The cost of acne treatment varies significantly depending on whether you use the NHS, a private GP, or an online pharmacy service. Here is a practical breakdown to help you budget.
NHS Prescription Costs
In England, the standard NHS prescription charge is £9.90 per item (as of 2025). Prescriptions are free in Scotland, Wales, and Northern Ireland. If you need multiple items, a prepayment certificate (PPC) can save money — approximately £30.25 for three months or £108.10 for twelve months, covering unlimited prescriptions.
Common Treatment Prices
Over-the-Counter Options
- Benzoyl peroxide 5% gel (Acnecide): £8–£10 from pharmacies
- Adapalene 0.1% gel (Differin): £12–£15 OTC from selected pharmacies
- Salicylic acid cleansers: £5–£15 depending on brand
Prescription Treatments (Private/Online)
- Lymecycline 408 mg (28 capsules): £15–£30 via online services
- Doxycycline 100 mg (28 capsules): £8–£20 via online services
- Duac gel (30g tube): £20–£35 privately
- Epiduo gel (30g tube): £25–£40 privately
- Tretinoin 0.025% cream (30g): £20–£35 privately
- Skinoren 20% cream (30g): £10–£18 privately
Specialist Treatments
- Isotretinoin (Roaccutane): Free on the NHS via dermatology referral. Privately, expect £150–£300 per consultation plus £30–£80 per month for the medication.
- Spironolactone (off-label — not MHRA-licensed for acne): £5–£15 per month for the medication; requires ongoing monitoring and informed consent about off-label use.
Online Pharmacy Services
Services such as Boots Online Doctor, LloydsPharmacy Online Doctor, and various regulated online clinics offer consultations for £10–£30, with medication costs on top. While convenient, these can add up over time. Compare the total cost of consultation plus medication against NHS prescriptions.
Saving Money on Acne Treatment
- Ask your GP about the NHS prepayment certificate if you need multiple items.
- Start with cost-effective OTC options like benzoyl peroxide before seeking prescriptions.
- Check whether you qualify for free prescriptions based on age, income, or medical exemptions.
Effective acne treatment does not have to be expensive. The NHS provides comprehensive coverage, and affordable OTC options can manage mild cases without a prescription at all.