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c/glp1uk·posted 3 months ago by u/pavel_kravchenko

does pricing actually matter or is it forum lore at this point

Discussion Long Haul ×1

Asking properly rather than in a comment on somebody else’s thread: does pricing actually matter or is it forum lore at this point.

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.

531 up / 180 down75% upvoted20 commentsid 19d8fh5 Apr 2026

20 comments

17 in this archive, depth 4

best — the order this archive was captured in

u/hsa_math27 points·3 months ago·edited

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/rt_shift_reggie18 points·3 months ago

Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.

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u/halima_boateng4 points·3 months ago·edited

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

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u/vitamin_d_void0 points·3 months ago

Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.

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

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u/arne_nyberg0 points·3 months ago

England, Scotland, Wales and Northern Ireland are four different pathways

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u/boots_or_bust23 points·3 months ago

the ICB decides the threshold and they are not the same across England

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u/pavel_kravchenkoOP-33 points·3 months ago

Have you seen the current threshold published by your ICB?

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[deleted]1 point·3 months ago

[deleted]

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u/pavel_kravchenkoOP18 points·3 months ago

tier 3 waiting lists are measured in years, not months

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u/jarno_karlsen21 points·3 months ago

Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.

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u/ireland_drugs_payMOD18 points·3 months ago

Pharmacy staff name removed. The pharmacy itself can be named in a pricing post.

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u/pavel_kravchenkoOP6 points·3 months 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/units_not_mgsyringe math13 points·3 months ago

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

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u/a1c_arcT2D9 points·3 months ago

Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.

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u/emeka_beaulieu8 points·3 months ago

Agreed. The ICB variation is the thing that makes national advice useless here.

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u/ignacio_roos5 points·3 months ago·edited

Agreed.

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

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u/careful_gradient_notes5 points·3 months ago

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

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