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Coverage by province · Free

What's covered, by province

Menopausal hormone therapy (MHT), often called HRT. Find your public plan, check the exact medicine and ask about costs before you pick it up.

Official sources checked October 18, 2026. Eligibility, benefit lists and private insurance can change.

Choose your province or territory

Canadian MHT coverageQuebecNewfoundland and LabradorBritish ColumbiaNunavutNorthwest TerritoriesNew BrunswickNova ScotiaSaskatchewanAlbertaPrince Edward IslandYukonManitobaOntario

Plan NP: listed MHT benefits

British Columbia

Plan NP began covering listed MHT benefits on March 1, 2026. Eligible MSP-enrolled B.C. residents can receive fully covered products at a B.C. pharmacy without a medication or dispensing charge. Some products are partially covered under low-cost alternative pricing. A prescription is needed; not every brand or formulation is free.

The official list includes selected oral estradiol, estrogen patches or gels, vaginal estrogen and micronized progesterone products. Check the exact brand, strength, DIN and full or partial benefit status before dispensing.

Check the official MHT DIN list →

Geographic outlines adapted from Click That ’Hood (MIT).

Every province and territory

A formulary tells you which products are listed. Your plan's eligibility and payment rules tell you what it pays.

British Columbia

Plan NP: listed MHT benefits

Plan NP began covering listed MHT benefits on March 1, 2026. Eligible MSP-enrolled B.C. residents can receive fully covered products at a B.C. pharmacy without a medication or dispensing charge. Some products are partially covered under low-cost alternative pricing. A prescription is needed; not every brand or formulation is free.

The official list includes selected oral estradiol, estrogen patches or gels, vaginal estrogen and micronized progesterone products. Check the exact brand, strength, DIN and full or partial benefit status before dispensing.

Official formulary →Program rules →

Alberta

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Saskatchewan

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Manitoba

MEPP: listed MHT benefits

MEPP covers listed MHT medicines for eligible people with an active Manitoba Health card who aren’t eligible for full coverage through a federal or other provincial program. Some medicines need Exception Drug Status approval. Confirm your exact product and any remaining charge.

Check the current MEPP medication list and formulary for your exact hormone therapy product. Listing, interchangeable-product rules and exception approvals affect coverage.

Official formulary →Program rules →

Ontario

Eligibility and product check

Ontario Drug Benefit applies to qualifying groups, including eligible older adults and people in certain assistance programs. Trillium may help with high medicine costs. Confirm eligibility, product listing, deductibles and copayments.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Quebec

Eligibility and product check

Check whether your private plan or RAMQ applies, then the exact drug listing and any deductible or co-insurance. A public listing doesn’t mean zero cost.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

New Brunswick

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Nova Scotia

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Prince Edward Island

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Newfoundland and Labrador

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Yukon

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Northwest Territories

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →

Nunavut

Eligibility and product check

Public drug-plan eligibility, listed products and cost-sharing vary. Check your age or income criteria, exact product, special authorization and dispensing fees. A listed medicine isn’t automatically free for everyone.

Ask about your prescribed estradiol, progesterone or local vaginal estrogen product by drug identification number (DIN). Coverage can differ by brand, strength and route.

Official formulary →
Download coverage data (JSON)

Private insurance: four questions before paying

  1. 1.Does my plan cover this exact DIN, brand and strength, or only a lower-cost equivalent?
  2. 2.Is prior authorization needed, and who supplies the information?
  3. 3.What are the deductible, copayment and dispensing-fee limits?
  4. 4.Which plan pays first, and how do I claim any remaining eligible amount?

These are questions to ask your plan, not a promise of reimbursement. Keep receipts and ask for written reasons and appeal instructions if a claim is refused.

Pharmacy and reimbursement questions

How do I get reimbursed?

Ask your pharmacist to bill the public or private plan first. If you need to submit a claim, keep the itemized receipt with the medicine name, strength, DIN, quantity, dispensing fee and date. Ask your insurer about deadlines, required forms and coordination of benefits. Reimbursement isn’t guaranteed; ask for a written decision and review steps if refused.

What should I bring to the pharmacy?

Bring your prescription, provincial health card, private insurance details and a current medicine list. Ask whether the exact product is fully or partially covered, whether authorization is needed, and what you’ll pay before it’s dispensed.

Is every MHT prescription free in B.C.?

No. Plan NP covers listed MHT benefits from March 1, 2026. Fully covered products have no medication or dispensing charge for eligible residents at B.C. pharmacies. Some products are partially covered under low-cost alternative pricing. Your pharmacist can confirm the exact DIN and a covered alternative.

What this page is based on

Plan NP covers listed MHT benefits from March 1, 2026, with full and partial benefit distinctions.

Narrative reviewB.C. PharmaCare: Plan NP MHT benefit list · 2026

Official coverage policy. Check exact DIN, eligibility and low-cost alternative pricing.

Read the source

MEPP covers listed MHT medicines subject to eligibility and product rules.

Narrative reviewManitoba Enhanced Pharmacare Program · 2026

Year checked. Exact products and Exception Drug Status rules matter.

Read the source

Coverage sources are government policies, not A–D clinical evidence grades. Other official formularies are linked beside each region above.

TreatmentsYour rightsDetailed Canadian coverage guide

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