Italian Medicine Agency

Gender-affirming hormone therapy payable by the NHS

Inclusion of the medicinal products testosterone, testosterone undecanoate, testosterone enanthate, testosterone esters in the list of medicines that can be dispensed entirely by the National Health Service, pursuant to law no. 648, for use in the virilization process of transgender men, subject to the diagnosis of gender dysphoria / gender incongruence formulated by a dedicated multidisciplinary and specialist team. (Resolution no. 104272/2020 of 23 September 2020)
Inclusion of the medicinal products estradiol, estradiol hemihydrate, estradiol valerate, cyproterone acetate, spironolactone, leuprolide acetate and triptorelin in the list of medicines that can be dispensed entirely by the National Health Service, pursuant to law no. 648, for the use of transgender women in the feminization process, subject to the diagnosis of gender dysphoria / gender incongruence, formulated by a dedicated multidisciplinary and specialist team. (Resolution No. 104273/2020 of 23 September 2020).
Publication in the Official Gazette of the Italian Republic of 2 March 2019 – Year 160 – Number 52 pages n. 19, 20

Puberty suppression in adolescents with Gender incongruence Covered by the NHS

Inclusion of Triptorelin in the list of medicines that can be dispensed entirely at the expense of the National Health Service, in accordance with the law of 23 December 1996, n. 648, for use in selected cases in which puberty is incongruent with gender identity (gender dysphoria), with diagnosis confirmed by a multidisciplinary and specialist team and in which psychological, psychotherapeutic and psychiatric assistance is not conclusive. (Resolution no. 21756/2019 of 25 February 2019)
Publication in the Official Gazette of the Italian Republic of 2 March 2019 – Year 160 – Number 52 pages n. 19, 20

Official Gazette of Wednesday 30 September 2020 (year 161, number 242)

Official Gazette of Saturday 2 March 2019 (year 160, number 52)