Pharmacy First

What conditions are covered?

Your local pharmacy can now supply prescription-only treatment, if they believe you need it, for the following conditions:                       

  • Earache (acute otitis media) — ages 1 to 17
  • Sore throat — ages 5+
  • Sinusitis — ages 12+
  • Infected insect bite — ages 1+
  • Impetigo (skin infection) — ages 1+
  • Shingles — ages 18+
  • Uncomplicated urinary tract infection (UTI) — women aged 16–64

If your symptoms don’t fit these pathways, pharmacists can still advise, recommend over-the-counter options, or signpost you elsewhere.

How it works

  1. Visit or phone a participating pharmacy (you may also be referred by our team, NHS 111, or urgent care).
  2. Private consultation to check symptoms and history.
  3. Treatment plan: advice and, if suitable, NHS medicine supplied on the spot.
  4. Safety-netting: if more is needed, you’ll be referred appropriately.

Costs

  • Consultation: free
  • If medicine is supplied: usual NHS prescription charge applies (unless exempt)

If an over-the-counter product is recommended, you’ll pay the shop price. Check free prescription eligibility.

Who it’s for

Adults and children in England who meet the age ranges above.

Page last reviewed: 16 January 2026
Page created: 16 January 2026