HRT Prescription Cost UK 2026: NHS, Private & Monthly Medicine Prices
Compare HRT prescription costs in the UK, including NHS HRT PPC rules, private prescription fees, Oestrogel, patches, Utrogestan and repeat costs.
10-second answer
- NHS HRT has capped prescription costs in England and is free in the devolved nations.
- Private HRT medicines can be charged monthly, plus prescription issuing fees.
- Compare the full repeat cost, not only the first prescription.
Healthcare data note
Sources, review and limits
Main sources
- NHS HRT prescription prepayment certificate information
- Published private pharmacy and provider price pages
- TreatCompare HRT price tracking
Methodology: We compare NHS prescription charges with private HRT medicine prices, issuing fees and repeat-prescription routes.
Important context
TreatCompare uses public data, provider-published information, official datasets, structured research and analysis. Figures can change and may not be complete in real time. Use this page for research and comparison only, then verify directly with the relevant provider.
- Source type
- Named public and provider sources
- Primary source
- NHS HRT prescription prepayment certificate
- Reporting period
- 2026-05-09
- Last updated
- 2026-05-09
- Figure type
- Mixed sources
- Use
- Research and comparison only
Are you a clinic, provider or data owner?
If you believe information on this page is inaccurate, out of date, incomplete or presented without necessary context, contact us with the page URL and supporting evidence. We review correction requests promptly, but they are not automatically accepted.
How this guide was checked
TreatCompare uses published provider fees, official regulator registers, NHS/PBS/Medicare references where relevant, and the methodology described on our methodology page. Prices are point-in-time and can change before booking.
Most useful next step
Compare current HRT options
This guide explains the costs. The live comparison pages show the current prices, providers and next actions.
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Turn this HRT article into a comparison
Article visitors often need one of three routes next: provider prices, a calculator, or a related guide that narrows the decision.
Short answer
HRT prescription cost comparison
| Route | Typical cost structure | Watch out for | |---|---|---| | NHS prescription in England | Standard NHS prescription charge or HRT PPC where eligible | Only covered HRT medicines count; rules can change | | NHS prescriptions in Scotland, Wales and Northern Ireland | Usually free to the patient | Access still depends on local clinical route | | Private prescription through clinic | Prescription fee plus private pharmacy medicine cost | Repeat fees and follow-up requirements | | Online private provider | Often bundles consultation, prescription route and delivery | Check cancellation, review and monitoring terms |
Common private HRT medicine cost items
| Medicine type | Examples | Private cost issue | |---|---|---| | Oestrogen gel | Oestrogel, Sandrena | Monthly cost varies by dose and pack size | | Oestrogen patches | Evorel, Estradot | Patch strength and supply length affect price | | Progesterone | Utrogestan | Often needed where a uterus is present; check monthly supply cost | | Intrauterine system | Mirena | Higher one-off fitting cost, but lasts several years | | Testosterone where prescribed | Androfeme, Testogel off-label | Availability and private prescribing vary |
Questions to ask
- Is the prescription issuing fee included?
- Is the medicine supplied directly or collected from a pharmacy?
- How many months are supplied at once?
- What is the repeat-prescription process?
- Will the provider ask your NHS GP to continue standard medicines?
- What follow-up is required before a repeat prescription?
This page is for cost comparison and planning. HRT suitability, risks and monitoring should be discussed with a qualified clinician.
Related HRT guides
- Private HRT cost UK - first-year consultation, prescription and medicine costs
- NHS vs private HRT - route comparison
- Menopause clinic cost UK - appointment and follow-up fees
- HRT prescriptions - compare provider prescription routes
Compare HRT medicine and prescription routes from UK providers.
Compare HRT prescriptions pricesFrequently asked questions
How much does HRT cost on the NHS?
In England, eligible HRT items can be covered by the HRT prescription prepayment certificate. Prescriptions are free in Scotland, Wales and Northern Ireland. Check current NHS rules before paying.
How much does private HRT medication cost?
Private HRT medication cost depends on product and dose. Oestrogen gels, patches and sprays, progesterone such as Utrogestan, and testosterone where prescribed can all have different monthly costs.
Do private HRT providers charge prescription fees?
Some include prescription issuing in the consultation fee, while others charge a private prescription fee, commonly around GBP15-GBP30. Ask before booking.
Sources & further reading
- NHS HRT prescription prepayment certificate — NHS HRT prescription charging
- British Menopause Society — Menopause and HRT context
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