CMA veterinary market guide
Vet prescription fees explained
A practical guide to written prescription fees in the UK, how they fit into total medicine cost, and what to ask your vet before comparing suppliers.
When you compare pet medicine prices, the medicine price is only part of the story.
A written prescription fee is what a vet practice may charge for issuing a written prescription that can be used with another supplier, such as an online pharmacy, where that is clinically appropriate. Understanding how that fee fits alongside medicine price, delivery and follow-up helps you compare total cost more fairly.
According to the CMA, prescription fees and how they are communicated were part of its veterinary medicines work. Exact remedy wording, fee caps, timelines and implementation status are set out in the CMA remedies report (Part B) and Appendix N, with medicines-market context in Appendix I — use the official PDFs linked under Sources at the end of this page whenever you need to confirm numbers or dates.
This guide is informational only. It is not veterinary, medical, legal or financial advice.
Source note: This guide is based on the CMA’s veterinary market investigation final decision report and supporting appendices. Vetfinder summarises the findings for pet owners and does not provide veterinary, legal or financial advice. Detailed medicine evidence is summarised in CMA Appendix I; prescription price control evidence in Appendix N (see Part A / Part B PDFs listed above).
Reforms timeline
Key implementation milestones from the final report and remedies process.
- 124 March 2026CMA final report published.
- 223 September 2026CMA Order deadline.
- 33-12 months after OrderPhased implementation window depending on remedy and business size.
Implementation is phased; this does not mean every practice has already changed everything today.
What is a written prescription fee?
A written prescription is a prescription your vet provides that may, in some cases, be used to obtain prescribed medicine from a supplier other than the vet practice.
A prescription fee (or similar charge name on a bill) is what the practice may charge for preparing and issuing that written prescription. It is not the same as:
- the medicine price at the practice or online;
- a consultation or re-examination fee;
- dispensing fees if you buy from the practice;
- delivery from an online retailer.
Practices may describe charges differently, so if anything is unclear, ask for a plain-English breakdown.
Why prescription fees matter when you compare prices
If you only compare headline medicine prices, you may miss costs that change the total you pay.
For example, an online retailer may show a lower medicine price, but you may still need to pay:
- your vet’s written prescription fee (where one applies);
- delivery;
- any minimum order or handling charges on the retailer site.
In other situations, buying from your vet may be simpler or more appropriate, especially if your pet needs medicine quickly or you want dispensing advice in the same visit.
The CMA looked at whether pet owners had enough information to compare options for medicines. Do not assume online is always cheaper or always suitable — compare the full picture and ask your vet what is appropriate.
Questions you can ask your vet
It is reasonable to ask:
- What is the written prescription fee for this medicine?
- Is the fee per medicine or per prescription document?
- If more than one medicine is prescribed, how are additional items charged?
- How long is the prescription valid for?
- Can it be repeated, and under what conditions?
- Does my pet need a check-up before another prescription?
Your vet can explain what is clinically suitable. Do not change medicine, dose, frequency or supplier without speaking to your vet or a pharmacist.
The checklist below includes example questions some owners find useful. Any numeric cap (for example prescription fee limits) must match the current text in Part B / Appendix N — see Sources.
What to ask before booking
- Can you share your current consultation and out-of-hours prices?
- What is included in the quoted price, and what could add to the final bill?
- Do you publish written prescription and administration fees?
- If treatment could exceed £500 including VAT, can I receive a written estimate?
- How should I compare your listed prices with final charges if treatment changes?
- Where can I find your latest price information online or in practice?
This checklist is informational and not legal advice.
A simple total-cost checklist
Before you decide where to buy, you may want to line up:
- [ ] Medicine price at the vet practice (if offered)
- [ ] Medicine price at the online retailer (if comparing)
- [ ] Written prescription fee (if applicable)
- [ ] Delivery and any minimum-order rules
- [ ] Urgency — can you wait for delivery safely?
- [ ] Pack size and strength — match what was prescribed
- [ ] Follow-up or check-up requirements your vet recommends
How this connects to the CMA reforms
The CMA’s remedies include measures intended to improve transparency around written prescriptions and prescription fees, alongside other medicines-market changes.
We do not state that your vet must charge no more than a particular amount unless that wording has been verified against the current CMA Order, Part B remedy text and any applicable professional guidance — see Sources.
For the wider reform overview, see CMA vet reforms explained. For comparing clinic-level prices, see How to compare vet prices before booking.
To compare retailer medicine prices where Vetfinder has data, use compare prescription prices. For how written prescriptions work in practice, see Vet prescriptions and buying pet medicine online.
A guide on pet health plans may be published later at /guides/pet-health-plan-worth-it/ — it is not live yet.
Frequently asked questions
What is a vet prescription fee?
A prescription fee is a charge a practice may apply for providing a written prescription that lets you buy a prescribed medicine elsewhere. It is separate from the price of the medicine itself and from a consultation fee, though in some cases they may appear on the same bill.
Can I ask my vet for a written prescription?
In many situations you can ask whether a written prescription is appropriate for your pet and medicine. Your vet can explain what is clinically suitable and what the practice charges.
Is a prescription fee the same as a consultation fee?
Not usually. A consultation fee covers the appointment and clinical assessment. A prescription fee relates to issuing the prescription document you may use with another supplier. Always check how your practice describes charges on an estimate or bill.
Is buying medicine online always cheaper?
Not always. Online prices may be lower in some cases, but you should compare the full picture: medicine price, prescription fee, delivery, pack size, urgency and any follow-up your vet recommends.
What should I compare before using an online pharmacy?
Compare the medicine name, strength, form, pack size, prescription fee, delivery cost, how quickly you need the medicine and whether the retailer is appropriate. Ask your vet or pharmacist if you are unsure.
Are vet prescription fees capped?
Yes — the CMA’s remedies cap certain **written prescription fees** (for example **£21** for the first medicine prescribed within a consultation and **£12.50** for additional medicines in the same consultation, subject to conditions in the remedy text). The detailed remedy is in **Final decision report — Part B**; supporting analysis is in **Appendix N** and broader medicines context in **Appendix I** — see **Sources**; confirm the latest figures in the official PDFs.
Can I get repeat medicine on one prescription?
It depends on the medicine, your pet’s condition and what your vet prescribes. Some prescriptions cover repeats for a defined period; others may require a new examination. Ask your vet what applies in your case.
Sources
- CMA final decision report Part A PDF
- CMA summary of final report PDF
- CMA remedies Part B PDF
- GOV.UK final decision report landing page
- CMA Appendix I (veterinary medicines) PDF
- CMA Appendix N (prescription price controls) PDF
- RCVS Find a Vet
- Register of authorised retailers for veterinary medicines (GOV.UK)
Related links
- All guides
- Compare prescription prices
- Vet prescriptions and buying pet medicine online
- Repeat pet prescriptions and long-term medication
- Flea, tick and worming prices — what to compare
- How to compare vet prices before booking
- CMA vet reforms explained
- Vet written estimates and itemised bills explained
- Search clinics
- Methodology
- Report incorrect information
- Flea, tick and worming prices: what to compare
- Repeat pet prescriptions and long-term medication
- Vet written estimates and itemised bills explained
- CMA vet reforms explained: what changes for pet owners?
- How to compare vet prices before booking