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PharmaInsight

April 2025 in numbers

NHS community prescribing in England (Prescription Cost Analysis).
Data updated April 2025

104,267,854items

Dispensed in April 2025

NHSBSA Prescription Cost Analysis

£904,327,001

Net ingredient cost, April 2025

NHSBSA PCA

Most-dispensed medicines

Download full month (CSV)
Top medicines by items, April 2025
MedicineItemsNet ingredient cost
Atorvastatin 6,268,818 £6,325,788
Amlodipine 3,375,024 £2,935,191
Lansoprazole 3,070,855 £3,880,294
Ramipril 2,961,244 £3,277,721
Omeprazole 2,945,748 £8,275,449
Levothyroxine sodium 2,855,195 £3,739,480
Bisoprolol fumarate 2,534,027 £1,965,786
Colecalciferol 2,380,210 £9,726,681
Metformin hydrochloride 2,227,725 £7,002,060
Sertraline hydrochloride 2,067,969 £3,856,914
Aspirin 1,669,046 £1,234,389
Salbutamol 1,470,116 £4,454,823

Biggest risers

Largest month-on-month rise in items (medicines above 10,000 items).

Biggest risers month on month
MedicineItemsChange
Sodium cromoglicate 67,753 +33.0%
Olopatadine 31,331 +24.1%
Fexofenadine hydrochloride 620,745 +14.0%
Combined ethinylestradiol 30mcg 170,925 +13.6%
Ivermectin 14,089 +11.9%
Buprenorphine hydrochloride 85,468 +11.6%
Desogestrel 246,838 +11.3%
Fluticasone propionate/azelastine hydrochloride (Nasal) 77,901 +11.1%

Biggest fallers

Largest month-on-month fall in items.

Biggest fallers month on month
MedicineItemsChange
Influenza 80,808 −55.3%
Typhoid 38,028 −23.4%
Phenazone/lidocaine 10,903 −22.9%
Hepatitis A 34,815 −21.2%
Erythromycin ethylsuccinate 10,025 −19.0%
Permethrin 20,164 −16.7%
Phenoxymethylpenicillin (Penicillin V) 248,517 −14.8%
Benzydamine hydrochloride 47,003 −13.4%