From 1 April 2023, patients in England can benefit from a Hormone Replacement Therapy (HRT) Prescription Prepayment Certificate (PPC), making HRT more affordable for those who need it long-term.
What is the HRT PPC?
The HRT PPC is a prescription exemption certificate that covers the cost of eligible HRT medicines for 12 months, regardless of how many items you need.
- Cost: £19.30 (as of 2025) – one-off annual payment
- Covers all eligible HRT medicines prescribed during the year
- Can be used alongside other PPCs or medical exemptions if needed
What Does It Cover?
The HRT PPC covers most commonly prescribed treatments for menopause symptoms, such as:
- Oestrogen-only patches, gels, tablets, or sprays
- Combined HRT (oestrogen + progestogen)
- Vaginal oestrogen products (pessaries, creams)
- Some progesterone medicines (if used as part of HRT)
🔍 You can view the full list of eligible items here:
www.nhsbsa.nhs.uk/hrt-ppc
How to Apply
You can buy the HRT PPC:
- Online: via the NHS Business Services Authority website
- By phone: 0300 330 2089
- At your pharmacy: if they are registered to sell PPCs
Once purchased, your PPC will be active immediately or from a future start date you choose.
Important Notes
- Only valid in England (prescriptions are free in other UK nations)
- Only covers HRT medicines – not other prescriptions
- Show your PPC or provide your reference number when collecting your HRT prescription