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How much is HRT?

How much is HRT?

Navin Khosla NowPatientGreen tick
Created on 9 Jan 2024
Updated on 16 Jul 2024

Hormone replacement therapy (HRT) is a commonly prescribed treatment for symptoms of menopause. It involves replacing hormones that are at a lower level during menopause, particularly estrogen. While HRT can be an effective solution for many women, it’s important to consider the cost associated with this treatment. In this article, we will explore the various factors that contribute to the cost of HRT, as well as ways to save money on prescriptions.

Understanding HRT prescription charges

In England, most adults are required to pay NHS prescription charges for their medications, including hormone replacement therapy. The current prescription charge is £9.65 per item. This means that patients need to pay this amount for each HRT prescription item.

However, it’s worth noting that some items are exempt from prescription charges. Contraceptives and medicines prescribed for hospital inpatients are generally free of charge. This exemption can provide some relief for individuals using these specific medications.

Saving money with a HRT prescription prepayment certificate (PPC)

For individuals who require ongoing HRT prescriptions, a prescription prepayment certificate (PPC) can be a cost-effective solution. By purchasing a PPC, patients can save money on NHS prescription costs. There are different options available:

  • A 3-month PPC costs £31.25
  • A 12-month PPC is priced at £111.60
  • A 12-month PPC for HRT only costs £19.30

A PPC covers all eligible HRT prescriptions for the chosen period, regardless of the number of different medicines needed. This means that individuals can receive as many listed HRT items as required during the validity of the PPC, potentially resulting in significant savings.

Introducing the NHS hormone replacement therapy prescription prepayment certificate (HRT PPC)

In April 2023, the Department of Health and Social Care introduced a new option for individuals paying HRT prescription charges – the NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC). This new certificate offers potential savings for patients requiring HRT.

The HRT PPC covers an unlimited number of listed HRT medicines for 12 months, at a cost equivalent to two single prescription charges, which is currently £19.30. This means that instead of paying £9.65 for each HRT prescription, patients can have all listed HRT products, including patches, tablets, and gels, covered by the HRT PPC for an entire year. The amount of money saved through this certificate depends on the number of HRT prescriptions required within the 12 months.

The HRT PPC is available to all patients who are not already exempt from prescription charges, regardless of the reason the HRT item is prescribed.

How to purchase an HRT PPC

Purchasing an HRT PPC is a straightforward process. Patients can buy it online at the NHS Business Services Authority website or in person at select pharmacies. Before purchasing, individuals should consider the following factors:

  • Eligibility for Free NHS Prescriptions: Patients should first check if they are eligible for free NHS prescriptions by using the NHS eligibility checker on the NHS Business Services Authority website. This will help determine if they qualify for exemption from prescription charges altogether
  • Covered medications: It’s essential to ensure that the HRT medication prescribed is covered by the HRT PPC. The NHS Business Services Authority website provides a list of medicines covered by the HRT PPC, which can be referenced to confirm eligibility
  • Suitability of a 3 or 12 Month PPC: Depending on the individual’s prescription needs, a standard PPC covering all NHS prescriptions, not just HRT items, may be more suitable. Patients who require four or more items in three months, with at least two not being eligible for HRT medication, or twelve or more items in twelve months, with a minimum of ten not being eligible for HRT medication, may save more with a standard PPC

The impact of government initiatives on HRT prescription costs

Recognising the financial burden that HRT prescription charges can pose on women approaching or experiencing menopause, the government has taken steps to address this health cost issue. A new government Menopause Taskforce has been established, co-chaired by the Minister for Women’s Health, Maria Caulfield, and Labour MP Carolyn Harris. The task force aims to explore various areas of support that are currently falling short and failing women.

As part of these efforts, the cost of HRT NHS prescriptions is set to be reduced. The government plans to work towards a system where HRT prescriptions are made available on an annual basis, allowing individuals to pay the prescription charge only once a year. This change can potentially reduce costs by as much as £90 to £200.

These developments have been welcomed by Carolyn Harris MP, who has been advocating for affordable HRT treatment. She believes that the reduction in HRT prescription charges, along with the new task force, will significantly benefit women across the country.


Hormone replacement therapy (HRT) is a valuable treatment option for menopausal symptoms, but it’s essential to consider the associated costs. Prescription charges for HRT can add up, particularly for individuals requiring long-term treatment. However, by utilising a prescription prepayment certificate (PPC), such as the NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC), patients can save money on their prescriptions.

The HRT PPC covers an unlimited number of listed HRT medicines for 12 months, providing potential savings for individuals requiring multiple prescriptions. Patients can purchase an HRT PPC online or in person, considering factors such as eligibility for free NHS prescriptions and the suitability of a standard PPC.

Furthermore, government initiatives aim to reduce the cost of HRT prescriptions, making treatment more affordable for women experiencing menopause. The establishment of the Menopause Taskforce and the commitment to annual HRT prescriptions indicate a positive shift towards supporting women’s health.

By understanding the cost-saving options available and staying informed about ongoing developments, individuals can make informed decisions about their HRT treatment while managing their expenses effectively.


Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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