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Terms and conditions for buying an NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC)

The HRT PPC service we offer is for you, the customer. Your use of this service means you agree to the following terms and conditions.


‘You’ means the person named on the HRT PPC.

Legal identity

The NHS Business Services Authority (NHSBSA) is an Arm’s Length Body of the Department of Health and Social Care (DHSC). Our head office is:

Stella House
Goldcrest Way
Newburn Riverside
Newcastle upon Tyne
NE15 8NY


You can only:

  • buy an HRT PPC if you live in England
  • use the HRT PPC for your own NHS prescribed HRT medicine.

An HRT PPC covers certain NHS prescribed HRT medicine.

You should show your HRT PPC as evidence of your entitlement to free NHS prescribed HRT medicine.

Before you buy

Check if you are entitled to free prescriptions.

Check if your medicine is covered by the HRT PPC.

Check if a 3 or 12 month PPC is more suitable. It covers all NHS prescriptions.

Cost of an HRT PPC

The cost of an HRT PPC is the price at the time you buy, equivalent to 2 single NHS prescription items. This is regardless of the start date requested. The Department of Health and Social Care determines the cost of the HRT PPC. This may change on 1 April each year.

Certificate length

An HRT PPC is valid for 12 months.

HRT PPCs do not automatically renew.

HRT PPC start date

You can choose the start date of your HRT PPC. This can be up to one calendar month before or after the date you buy. 

The earliest you will be able to start your HRT PPC is 1 April 2023.

If you do not specify a start date, it will start from the date you buy it.

Errors or changes of circumstances

It's important your details are correct and kept up to date. You should report any errors or changes to your name or address without delay to NHSBSA.

When you claim free NHS prescriptions, we'll check that you are entitled to the exemption you have declared.

If you claim free NHS prescriptions without a valid exemption, you may be issued with a penalty charge notice.

NHS prescription charge refund

Ask for an NHS receipt (FP57) when you pay for your prescription. You can’t get one later. The FP57 tells you how to claim. You have to apply for a refund within three months of paying the prescription charge.

HRT PPC refunds and cancellations

HRT PPCs are not refundable and cannot be cancelled once paid for.