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c/glp1uk·posted 11 months ago by u/adaeze_krastev

why does nobody talk about pricing

Question Clean Column ×1 Sourced ×3

Trying to get a straight answer on this: why does nobody talk about pricing.

Why the monthly pricing tracker works, and the rule that makes it work.

Members post the pharmacy, the product, the month and the price they actually paid — not an advertised offer, not a first-month discount. No links of any kind are permitted, which removes the entire incentive to post anything other than what happened.

The result is that the spread between pharmacies in a given month is visible, and it is consistently larger than people expect. That single table has saved members here more money than every other thread on the board combined, and it survives only because the no-links rule is enforced without exception.

The two routes, described separately, because mixing them is where most of the confusion here starts.

The NHS route in England runs through specialist weight management services commissioned by your ICB. Criteria, waiting times and what happens at discharge are all local decisions, which is why a confident answer from somebody in a different area may be wrong for you.

The private route is an independent transaction: a consultation, a prescription and a pharmacy price. It does not affect your position on any NHS list and it is not a shortcut through one. Both are legitimate; they are simply not the same pathway and they do not connect.

The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

2,253 up / 407 down85% upvoted60 commentsid 12po9u26 Aug 2025

60 comments

22 in this archive, depth 5

best — the order this archive was captured in

u/rina_nascimento95 points·11 months ago

Supply notices from the regulator describe expected availability at a national level. They do not predict what any individual pharmacy has on the shelf next week.

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u/emil_okwuosa45 points·11 months ago

A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.

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u/adaeze_krastevOP28 points·11 months ago·edited

Have you seen the current threshold published by your ICB?

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u/zaid_balogun22 points·11 months ago

England, Scotland, Wales and Northern Ireland are four different pathways

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u/adaeze_krastev9 points·11 months ago

That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.

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u/hassan_chowdhury5 points·11 months ago

NHS pathway or private prescription?

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u/adaeze_krastevOP3 points·11 months ago

NHS pathway or private prescription?

This is why national advice does not work here. It is commissioned locally and it varies.

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u/sorted_by_new7 points·11 months ago·edited

That is the first-month offer price, not the ongoing monthly cost.

Disagreeing with this line: that is the arrangement in one nation and the question is about another.

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u/marit_mensa67 points·11 months ago

How long have you been on the list, and from what date?

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u/a1c_arcT2D17 points·11 months ago·edited

Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.

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u/marisol_moreau44 points·11 months ago

Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.

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u/dhl_or_bust11 points·11 months ago

Pharmacy pricing on a private prescription is set by the pharmacy. The spread between them in a given month is routinely substantial, which is why a tracker built from member reports is more useful than any headline.

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u/elise_ramos37 points·11 months ago

Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.

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[deleted]15 points·11 months ago

[deleted]

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u/jonas_cardoso4 points·11 months ago

Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.

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u/adaeze_krastevOP28 points·11 months ago

What did the referral letter actually say?

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u/coring_the_stopper16 points·11 months ago

BMI thresholds vary by ICB and by year

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u/ahmed_iyer15 points·11 months ago

Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.

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u/tomas_lehtinen52 points·11 months ago

the price difference between pharmacies this month is genuinely large

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u/tomas_lehtinen33 points·11 months ago

Scotland, Wales and Northern Ireland have their own arrangements. An answer that begins with "in England" should say so, and most of the confusion here comes from answers that do not.

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u/bence_ibarra25 points·11 months ago·edited

Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.

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UK-specific access: NHS tier-3 and specialist weight-management pathways, the two-year waiting-list reality, private prescription routes and their monthly cost, pharmacy stock, MHRA supply notices, and how the UK rules differ from the US conversation that dominates most of the internet.

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