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

reading tier 3 threads from 2024 and half of it aged badly

Private Rx Long Haul ×8 The Quiet One ×1

reading tier 3 threads from 2024 and half of it aged badly. Making the case below, and I expect to lose some of it in the comments.

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

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.

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

Happy to answer the boring questions. Those are usually the ones worth asking.

2,369 up / 340 down87% upvoted46 commentsid 874i531 Nov 2024

46 comments

12 in this archive, depth 4

best — the order this archive was captured in

u/sock_puppet_spotter335 points·1 year 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/helga_vermeulen492 points·1 year ago

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

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u/ireland_drugs_payOP235 points·1 year ago

an online consultation that asks you nothing is not a consultation

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u/diego_almeida98 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/emil_wojcik73 points·1 year 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/ireland_drugs_payOP0 points·1 year ago

Did the consultation ask about history and medication?

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u/camila_sandvik113 points·1 year ago

an online consultation that asks you nothing is not a consultation

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

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u/nhs_waitlist_nMOD176 points·1 year ago

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

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u/ireland_drugs_payOP108 points·1 year ago·edited

NHS pathway or private prescription?

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[removed]67 points·1 year ago

[removed by moderator]

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u/careful_gradient_notes210 points·1 year ago

Discharge from a specialist service at goal is a normal end point of that pathway. Whether prescribing continues in primary care afterwards is a local decision and is worth asking about at the start rather than at the end.

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u/blunt_coldbox29142 points·1 year ago·edited

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

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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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