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c/glp1uk·submitted 1 months ago by u/slow_logbook

how much of what we believe about tier 3 actually comes from NHS threads

Private Rxbranch of 10 comments

Genuine question, and the title is the question: how much of what we believe about tier 3 actually comes from NHS threads. 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. A private prescription is an…

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10 comments, started 1 months ago
u/units_not_mgsyringe math30 points·1 months ago

Discharge at goal, which nobody warns people about.

Specialist services in England are commissioned to deliver a defined intervention. Reaching goal is a successful outcome and it typically ends with discharge back to primary care. Whether prescribing continues after that is a local decision that varies, and plenty of members here have discovered it at the point of discharge rather than at the start.

The useful thing to do is ask early: what happens when I finish, and does prescribing continue in primary care in this area. Ask it in writing, keep the answer, and you will at least know which conversation you are heading for.

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[deleted]22 points·1 months ago

[deleted]

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u/slow_logbookOP17 points·1 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/slow_logbookOP8 points·1 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/vitamin_d_void5 points·1 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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u/ms_fragmenter24 points·1 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/ilias_nakamura7 points·1 months ago

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

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u/slow_logbookOP18 points·1 months ago

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

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u/mei_cardoso-15 points·1 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/marit_coelho1 point·1 months ago

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

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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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