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c/glp1uk·posted 5 months ago by u/vomit_free_since

[Question] tier 3 — what am I missing here

Question Well Actually ×4 The Quiet One ×2

Asking properly rather than in a comment on somebody else’s thread: tier 3 — what am I missing here.

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.

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.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

1,557 up / 305 down84% upvoted9 commentsid 175blx2 Feb 2026

9 comments

5 in this archive, depth 2

best — the order this archive was captured in

u/laila_wojcik260 points·5 months 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/arne_nyberg119 points·5 months ago

Discharge from a specialist service at goal is a normal end point of that pathway.

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

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u/vomit_free_since143 points·5 months ago·edited

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

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u/dilara_weiss38 points·5 months ago

NHS pathway or private prescription?

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u/careful_gradient_notes35 points·5 months ago·edited

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

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