As mentioned, if your ESA is contribution based, you have to pay for the prescription, that being said, once your NI contributions are used up, you should be transferred to Income Based ESA in which case, you'll qualify for free prescriptions. In the meanwhile, you can look at the LIS (low-income scheme) that may give you reduced prescription costs (http://www.nhs.uk/NHSEngland/Healthcosts/Pages/nhs-low-income-scheme.aspx)
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