November 2025 in numbers
Dispensed in November 2025
NHSBSA Prescription Cost Analysis
Net ingredient cost, November 2025
NHSBSA PCA
Figure 1. The most-dispensed medicines in England, November 2025
Source: NHSBSA English Prescribing Dataset
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Most-dispensed medicines
Download full month (CSV)| Medicine | Items | Net ingredient cost |
|---|---|---|
| Atorvastatin | 6,242,528 | £5,742,239 |
| Amlodipine | 3,277,097 | £2,828,722 |
| Lansoprazole | 3,021,852 | £3,394,264 |
| Ramipril | 2,892,682 | £2,795,060 |
| Omeprazole | 2,810,058 | £7,845,145 |
| Levothyroxine sodium | 2,786,970 | £3,368,415 |
| Influenza | 2,503,378 | £42,474,617 |
| Bisoprolol fumarate | 2,496,518 | £1,949,076 |
| Colecalciferol | 2,342,243 | £9,775,959 |
| Metformin hydrochloride | 2,186,796 | £5,403,897 |
| Sertraline hydrochloride | 2,065,551 | £3,774,469 |
| Aspirin | 1,611,158 | £1,181,227 |
Biggest risers
Largest month-on-month rise in items (medicines above 10,000 items).
| Medicine | Items | Change |
|---|---|---|
| Phenazone/lidocaine | 14,114 | +18.6% |
| Erythromycin ethylsuccinate | 11,636 | +10.9% |
| Other individually formulated bought in preparations | 19,522 | +8.2% |
| Phenoxymethylpenicillin (Penicillin V) | 257,487 | +4.6% |
| Daridorexant | 17,986 | +3.5% |
| Levonorgestrel | 12,230 | +3.1% |
| Dexamethasone | 21,476 | +2.9% |
| Benzydamine hydrochloride | 55,840 | +2.3% |
Biggest fallers
Largest month-on-month fall in items.
| Medicine | Items | Change |
|---|---|---|
| Influenza | 2,503,378 | −70.8% |
| Norethisterone | 19,594 | −24.6% |
| Fluorouracil (Sunscreen) | 15,988 | −17.6% |
| Nystatin | 56,884 | −15.8% |
| Adrenaline | 28,465 | −14.7% |
| Medroxyprogesterone acetate | 18,320 | −14.0% |
| Stockinette | 30,182 | −13.5% |
| Wound Management & Other Dressings | 270,739 | −13.0% |
Download this data
Every medicine dispensed in November 2025 is in this month's CSV. For the full monthly history — the national headline series, and the top 500 medicines ranked in every month — see the headline series and most-prescribed medicines datasets in our open data catalogue.