England: Co-payment of GBP £8.40 (roughly 12 USD) per prescription applies, but it is possible to pay a flat fee of GBP £104 (roughly 150 USD) for an unlimited number of prescriptions over a year. This flat fee can be paid in monthly instalments, too. In addition, many people (e.g. aged 65 or older or 15 or younger and those on benefits) are exempted. Scotland: no co-payment. Wales: no co-payment. Northern Ireland: no co-payment