Ramipril 5mg: Cost, Savings, and How to Pay Less
Ramipril 5mg is the most common ACE inhibitor dose for blood pressure management, costing approximately 60p per pack on the Drug Tariff.
How much does Ramipril 5mg cost on the NHS?
Ramipril 5mg has a Drug Tariff price of approximately 60p for a 28-capsules pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 35m items dispensed in 2024/25, Ramipril 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 Ramipril 5mg actually cost?
The NHS Drug Tariff lists the reimbursement price for Ramipril 5mg at approximately 60p per 28-capsules 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
60p
per pack
NHS charge
£9.90
1,550% markup
Our price
£5.50
via private Rx
Ramipril has approximately 35m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Ramipril used for?
Ramipril 5mg is the most frequently prescribed dose of this ACE inhibitor, used for high blood pressure, heart failure prevention, and cardiovascular risk reduction. It is usually taken once daily and is well-tolerated by most patients.
The Drug Tariff price for a 28-capsule pack is approximately 60p. Paying £9.90 on the NHS means patients are charged 16 times the actual drug cost — an anomaly unique to England's flat-fee prescription system.
RepeatsDirect offers Ramipril 5mg for £5.50 per month following a clinical review, saving patients £4.40 per item per month.
How can you save money on Ramipril 5mg?
Patients in England who pay the prescription charge can switch to a private prescription for Ramipril 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.
Start saving on Ramipril 5mg
Join the waitlist to be first when we launch.