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Bisoprolol 1.25mg: Cost, Savings, and How to Pay Less

Bisoprolol 1.25mg is a low-dose beta-blocker used to start heart failure therapy, with a Drug Tariff price of approximately 55p per pack.

How much does Bisoprolol 1.25mg cost on the NHS?

Bisoprolol 1.25mg has a Drug Tariff price of approximately 55p for a 28-tablets pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 22m items dispensed in 2024/25, Bisoprolol is one of the most prescribed drugs in England. Through RepeatsDirect, patients can access the same medication privately for £5.50/month.

How much does Bisoprolol 1.25mg actually cost?

The NHS Drug Tariff lists the reimbursement price for Bisoprolol 1.25mg at approximately 55p per 28-tablets pack. This is the price the NHS pays pharmacies for the drug itself. The NHS prescription charge of £9.90 covers this drug cost plus dispensing fees, administration, and a contribution to NHS services — but for cheap generic drugs, it represents a significant markup.

Drug Tariff cost

55p

per pack

NHS charge

£9.90

1,700% markup

Our price

£5.50

via private Rx

Bisoprolol has approximately 22m items dispensed annually in England (NHSBSA PCA 2024/25).

What is Bisoprolol used for?

Bisoprolol is a beta-blocker used to treat high blood pressure, heart failure, and certain heart rhythm problems. The 1.25mg dose is the starting dose for heart failure, allowing careful titration upward. It is one of the most widely prescribed cardiovascular medications in the UK.

The Drug Tariff price for Bisoprolol 1.25mg is approximately 55p per 28-tablet pack. The NHS prescription charge of £9.90 is 18 times the drug cost.

RepeatsDirect can supply Bisoprolol 1.25mg for £5.50 per month via private prescription. Our pharmacist independent prescriber will confirm the current dose is stable and appropriate before issuing the prescription.

How can you save money on Bisoprolol 1.25mg?

Patients in England who pay the prescription charge can switch to a private prescription for Bisoprolol 1.25mg and pay significantly less. Through RepeatsDirect, a qualified pharmacist independent prescriber conducts a short clinical review and issues a private prescription. You pay £5.50 per month — saving £4.40 per month, or £52.80 per year.

OptionPer monthPer year
NHS prescription charge£9.90£118.80
RepeatsDirect (private Rx)£5.50£66.00
Annual PPC (unlimited NHS Rx)£9.54/mo avg£114.50

A PPC is better value if you pay for 12+ items per year. RepeatsDirect is better value if you pay for fewer items or only want to switch the cheapest drugs.

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Frequently asked questions about Bisoprolol 1.25mg