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Independent analysis of NHS open data
PharmaInsight

Tolbutamide vs Metformin hydrochloride

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

Metformin hydrochloride was dispensed 18,882.8× as often as Tolbutamide in May 2026 — 2,247,052 items versus 119 in England.

119items

Tolbutamide · May 2026

NHSBSA Prescription Cost Analysis

2,247,052items

Metformin hydrochloride · May 2026

NHSBSA Prescription Cost Analysis

Figure 1. Tolbutamide versus Metformin hydrochloride: national items dispensed by month

▬ Tolbutamide   ·   ╌ Metformin hydrochloride

0 1.2m 2.4m Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 May 2026 Metformin hydroc… 119 Jan 2021: 1k Feb 2021: 1k Mar 2021: 1k Apr 2021: 1k May 2021: 1k Jun 2021: 1k Jul 2021: 1k Aug 2021: 1k Sep 2021: 1k Oct 2021: 1k Nov 2021: 1k Dec 2021: 1k Jan 2022: 1k Feb 2022: 1k Mar 2022: 1k Apr 2022: 962 May 2022: 725 Jun 2022: 456 Jul 2022: 325 Aug 2022: 385 Sep 2022: 355 Oct 2022: 318 Nov 2022: 289 Dec 2022: 308 Jan 2023: 267 Feb 2023: 255 Mar 2023: 309 Apr 2023: 283 May 2023: 302 Jun 2023: 342 Jul 2023: 237 Aug 2023: 277 Sep 2023: 275 Oct 2023: 268 Nov 2023: 282 Dec 2023: 226 Jan 2024: 196 Feb 2024: 224 Mar 2024: 217 Apr 2024: 205 May 2024: 210 Jun 2024: 191 Jul 2024: 182 Aug 2024: 167 Sep 2024: 181 Oct 2024: 181 Nov 2024: 139 Dec 2024: 189 Jan 2025: 146 Feb 2025: 137 Mar 2025: 144 Apr 2025: 153 May 2025: 139 Jun 2025: 152 Jul 2025: 128 Aug 2025: 126 Sep 2025: 150 Oct 2025: 133 Nov 2025: 127 Dec 2025: 157 Jan 2026: 125 Feb 2026: 124 Mar 2026: 132 Apr 2026: 130 May 2026: 119

Source: NHSBSA Prescription Cost Analysis, to May 2026

Tolbutamide versus Metformin hydrochloride, May 2026
Measure Tolbutamide Metformin hydrochloride
Items, May 2026 119 2,247,052
Items, last 12 months 1,603 27,404,281
Net ingredient cost, May 2026 £15,918 £4,969,944

See the full profile for Tolbutamide or Metformin hydrochloride.