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‘Free’ HRT scheme causing confusion for patients

By Niamh Cahill - 17th Jun 2025

iStock.com/chrupka

The introduction of ‘free’ hormone replacement therapy (HRT) is causing some confusion for patients, GPs have reported.

The scheme, which was introduced at the start of June, ensures women can receive HRT medicines and products free of charge. The annual investment by the State is €20 million. Minister for Health Jennifer Carroll MacNeill said the new scheme facilitated “free access” to HRT products including covering the cost of dispensing fees. Women can access HRT under the scheme when it is determined as clinically appropriate and is prescribed by their healthcare provider.

Monaghan GP Dr Illona Duffy welcomed the new initiative. However, she noted the reference to ‘free’ had been causing some confusion. The scheme does not cover the costs of seeing the GP.

“The scheme is to be welcomed, but it is important that women understand that it does not cover the cost of seeing your GP,” Dr Duffy told the Medical Independent.

Dr Illona Duffy

“Menopause is a big workload burden in general practice because it doesn’t just involve one consultation, there are often several follow-ups and dosing issues for women that need our attention.”

Dr Tadhg Crowley, Chair of the IMO GP committee, said it was too early to say how the scheme was operating, but added: “I’d prefer if there was a comprehensive women’s health programme in place. Having piecemeal things given out to women is confusing and is not ideal.”

“Initially there were clinics set up for menopause last year, which the minute they were open had waiting lists,” he said. 

“The IMO would be pushing for a comprehensive women’s health programme. I think that would send a message out of how important women’s health is for the people of the country.”

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