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c/glp1uk·posted 10 months ago by u/hassan_chowdhury

[Meta] proposal — a flair for NHS posts

Question Clean Column ×8

proposal — a flair for NHS posts, and here is what changes in practice if it goes ahead.

Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.

The online consultation asked me three questions, none of them about my history. I did not go ahead.

Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.

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

684 up / 246 down74% upvoted27 commentsid 14dlw018 Sep 2025

27 comments

20 in this archive, depth 4

best — the order this archive was captured in

u/mei_cardoso30 points·10 months ago

In England, specialist weight management services are commissioned locally, so eligibility criteria and waiting times differ by ICB. There is no single national threshold to quote.

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u/declared_value_dv16 points·10 months ago

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.

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u/ferran_mensah8 points·10 months ago

specialist service, not GP, for tier 3 in most of England

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u/emeka_beaulieu2 points·10 months ago

Push back: a private prescription is a separate route, not a shortcut through the NHS queue.

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u/ireland_drugs_pay2 points·10 months ago

private prescription pricing moves monthly and the pharmacy is most of the spread

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u/sten_palacios21 points·10 months ago

Cosigning on discharge at goal. It catches people who have done everything right and did not know it was coming.

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u/ms_fragmenter6 points·10 months ago

BMI thresholds vary by ICB and by year

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u/pavel_kravchenko2 points·10 months ago·edited

ask the pharmacy for the price list, not the headline offer

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u/hassan_chowdhuryOP1 point·10 months ago

ask the pharmacy for the price list, not the headline offer

Agreed — and keeping the letters with dates is what makes any later challenge possible.

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u/vikram_mbeki1 point·10 months ago

the MHRA supply notices are published, read them before the panic threads

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u/vikram_mbeki12 points·10 months ago

Yes — the consultation that asks nothing tells you what kind of service it is.

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u/units_not_mgsyringe math3 points·10 months ago

Two years and four months on a tier 3 list. Referral date and every letter kept, which turned out to matter when the service reorganised.

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u/ireland_drugs_payMOD9 points·10 months ago

Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.

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u/dario_stanescu7 points·10 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/hassan_chowdhuryOP4 points·10 months ago

Which nation, and which ICB if you are in England?

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u/hassan_chowdhuryOP2 points·10 months ago

NHS pathway or private prescription?

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u/marisol_kravchenko1 point·10 months ago

NHS pathway or private prescription?

hassan_chowdhury is right that the two routes are separate. A private prescription does not move you up the list.

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u/clara_danquah4 points·10 months ago

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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