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Independent analysis of NHS open data
PharmaInsight

Hydroxocobalamin vs Epoetin alfa

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

Hydroxocobalamin was dispensed 7,274.2× as often as Epoetin alfa in April 2026 — 269,144 items versus 37 in England.

269,144items

Hydroxocobalamin · April 2026

NHSBSA Prescription Cost Analysis

37items

Epoetin alfa · April 2026

NHSBSA Prescription Cost Analysis

Figure 1. Hydroxocobalamin versus Epoetin alfa: national items dispensed by month

▬ Hydroxocobalamin   ·   ╌ Epoetin alfa

0 148k 295k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 Apr 2026 Epoetin alfa 269,144 Jan 2021: 176k Feb 2021: 169k Mar 2021: 192k Apr 2021: 181k May 2021: 184k Jun 2021: 204k Jul 2021: 206k Aug 2021: 201k Sep 2021: 202k Oct 2021: 193k Nov 2021: 195k Dec 2021: 208k Jan 2022: 210k Feb 2022: 205k Mar 2022: 222k Apr 2022: 211k May 2022: 233k Jun 2022: 226k Jul 2022: 248k Aug 2022: 242k Sep 2022: 241k Oct 2022: 243k Nov 2022: 232k Dec 2022: 238k Jan 2023: 250k Feb 2023: 228k Mar 2023: 253k Apr 2023: 232k May 2023: 254k Jun 2023: 259k Jul 2023: 260k Aug 2023: 257k Sep 2023: 261k Oct 2023: 264k Nov 2023: 250k Dec 2023: 256k Jan 2024: 273k Feb 2024: 248k Mar 2024: 255k Apr 2024: 265k May 2024: 270k Jun 2024: 270k Jul 2024: 282k Aug 2024: 267k Sep 2024: 266k Oct 2024: 275k Nov 2024: 238k Dec 2024: 266k Jan 2025: 295k Feb 2025: 258k Mar 2025: 266k Apr 2025: 268k May 2025: 273k Jun 2025: 274k Jul 2025: 288k Aug 2025: 274k Sep 2025: 291k Oct 2025: 283k Nov 2025: 257k Dec 2025: 282k Jan 2026: 291k Feb 2026: 270k Mar 2026: 280k Apr 2026: 269k

Source: NHSBSA Prescription Cost Analysis, to April 2026

Hydroxocobalamin versus Epoetin alfa, April 2026
Measure Hydroxocobalamin Epoetin alfa
Items, April 2026 269,144 37
Items, last 12 months 3,332,987 519
Net ingredient cost, April 2026 £795,360 £26,471

See the full profile for Hydroxocobalamin or Epoetin alfa.