create a two-tier system: those who can afford to pay get medication, those who can't must go without. This is particularly problematic for ADHD medications, where the shortage has lasted years and private costs are high.
Finding a Private Pharmacy
- Check that any pharmacy is registered with the GPhC
- Verify online pharmacies on the GPhC register
- Be wary of unusually cheap sources — counterfeit medicines are a real risk
- Some private pharmacies specialise in hard-to-source medications
Related
Emergency Prescriptions
NHS emergency routes first
Online vs High Street
Comparing pharmacy types
Your Rights
NHS entitlements
See also
Prescription out of stock: what to do
How private options fit into shortage planning
ADHD medication shortage UK 2026
A key area where private scripts are often discussed
ADHD medication shortage tracker
Live updates for one of the highest-demand categories
Data sources: DHSC Medicine Supply Notifications · NHSBSA Serious Shortage Protocols · NHS England
Page last updated: 7 March 2026. Data checked daily.
Page last updated: 7 March 2026. Data checked daily.