Prescriptions in the United Kingdom are handled through the NHS and follow a standard national system, which is useful for expats to understand early on. For expats registered with a GP, prescriptions are issued by a doctor or other qualified healthcare professional and can be collected from a local pharmacy. Expats in the UK should note that prescriptions are not free in England, and there is a fixed charge per item, regardless of the actual cost of the medication. However, prescriptions are free in Scotland, Wales, and Northern Ireland. Expats in the UK may qualify for exemptions or reduced costs in certain situations, such as pregnancy, low income, or specific medical conditions. Many expats choose to buy a prescription prepayment certificate, which can reduce costs if medication is needed regularly. Understanding how prescriptions work helps expats manage healthcare expenses and avoid surprises.