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Independent analysis of NHS open data
PharmaInsight

Zoledronic acid 4mg/5ml solution for infusion vials

Secondary Care Medicines Data (SCMD) · indicative cost
Data updated April 2026

NHS hospitals in England used £19,617,966 of indicative cost of Zoledronic acid 4mg/5ml solution for infusion vials in the 12 months to April 2026, about 0.1% of all hospital medicines spend. That is up 9.8% on the previous 12 months.

£19,617,966 +9.8%

Indicative cost · 12 months

716,902units

Quantity (VMP units) · 12 months

0.1%

Share of hospital medicines spend

Figure 1. Zoledronic acid 4mg/5ml solution for infusion vials: NHS hospital indicative cost by month (£ millions)

£0m £1.4m £2.8m Apr 2021 Jan 2022 Oct 2022 Jul 2023 Apr 2024 Jan 2025 Apr 2026 £1.0m Apr 2021: £1.6m May 2021: £1.3m Jun 2021: £1.6m Jul 2021: £1.9m Aug 2021: £1.3m Sep 2021: £1.8m Oct 2021: £1.8m Nov 2021: £2.6m Dec 2021: £1.6m Jan 2022: £1.6m Feb 2022: £0.3m Mar 2022: £1.7m Apr 2022: £1.6m May 2022: £1.8m Jun 2022: £1.5m Jul 2022: £1.5m Aug 2022: £1.6m Sep 2022: £1.5m Oct 2022: £1.5m Nov 2022: £1.7m Dec 2022: £1.7m Jan 2023: £1.8m Feb 2023: £1.6m Mar 2023: £1.7m Apr 2023: £0.8m May 2023: £2.5m Jun 2023: £1.6m Jul 2023: £1.9m Aug 2023: £1.6m Sep 2023: £2.1m Oct 2023: £2.5m Nov 2023: £2.8m Dec 2023: £2.4m Jan 2024: £2.2m Feb 2024: £2.1m Mar 2024: £2.0m Apr 2024: £1.9m May 2024: £2.0m Jun 2024: £1.0m Jul 2024: £2.2m Aug 2024: £2.0m Sep 2024: £2.0m Oct 2024: £2.4m Nov 2024: £1.0m Dec 2024: £1.0m Jan 2025: £1.7m Feb 2025: £0.9m Mar 2025: £1.0m Apr 2025: £1.0m May 2025: £0.9m Jun 2025: £1.9m Jul 2025: £2.1m Aug 2025: £1m Sep 2025: £2.0m Oct 2025: £1.1m Nov 2025: £1.0m Dec 2025: £1.8m Jan 2026: £2.8m Feb 2026: £1.9m Mar 2026: £2.2m Apr 2026: £1.0m

Source: NHSBSA Secondary Care Medicines Data, to April 2026

Cost is indicative — actual hospital medicine prices are commercially confidential, so these figures are estimated from list prices. See methodology.

NHS trusts using Zoledronic acid 4mg/5ml solution for infusion vials most

By indicative cost over the 12 months to April 2026.

NHS trusts using Zoledronic acid 4mg/5ml solution for infusion vials most, by indicative cost
NHS trustIndicative cost (12 months)
Univ Hpl B/Ham Nhs Foundation Trust £911,542
Sheffield Teaching Hospitals Nhs Trust £734,325
Leeds Teaching Hpls Nhs Trust £709,560
Nottingham University Hospitals Trust £703,940
The Clatterbridge Cancer Centre Nhs Ft £697,044
Norfolk & Norwich University Hpl Nhs Trt £656,623
University Hpls Of Leicester Nhs Trust £551,054
Royal Cornwall Hospitals Nhs Trust £476,526
St George's Univ Hosps Foundation Nhst £473,691
Imperial College Healthcare Nhs Trust £464,695

The primary-care picture

Zoledronic acid is also dispensed in the community. See the national primary-care prescribing volume, cost and trend on the Zoledronic acid medicine page.