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

[Question] MHRA — what am I missing here

Question Cold Box ×9

MHRA — what am I missing here. If this has been answered properly somewhere, link me and I will delete.

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.

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.

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.

Sceptical readings welcome. The confident ones are the ones I distrust.

5,618 up / 4,735 down54% upvoted66 commentsid 15rjwh22 Jul 2025

66 comments

27 in this archive, depth 4

best — the order this archive was captured in

u/hassan_chowdhury148 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/nadia_trevino37 points·1 year ago

the price difference between pharmacies this month is genuinely large

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u/hsa_math102 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/mei_cardoso127 points·1 year ago·edited

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

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u/ms_fragmenter93 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/lina_bruunOP64 points·1 year ago

Did the consultation ask about history and medication?

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u/not_my_main_nm52 points·1 year ago

BMI thresholds vary by ICB and by year

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u/lina_bruunOP31 points·1 year ago

BMI thresholds vary by ICB and by year

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

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u/lane_watchermod · logistics86 points·1 year ago

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

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load more comments (2) →
u/nordic_pricing55 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/boots_or_bustMOD35 points·1 year ago

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

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u/ms_fragmenter14 points·1 year ago

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

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u/zaid_balogun6 points·1 year ago

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

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

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u/the_poster_in_question_2026-19 points·1 year ago

discharge at goal back to the GP is where a lot of people fall over

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u/rt_shift_reggie24 points·1 year ago

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

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u/bence_ibarra17 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/marisol_moreau10 points·1 year ago

GP said no in the spring, specialist said yes eighteen months later.

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

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u/pavel_kravchenko8 points·1 year ago

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

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u/emil_wojcik16 points·1 year ago

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

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u/a1c_arcT2D11 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/solene_ilunga10 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/not_my_main_nm22 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/a1c_arcT2D5 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/lane_watchermod · logistics14 points·1 year ago

tier 3 waiting lists are measured in years, not months

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u/rt_shift_reggie7 points·1 year ago·edited

NHS pathway or private prescription?

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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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