Mirtazapine 15mg: Cost, Savings, and How to Pay Less
Mirtazapine 15mg is a sedating antidepressant particularly useful for depression with insomnia, with a Drug Tariff price of approximately 70p per pack.
How much does Mirtazapine 15mg cost on the NHS?
Mirtazapine 15mg has a Drug Tariff price of approximately 70p for a 28-tablets pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 9m items dispensed in 2024/25, Mirtazapine 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 Mirtazapine 15mg actually cost?
The NHS Drug Tariff lists the reimbursement price for Mirtazapine 15mg at approximately 70p 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
70p
per pack
NHS charge
£9.90
1,314% markup
Our price
£5.50
via private Rx
Mirtazapine has approximately 9m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Mirtazapine used for?
Mirtazapine is a noradrenergic and specific serotonergic antidepressant (NaSSA) used for depression, particularly where insomnia, anxiety, or poor appetite are features. The 15mg dose has the greatest sedative effect (paradoxically, higher doses cause less sedation).
The Drug Tariff price for Mirtazapine 15mg is approximately 70p per 28-tablet pack. The NHS prescription charge of £9.90 is 14 times the drug cost.
RepeatsDirect can supply Mirtazapine 15mg for £5.50 per month via private prescription from our pharmacist independent prescriber.
How can you save money on Mirtazapine 15mg?
Patients in England who pay the prescription charge can switch to a private prescription for Mirtazapine 15mg 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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