31 Mar 2023

Accessing affordable HRT: All you need to know about the new HRT prescription pre-payment certificate

The HRT prescription pre-payment certificate came into effect in England on 1st April 2023.

Great news! As of 1st April, a new pre-payment certificate for Hormone Replacement Therapy prescriptions has been introduced, which will save women hundreds of pounds a year. 

Instead of paying for monthly prescriptions, women can now access up to a year's worth of HRT treatment by paying a one-off fee equivalent to two single prescriptions, currently priced at £18.70.

I am thrilled to hear about this development, as access to HRT has been a longstanding issue for many menopausal women in England. 

Back in October 2021, the government pledged to cut the cost of repeat HRT prescriptions by introducing the prepayment certificate. This was unfortunately delayed, with the government saying in January 2023 that it’s “committed to reducing the cost of HRT” and that the certificate was still on its way. 

So, the government's decision to introduce the prescription prepayment certificate is a step in the right direction. 

I hope it will help reduce the many barriers that have made it difficult for women to access menopause treatment, including the cost of HRT.

However, it is disappointing that the certificate will not cover testosterone, which is recommended by NICE for low libido and is often reported by patients to help with other menopausal symptoms such as brain fog and low mood. 

Nevertheless, the new certificate is a welcome change that will help improve access to HRT for women experiencing menopausal symptoms.

The certificate will cover a range of HRT prescription items, including patches, tablets, and topical preparations. 

It can be used for an unlimited amount of these treatments, and there will be no limit to how many times the certificate can be used during the 12-month validity period.

Here’s the full list of treatments covered by the certificate

It's worth noting that the HRT prescription prepayment certificate will only be available in England. 

In Wales, Scotland, and Northern Ireland, all prescriptions, including HRT, are free.

If you're interested in applying for the certificate, you can do so in person at a registered pharmacy or through the NHS Business Services Authority. 

A digital or paper copy will be made available, and once it's been approved, you can use it immediately on or after 1st April.

I'm excited about this development and hope it will make a real difference in women's lives. 

If you are looking for immediate support, don't forget we have our resource area here on our website, a searchable directory of menopause specialists, and my supportive group membership too.

For more information on HRT, including its benefits and how it works, check out the related content on our website.

HRT in UK
Featured | Health | Menopause

HRT in the UK: Essential information you need to know

Are you considering if HRT in the UK is the right choice for you? With numerous treatment options available for the perimenopause and menopause, it can be overwhelming to know where to start.

Keep reading for our guide on Hormone Replacement Therapy (HRT), a treatment that can help to alleviate menopause symptoms and improve your overall quality of life.

Katie on phone
Health | Menopause

What to expect from an online menopause clinic

We are delighted to have partnered with Stella to create The Latte Lounge+, an online menopause clinic which gives you direct access to online doctor’s appointments, prescriptions to your door, a personalised treatment plan, and so much more. 

Katie speaks here to Dr Rachel Hines, a Menopause Specialist, GP and the Clinical Director of Menopause Services at Stella, about exactly how it works.

Oestrogen and Breast Cancer: Why some well-known facts aren’t facts
Health | Menopause

Oestrogen and Breast Cancer: Why some well-known facts aren’t facts

The oestrogen/breast cancer nexus is one such favoured hypothesis. The more a woman is exposed to oestrogen the greater the risk of breast cancer ergo the treatment of cancer requires depriving the woman of the oestrogen that is feeding the cancer. There is now a second rank theory that these concerns are amplified in the […]

Share this article

Katie Taylor's blog posts

Do I really need Vitamin D? A complete guide

We explore the importance of the most talked about nutrient of 2020 & 2021 as evidence grows of its benefits for immunity.

Read More

Your choice: Guidance for doctors and patients on decision-making and consent

The General Medical Council (GMC) has issued updated guidance on decision-making and consent for patients, effective Monday 9 November 2020.

Read More

Discover More

Menopause Resources

Find a menopause specialist, download our symptom checker, tips on preparing for your GP visit and so much more.

HRT and Tailored Menopause Support

Speak to the team at The Latte Lounge+ powered by Stella

Menopause Support for Employers

Speak to us about how we can help you support employees affected by menopause symptoms.

Join our Facebook Community

The original home of The Latte Lounge - our private group of more than 25,000 women discussing all things midlife.

magnifiercross-circle