November 2023 Price Concessions – Final Update


Following discussions between Community Pharmacy England and the Department of Health and Social Care (DHSC) regarding medicine pricing issues reported by pharmacy owners, the Department has today (30/11/2023) announced the following final list of price concessions for November 2023:

Please note the following two lines have been revised upwards following mid-month price changes reported by pharmacy owners, the revised prices are reflected in the table below:

  • Co-codamol 30mg/500mg capsules
  • Etoricoxib 60mg tablets
Drug Pack size Price concession
Amisulpride 100mg tablets 60 £14.94
Azithromycin 250mg capsules 6 £1.59
Beclometasone 50micrograms/dose nasal spray 200 £2.60
Betahistine 8mg tablets 84 £3.80
Betamethasone valerate 0.1% cream 100 £4.05
Bimatoprost 100micrograms/ml eye drops 3 £3.95
Bimatoprost 300micrograms/ml / Timolol 5mg/ml eye drops 3 £4.58
Carbocisteine 250mg/5ml oral solution 300 £7.00
Chlorphenamine 2mg/5ml oral solution sugar free 150 £4.87
Clarithromycin 125mg/5ml oral suspension 70 £4.32
Clarithromycin 250mg/5ml oral suspension 70 £5.65
Co-amoxiclav 250mg/62mg/5ml oral suspension sugar free 100 £2.04
Co-amoxiclav 500mg/125mg tablets 21 £3.46
Co-codamol 30mg/500mg capsules 100 £4.50
Co-codamol 30mg/500mg tablets 30 £1.20
Co-codamol 30mg/500mg tablets 100 £4.00
Colecalciferol 1,000unit capsules 30 £6.31
Cyclizine 50mg tablets 100 £4.35
Donepezil 5mg tablets 28 £1.99
Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 5 £5.07
Eplerenone 25mg tablets 28 £6.43
Estradiol 10microgram pessaries 24 £9.45
Etoricoxib 60mg tablets 28 £2.99
Ezetimibe 10mg tablets 28 £9.44
Fluticasone 400microgram/unit dose nasal drops 28 £14.92
Frovatriptan 2.5mg tablets 6 £11.32
Haloperidol 1.5mg tablets 28 £3.28
Latanoprost 50micrograms/ml / Timolol 5mg/ml eye drops 2.5 £11.76
Lorazepam 500microgram tablets 28 £20.04
Mebeverine 50mg/5ml oral suspension sugar free 300 £210.43
Memantine 10mg/ml oral solution sugar free 50 £24.18
Metoprolol 50mg tablets 28 £3.24
Midazolam 10mg/2ml solution for injection ampoules 10 £5.15
Morphine sulfate 10mg/1ml solution for injection ampoules 10 £5.82
Oxycodone 5mg/5ml oral solution sugar free 250 £9.34
Pantoprazole 40mg gastro-resistant tablets 28 £3.16
Pyridostigmine bromide 60mg tablets 200 £23.48
Quinine sulfate 300mg tablets 28 £3.99
Riluzole 50mg tablets 56 £216.45
Ropinirole 2mg tablets 28 £21.56
Ropinirole 500microgram tablets 28 £15.75
Sitagliptin 100mg/5ml oral solution sugar free 150 £57.56
Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose ampoules 20 £9.50
Tacrolimus 0.1% ointment 30 £20.03
Tacrolimus 0.1% ointment 60 £37.05
Telmisartan 20mg tablets 28 £3.37

For the full list of price concessions granted for November 2023, please visit our webpage:

No additional endorsements are required for price concessions. A price concession only applies for the month it is granted; any prices agreed for concessions requested late in the month will roll over into the following month.

Please  subscribe to our mailing list to receive email updates of any price concessions.

Further information on price  concessions and FAQs about the process  involved  can be found on our website ( To hear more on how the current price  concessions system operates, pharmacy teams can now access a recording of our recent Medicines Supply and Concessions Briefing webinar  here.

Improvements to the price concession system

Following significant concerns raised by pharmacies about the unsustainable level of prices imposed by  DHSC  in second half of 2022, it was agreed that an  urgent review of the price concession setting system would take place.

Since this announcement, we have sent a strong and clear message back to Government that pharmacies cannot continue to subsidise the NHS medicines bill. Following the review of the concessionary price process, a package of measures has been developed to improve the system.

One of the solutions agreed between us and DHSC is that from 1st April 2023, all products granted a concessionary price will be classified as ‘Discount Not Deducted’ for the month(s) in which they are on concession.

Furthermore, from May 2023, DHSC has implemented a process to roll over prices to the following month for any concessions requested after the 23rd of the month provided these prices were agreed with us. We are also continuing to work with DHSC on how a ‘retrospective increased payment’ may apply, where appropriate. Further information regarding this concession ‘top-up’ mechanism will be issued once details are finalised.