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

[Discussion] the private prescription advice in here is 2 years out of date

Discussion Well Actually ×5 Clean Column ×3 Cold Box ×3

the private prescription advice in here is 2 years out of date. It is the sort of thing everyone half-believes and nobody writes down.

Hard numbers: 2 years. Anything softer than that is flagged as an impression.

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

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

I will update this if the picture changes rather than quietly leaving it up.

3,703 up / 336 down92% upvoted35 commentsid 9b62ey20 May 2025

35 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/ipamorelin_i273 points·1 year ago

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.

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u/sten_bhattacharyaOP209 points·1 year ago

the price difference between pharmacies this month is genuinely large

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u/hassan_chowdhury134 points·1 year ago

private and NHS pathways are not a ladder, they are separate routes

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u/sock_puppet_spotter168 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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[removed]119 points·1 year ago

[removed by moderator]

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u/lane_watcherMOD199 points·1 year ago

Left up. It names a nation and an ICB, which is all we ask of a pathway post.

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u/sten_bhattacharyaOP158 points·1 year ago

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

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u/meta_analysis_mo110 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/sten_bhattacharyaOP49 points·1 year ago

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

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u/milan_wikstrom261 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/niels_norgaard189 points·1 year ago

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

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u/sorted_by_new95 points·1 year ago

Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.

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u/camila_sandvik155 points·1 year 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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u/controversial_only-7 points·1 year ago

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

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u/jonas_cardoso1 point·1 year ago

tier 3 waiting lists are measured in years, not months

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u/rasmus_kimani1 point·1 year ago

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

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u/hassan_castellanos117 points·1 year 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/ilias_steiner88 points·1 year 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/ignacio_roos25 points·1 year ago

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

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u/teodor_duarte33 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/gradient_goblin13 points·1 year ago

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

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u/lina_bruun92 points·1 year ago

an online consultation that asks you nothing is not a consultation

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u/coring_the_stopper114 points·1 year 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/gustav_solberg62 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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About c/glp1uk

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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