Accounts, tax, payroll & business advisory.
A single team that understands your business.
Real-time data, secure and accessible.
No surprises. Just clear, fair fees.
Vexo Accounting provides accountants for pharmacists across the UK, working with independent pharmacies, pharmacy chains, and locum pharmacists who need pharmacy accounting built around the pharmacy industry, not a generic template. We call ourselves pharmacy accountants because that's genuinely all we focus on, with a dedicated team who knows the numbers. Most pharmacy accountants split time across unrelated industries; we don't, leaving pharmacists free to run their core business instead of chasing paperwork.
Community pharmacy is under real financial pressure. A 2025 survey found 51% of pharmacy owners were operating at a loss, with 99% naming finances as their biggest concern. Around 90% of a typical pharmacy's income comes from NHS sources, so cash flow depends on how accurately financial records are tracked.
That's where specialist pharmacy accountants make a difference. We handle the accounting services, tax, and financial planning side of your pharmacy business so you can focus on patients. As pharmacist accountants working only in this sector, we understand the financial challenges facing pharmacies better than a general accountancy firm could, because good pharmacy accounting starts with understanding NHS payment cycles, not spreadsheets.




Let Vexo Accounting handle your accounts, payroll, VAT, tax and financial reporting, with accounting support tailored to pharmacists and pharmacy businesses.
Pharmacists pay income tax and National Insurance like anyone else, but pharmacy business structure changes what that looks like. A sole trader locum pays tax differently to a limited company running three branches. We also handle corporation tax, capital allowances on dispensing equipment and fit-out costs, inheritance tax planning for succession, and pension contributions, reducing your tax bill while building security outside the business.
Tax compliance is non-negotiable, and getting it wrong brings penalties that eat into margin. Our tax services cover routine tax returns through to strategic tax planning designed to minimise tax liabilities before the tax year ends, and tax matters like this are where specialist guidance pays off. Ensuring compliance also keeps your accounts clean enough for a mortgage, a loan or a future sale.
NHS and private prescriptions are zero-rated for VAT, while over-the-counter medicines and retail products are standard-rated, and getting that split wrong is quickly noticed by HMRC. Pharmacy accountants who don't check this regularly are why pharmacies end up with VAT corrections going back years. We set up VAT returns so the split is correct from the point of sale, and offer advice before it becomes a problem.

We spot opportunities and challenges early, helping you stay ahead.
Secure, real-time access, anywhere you need it.
We value your time and get answers when you need them.
Plain English with no surprises. Fixed fees for total clarity.

Call Vexo Accounting today for clear, practical advice about your accounts, tax or business finances.



Monthly packages for a single pharmacy limited company typically run £250 to £600, covering bookkeeping, VAT, payroll and annual accounts together. Specialist sector knowledge adds a premium of 20 to 40% over a general accountant, usually paying for itself through better tax planning. Expert accountants cost more per hour, but pharmacy accountants who specialise price the work accurately rather than underquoting.
Multi-branch groups with management accounts and advisory support sit higher, from £500 to £1,500 a month. A standalone self assessment for a locum falls between £150 and £400, and strategic tax planning work is usually £100 to £250 an hour.
This is a rough guide based on recent projects, and the actual cost varies depending on your pharmacy's size, structure, and support needs. We give a fixed, upfront quote once we understand your business, so there are no surprises later.



If you're a pharmacy owner, superintendent, or locum pharmacist who wants a pharmacy accountant who understands the pharmacy sector, get in touch with Vexo Accounting today. Whether you've worked with pharmacy accountants before or this is your first time bringing in support, we'll take it from here. Tell us about your pharmacy business for a free, no-obligation quote, whether that's one set of tax returns or ongoing support across the healthcare sector.
