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c/glp1uk·posted 1 year ago by u/rina_nascimento

[Discussion] can we stop arguing about MHRA until somebody posts a number

Discussion Clean Column ×4 Slow Clap ×3 Receipts ×2

Asking properly rather than in a comment on somebody else’s thread: can we stop arguing about MHRA until somebody posts a number.

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

Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.

Read the MHRA notice rather than the news coverage and the actual scope was much narrower than the panic threads suggested.

Ask me anything specific. Anything general I will probably get wrong.

3,513 up / 266 down93% upvoted58 commentsid 5f8h7d30 Sep 2024

58 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/heart_rate_bump348 points·1 year ago·edited

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/rina_nascimentoOP502 points·1 year ago

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

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u/rina_nascimentoOP-32 points·1 year 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/anya_rautio180 points·1 year ago

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

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u/rina_nascimentoOP129 points·1 year ago

Four pharmacies, four prices, same product, same month.

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

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u/ines_lindqvist186 points·1 year ago

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

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u/lane_watcherMOD109 points·1 year ago

Added a nation tag — the answers to this question differ across the four.

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u/ines_lindqvist75 points·1 year 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/blunt_coldbox2934 points·1 year ago·edited

Disagree.

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

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u/tomas_broberg49 points·1 year ago

Added a nation tag — the answers to this question differ across the four.

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

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u/lina_bruun14 points·1 year ago

the ICB decides the threshold and they are not the same across England

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u/elise_ramos78 points·1 year ago

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

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u/camila_marchand63 points·1 year ago

no referral links, ever, and that rule is why the pricing threads work

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u/blunt_coldbox2922 points·1 year ago

the Irish scheme cap is the single most useful fact in this board

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u/ipamorelin_i96 points·1 year ago

I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.

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u/marit_mensa42 points·1 year ago·edited

I would not read a supply notice as a shortage in your pharmacy tomorrow.

Adding the practical bit — ask what happens at discharge before you start, not after.

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u/ilias_nakamura28 points·1 year ago·edited

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

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u/ireland_drugs_pay20 points·1 year ago

GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.

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u/rina_nascimento47 points·1 year ago

I would not read a supply notice as a shortage in your pharmacy tomorrow.

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

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u/tomas_broberg125 points·1 year ago

Not convinced — the US threads are a different system entirely and importing their advice here does real harm.

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u/ines_castellanos75 points·1 year ago·edited

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

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u/a1c_arcT2D59 points·1 year ago

keep every letter, the dates matter later

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u/vikram_mbeki61 points·1 year ago

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

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u/adaeze_krastev60 points·1 year ago

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

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u/boots_or_bust45 points·1 year ago

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

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u/milan_wikstrom35 points·1 year ago

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

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u/sten_palacios21 points·1 year ago

Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.

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u/ferran_krastev0 points·1 year ago

That is Scotland’s arrangement and the post is asking about England.

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u/sock_puppet_spotter1 point·1 year ago

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

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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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