Summary of the 1st April 2026 updates to the NHS Pharmacy First Scotland Approved List, including changes to oral thrush, allergy/itch and previous cough removals.

Understand the top 25 Pharmacy First rejected items, why claims fail, and how to ensure compliance with NHS Scotland requirements.

The ‘Be the Early Bird’ campaign is active again this month with PR, partnerships, digital media and the roadshows planned.

On behalf of NHS Health Boards, we are collecting suggestions for amendments to the Approved List from our members and their pharmacy teams, which can be for additions to the list, replacements or deletions.