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Independent analysis of NHS open data
PharmaInsight

Cyanocobalamin vs Folic acid

National NHS prescribing compared (Prescription Cost Analysis)
Data updated April 2026

Folic acid was dispensed 2.9× as often as Cyanocobalamin in April 2026 — 684,312 items versus 237,880 in England.

237,880items

Cyanocobalamin · April 2026

NHSBSA Prescription Cost Analysis

684,312items

Folic acid · April 2026

NHSBSA Prescription Cost Analysis

Figure 1. Cyanocobalamin versus Folic acid: national items dispensed by month

▬ Cyanocobalamin   ·   ╌ Folic acid

0 438k 877k Jan 2021 Oct 2021 Jul 2022 May 2023 Feb 2024 Nov 2024 Apr 2026 Folic acid 237,880 Jan 2021: 130k Feb 2021: 122k Mar 2021: 137k Apr 2021: 133k May 2021: 129k Jun 2021: 140k Jul 2021: 142k Aug 2021: 137k Sep 2021: 142k Oct 2021: 136k Nov 2021: 142k Dec 2021: 148k Jan 2022: 141k Feb 2022: 133k Mar 2022: 151k Apr 2022: 142k May 2022: 151k Jun 2022: 148k Jul 2022: 152k Aug 2022: 156k Sep 2022: 156k Oct 2022: 154k Nov 2022: 158k Jan 2023: 156k Feb 2023: 145k Mar 2023: 166k Apr 2023: 150k May 2023: 163k Jun 2023: 169k Jul 2023: 167k Aug 2023: 174k Sep 2023: 172k Oct 2023: 176k Nov 2023: 176k Dec 2023: 176k Jan 2024: 180k Feb 2024: 174k Mar 2024: 180k Apr 2024: 186k May 2024: 190k Jun 2024: 182k Jul 2024: 200k Aug 2024: 195k Sep 2024: 193k Oct 2024: 204k Nov 2024: 197k Dec 2024: 204k Jan 2025: 208k Feb 2025: 190k Mar 2025: 203k Apr 2025: 206k May 2025: 215k Jun 2025: 213k Jul 2025: 231k Aug 2025: 217k Sep 2025: 231k Oct 2025: 238k Nov 2025: 222k Dec 2025: 243k Jan 2026: 235k Feb 2026: 219k Mar 2026: 240k Apr 2026: 238k

Source: NHSBSA Prescription Cost Analysis, to April 2026

Cyanocobalamin versus Folic acid, April 2026
Measure Cyanocobalamin Folic acid
Items, April 2026 237,880 684,312
Items, last 12 months 2,742,468 9,425,046
Net ingredient cost, April 2026 £1,080,980 £578,552

See the full profile for Cyanocobalamin or Folic acid.