Big Win for Hormone Health: HRT Covered by National Pharmacare Starting March 1, 2026
Attention, BC! Starting March 1, 2026, menopausal hormone therapy — commonly known as hormone replacement therapy (HRT) — will be covered 100% at the pharmacy counter through the new National Pharmacare Plan (Plan NP) for anyone enrolled in the BC Medical Services Plan (MSP). That means no out-of-pocket costs for the medications that help manage perimenopause and menopause symptoms like hot flashes, night sweats, mood shifts, fatigue, and more.
This coverage change is a huge step forward for women’s health and quality of life in British Columbia — and we’re here to help you navigate it and make the most of this transformative policy.
💊 What HRT Medications Are Covered?
Under Plan NP, a defined list of menopausal hormone therapy products will be fully covered (and for some, partially covered) — with no special authorization required. That means when your doctor writes the prescription and you present it with your BC Services Card, eligible products are covered at $0 cost and your pharmacy cannot charge a dispensing fee or service fee.
Here’s the complete breakdown 👇:
🌼 Oral Micronized Progesterone
PMS-Progesterone 100 mg capsule
Reddy-Progesterone 100 mg capsule
Auro-Progesterone 100 mg capsule
Progesterone 100 mg capsule
M-Progesterone 100 mg capsule
💧 Vaginal Estrogen
Premarin Vaginal Cream (conjugated estrogens 0.625 mg/g)
IMVEXXY Vaginal Inserts (estradiol 4 mcg & 10 mcg)
🌿 Topical (Gels & Patches)
Estrogen Gels
Divigel Estradiol Gel (0.25 mg – 1 mg packets)
Estrogel Estradiol Gel Pump
Estrogen Patches
Climara Estradiol Patches (25 µg – 75 µg)
Estradot Estradiol Patches (25 µg – 100 µg; some strengths are partial benefit)
Sandoz Estradiol Derm Patches (50 µg – 100 µg)
Estalis Estradiol/Norethindrone Patches (140/50 µg & 250/50 µg)
💊 Oral Estradiol
Lupin-Estradiol Tablets (0.5 mg, 1 mg, 2 mg)
PMS-Estradiol tablets (partial-benefit strengths also listed)
🌞 Oral Conjugated Estrogen
Premarin ER Tablets (0.3 mg – 1.25 mg)
💊 Oral Medroxyprogesterone
Aa-Medroxy Tablets (2.5 mg – 100 mg)
Provera Tablets (partial-benefit strengths)
Why This Matters
This change means that menopausal hormone therapy is reliably affordable and accessible for anyone in BC who needs it — without worrying about prescription costs or deductibles. For many patients, this will remove a longstanding financial barrier to symptom management and support a better quality of life during midlife transitions.
Here’s what you should know:
✅ No-Cost Medications
You pay $0 for eligible HRT products — including many pills, patches, gels, creams, and inserts — directly at the pharmacy counter.
No Special Authorization
Covered HRT products do not require special authorization, so there’s no extra paperwork for your clinician or you.
Coverage at the Pharmacy
Just bring your prescription and BC Services Card to a participating pharmacy and Plan NP does the rest.
Why Choose Evoke for Your HRT Journey
At Evoke, we believe every person deserves personalized, empowering care — especially when it comes to navigating life transitions like perimenopause and menopause.
Here’s how we can support you:
Expert Hormone Health Guidance — Our team specializes in hormone-related symptoms and can help you understand your options.
Symptom Support & Education — We help you interpret how symptoms connect with your life and health goals.
Individualized Plans — We don’t just prescribe — we craft care plans that respect your unique body, lifestyle, and needs.
Advocacy & Empowerment — We guide you through conversations with your clinician and pharmacist to ensure you’re accessing the coverage you’re entitled to.
✨ Your Next Steps
Connect with Evoke for personalized support and care as you navigate your hormone health journey.
Ask for prescriptions that line up with the Plan NP list — many are fully covered.
Bring your BC Services Card to the pharmacy starting March 1, 2026 — and enjoy $0 coverage on your eligible HRT medications.
National Pharmacare is here, and it’s a game changer. If you’ve been waiting for the day HRT coverage became a reality in Canada, that day is March 1, 2026 — and Evoke is here to help you make the most of it. 💛
Want help understanding which HRT options might be right for you? Just let us know — we’re here to support your health, every step of the way.
