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Independent analysis of NHS open data
PharmaInsight

Ramipril vs Sacubitril/valsartan

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

Ramipril was dispensed 17.9× as often as Sacubitril/valsartan in May 2026 — 2,996,982 items versus 167,472 in England.

2,996,982items

Ramipril · May 2026

NHSBSA Prescription Cost Analysis

167,472items

Sacubitril/valsartan · May 2026

NHSBSA Prescription Cost Analysis

Figure 1. Ramipril versus Sacubitril/valsartan: national items dispensed by month

▬ Ramipril   ·   ╌ Sacubitril/valsartan

0 1.6m 3.2m Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 May 2026 Sacubitril/valsa… 2,996,982 Jan 2021: 2.5m Feb 2021: 2.3m Mar 2021: 2.6m Apr 2021: 2.5m May 2021: 2.4m Jun 2021: 2.6m Jul 2021: 2.6m Aug 2021: 2.5m Sep 2021: 2.6m Oct 2021: 2.5m Nov 2021: 2.6m Dec 2021: 2.7m Jan 2022: 2.5m Feb 2022: 2.4m Mar 2022: 2.7m Apr 2022: 2.6m May 2022: 2.7m Jun 2022: 2.6m Jul 2022: 2.6m Aug 2022: 2.7m Sep 2022: 2.6m Oct 2022: 2.6m Nov 2022: 2.7m Dec 2022: 2.7m Jan 2023: 2.7m Feb 2023: 2.5m Mar 2023: 2.9m Apr 2023: 2.6m May 2023: 2.8m Jun 2023: 2.8m Jul 2023: 2.8m Aug 2023: 2.8m Sep 2023: 2.8m Oct 2023: 2.8m Nov 2023: 2.8m Dec 2023: 2.8m Jan 2024: 2.9m Feb 2024: 2.7m Mar 2024: 2.8m Apr 2024: 2.9m May 2024: 3m Jun 2024: 2.8m Jul 2024: 3m Aug 2024: 2.9m Sep 2024: 2.8m Oct 2024: 3m Nov 2024: 2.9m Dec 2024: 3m Jan 2025: 3.1m Feb 2025: 2.7m Mar 2025: 2.9m Apr 2025: 3m May 2025: 3.1m Jun 2025: 2.9m Jul 2025: 3.2m Aug 2025: 2.9m Sep 2025: 3m Oct 2025: 3.1m Nov 2025: 2.9m Dec 2025: 3.2m Jan 2026: 3.1m Feb 2026: 2.8m Mar 2026: 3.1m Apr 2026: 3.1m May 2026: 3m

Source: NHSBSA Prescription Cost Analysis, to May 2026

Ramipril versus Sacubitril/valsartan, May 2026
Measure Ramipril Sacubitril/valsartan
Items, May 2026 2,996,982 167,472
Items, last 12 months 36,370,636 1,937,406
Net ingredient cost, May 2026 £5,941,987 £14,286,762

See the full profile for Ramipril or Sacubitril/valsartan.