Residents in England can purchase this certificate every year, which covers the cost of NHS prescriptions of oral and transdermal HRT, also vaginal oestrogen.
The fee (January 2025) is £19.80.
Get a prescription prepayment certificate: If you’ve been prescribed hormone replacement therapy (HRT) - GOV.UK
Note it doesn't include testosterone prescriptions.
NHS prescriptions for residents in the rest of the UK, everyone aged 60 and over
and people with an exemption certificate remain free
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