Lisinopril 5mg: Cost, Savings, and How to Pay Less
Lisinopril 5mg is a low-dose ACE inhibitor for blood pressure and heart failure, with a Drug Tariff price of approximately 50p per pack.
How much does Lisinopril 5mg cost on the NHS?
Lisinopril 5mg has a Drug Tariff price of approximately 50p for a 28-tablets pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 18m items dispensed in 2024/25, Lisinopril 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 Lisinopril 5mg actually cost?
The NHS Drug Tariff lists the reimbursement price for Lisinopril 5mg at approximately 50p 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
50p
per pack
NHS charge
£9.90
1,880% markup
Our price
£5.50
via private Rx
Lisinopril has approximately 18m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Lisinopril used for?
Lisinopril is an ACE inhibitor used to treat high blood pressure, heart failure, and to improve survival after a heart attack. The 5mg dose is typically a starting or low-maintenance dose. It is closely related to ramipril and works by the same mechanism.
The Drug Tariff price for Lisinopril 5mg is approximately 50p per 28-tablet pack. Patients pay £9.90 on the NHS — 19.8 times the drug's actual cost.
RepeatsDirect supplies Lisinopril 5mg privately for £5.50 per month following a clinical review, saving patients £4.40 compared to the NHS charge.
How can you save money on Lisinopril 5mg?
Patients in England who pay the prescription charge can switch to a private prescription for Lisinopril 5mg 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.
| Option | Per month | Per 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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