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.

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