QuoteThe treatment will begin as early as February to inject the patient living in Hyogo Prefecture with an antihormonal drug once a month to control the secretion of sex hormones so the patient will not be distressed by taking on the physical traits of an adult male, according to the sources.
The procedure, which is not covered by health insurance, costs 35,000 yen each time.
35k yen is over $400... a month?

Even without insurance, i've never heard of hormones costing *THAT* much..

Japan's medical culture is a little bit wonky compared to western practice in certain ways, so i'm not incredibly surprised.