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c/glp1aus·posted 1 year ago by u/usp_appendix

shortage is the most under-discussed thing on this board

Discussion Clean Column ×6 Slow Clap ×2

shortage is the most under-discussed thing on this board. Making the case below, and I expect to lose some of it in the comments.

Someone posted US advice in an Australian thread and it took four replies to untangle it. Say your country.

Kept the script and the receipt for a private health claim and both were requested.

The compounded arrangements changed while I was mid-thread and I was arguing from a superseded position.

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

2,313 up / 230 down91% upvoted40 commentsid a14fnf7 Mar 2025

40 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/aussie_pbs_watchAU178 points·1 year ago

Pharmacy-level availability and national supply are different questions: a pharmacy can be out while the wholesaler is not, and the pharmacist can check in minutes.

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u/dario_bakken45 points·1 year ago·edited

PBS-subsidised or private script?

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u/controversial_only19 points·1 year ago

PBS listing and TGA registration are two different questions

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u/careful_gradient_again14 points·1 year ago

PBS listing and TGA registration are two different questions

controversial_only is right that the two countries are separate systems and the answers diverge.

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u/fridge_door_no6 points·1 year ago

PBS criteria are published and searchable

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u/usp_appendixOPcompendial124 points·1 year ago

a streamlined authority code is not the same as a general listing

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u/sarcopenia_watch143 points·1 year ago

The two decisions that this whole board turns on, kept apart.

Registration means a product may lawfully be supplied. Subsidy listing means the public system will fund it, for a defined indication, against published criteria. They are made by different bodies on different timetables, and a product can be registered and unsubsidised for a given use for a long time.

Almost every "why can I not get this" thread here is really a question about the second decision being answered with facts about the first. Say which one you are asking about and the thread resolves in two replies.

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u/aussie_pbs_watchMOD67 points·1 year ago

Left up. It links the primary database rather than coverage of it, which is what we ask for.

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[deleted]48 points·1 year ago

[deleted]

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u/fatima_yildiz33 points·1 year ago

personal importation rules exist and are narrow

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u/tl_dr_tina70 points·1 year ago

Where to look instead of asking, which will nearly always be faster.

The national shortage database is public, searchable and carries expected resolution dates. The subsidy criteria for each indication are published. Your pharmacist can check wholesaler availability in a few minutes, which is a different question from what is on the shelf.

Between those three, most questions on this board are answerable in half an hour with primary sources. The board is genuinely useful for experience, pricing comparison and the parts that are not written down anywhere — it is a poor substitute for a document that exists.

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u/sten_rautio54 points·1 year ago

Disagree — that is registration status, and the question was about subsidy. Different decisions, different bodies.

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u/tomas_broberg22 points·1 year ago

the Medsafe position in New Zealand is its own thing entirely

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u/zeynep_weiss7 points·1 year ago

Assumed the New Zealand position applied here. It does not, and someone corrected me politely with the actual source.

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u/sarcopenia_watch2 points·1 year ago

Compounded supply arrangements have changed materially in recent years. Advice predating that change describes a situation that no longer applies.

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u/karim_ilunga4 points·1 year ago

the price you pay depends on the listing status of your indication

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u/copay_card_cc36 points·1 year ago

Personal importation provisions exist, are narrow, and carry conditions. Any summary of them here should be checked against the current official wording rather than a forum post.

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u/viktor_laurent29 points·1 year ago

Personal importation provisions exist, are narrow, and carry conditions.

Adding the quickest step — ask the pharmacist to check the wholesaler.

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u/marta_ilunga13 points·1 year ago

pharmacy stock and national supply are different questions

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u/lane_watchermod · logistics3 points·1 year ago

Correction: that is the registration decision, not the subsidy listing. They are made by different bodies.

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u/blunt_coldbox_20241 point·1 year ago·edited

Have you checked the shortage database directly?

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u/no_refunds_nr8 points·1 year ago

do not import US advice into an Australian thread

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u/ignacio_vanhecke6 points·1 year ago

This. New Zealand has its own regulator and its own funding decisions and the answers genuinely differ.

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u/fridge_door_no4 points·1 year ago

Agreed that the published criteria are the authority. They are searchable and most people never look.

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Australia and New Zealand: PBS listing status and what it does to out-of-pocket cost, TGA shortage notices, the 2024 compounding rule change that closed a major access route overnight, and NZ's unfunded-means-full-price reality.

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