Perindopril 4mg: Cost, Savings, and How to Pay Less
Perindopril 4mg is an ACE inhibitor for blood pressure and cardiovascular protection, with a Drug Tariff price of approximately 65p per pack.
How much does Perindopril 4mg cost on the NHS?
Perindopril 4mg has a Drug Tariff price of approximately 65p 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, Perindopril 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 Perindopril 4mg actually cost?
The NHS Drug Tariff lists the reimbursement price for Perindopril 4mg at approximately 65p 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
65p
per pack
NHS charge
£9.90
1,423% markup
Our price
£5.50
via private Rx
Perindopril has approximately 9m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Perindopril used for?
Perindopril is an ACE inhibitor used for high blood pressure, heart failure, and stable coronary artery disease. The 4mg dose is the standard starting and maintenance dose for blood pressure. It has extensive evidence for cardiovascular risk reduction.
The Drug Tariff price for Perindopril 4mg is approximately 65p per 28-tablet pack. The NHS prescription charge of £9.90 is over 15 times the drug cost.
RepeatsDirect can supply Perindopril 4mg for £5.50 per month via private prescription, saving patients £4.40 per month.
How can you save money on Perindopril 4mg?
Patients in England who pay the prescription charge can switch to a private prescription for Perindopril 4mg 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.
Start saving on Perindopril 4mg
Join the waitlist to be first when we launch.