All Wales free of charge process

In the absence of, or whilst awaiting publication of health technology assessment advice, some pharmaceutical companies might wish to offer NHS Wales a free of charge (FOC) medicine supply agreement to enable patients and clinicians access to a particular medicine at no cost.

The FOC process and associated guidance were updated in August 2026, following consultation with the pharmaceutical industry and NHS Wales stakeholders.

The new process adopts a collaborative approach between AWTTC, the NHS Wales Shared Services Partnership – Medicines Value Unit (MVU), the Commercial Arrangement Scheme Wales Group (CASWG), each NHS Wales health board, and Velindre University NHS Trust.

The documents below provide an overview of the new FOC process, the application form for companies, and useful information for pharmaceutical companies and NHS Wales stakeholders.

Please contact AWTTC@wales.nhs.uk for further information on the all Wales FOC process.

• Document 1: Guidance on the all Wales FOC process
• Document 2: Company application form (Word format) - alternatively, this form may be completed and submitted online via Microsoft Forms at https://forms.cloud.microsoft/e/NBnCWmyGeK
• Document 3: Information for pharmaceutical industry
• Document 4: Information for NHS Wales
• Document 5: FOC contacts for each health board and Velindre University NHS Trust (access for NHS Wales staff only)

The updated All-Wales FOC documentation was informed by NHS Scotland’s National Procurement free of charge pricing scheme documentation, with thanks.