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c/glp1uk·posted 2 years ago by u/ahmed_iyer

[Meta] proposal — a flair for private prescription posts

NHS Cold Box ×2 Slow Clap ×1

proposal — a flair for private prescription posts, and it will stay as it is unless somebody makes the case to change it.

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.

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

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

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

2,755 up / 385 down88% upvoted65 commentsid 3q1gcc19 May 2024

65 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/chidi_abubakar281 points·2 years 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/viktor_kirchner65 points·2 years ago

Supply notices from the regulator describe expected availability at a national level.

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

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u/ahmed_iyerOP224 points·2 years ago

Which nation, and which ICB if you are in England?

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u/sten_bhattacharya153 points·2 years ago

Which nation, and which ICB if you are in England?

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

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u/not_my_main_nm62 points·2 years ago

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

sten_bhattacharya is right that the two routes are separate. A private prescription does not move you up the list.

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u/lane_watchermod · logistics41 points·2 years ago·edited

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.

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u/hassan_castellanos0 points·2 years ago

Which nation, and which ICB if you are in England?

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

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u/lina_almeida-17 points·2 years ago

NHS pathway or private prescription?

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u/clara_danquah1 point·2 years ago

tier 3 waiting lists are measured in years, not months

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u/ferran_mensah1 point·2 years ago

NHS pathway or private prescription?

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

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u/viktor_kirchner1 point·2 years ago·edited

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

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u/elise_ramos1 point·2 years ago

Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.

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u/boots_or_bustMOD213 points·2 years ago

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

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u/ahmed_iyerOP121 points·2 years ago

Did the consultation ask about history and medication?

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[deleted]45 points·2 years ago

[deleted]

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u/ilias_steiner196 points·2 years ago

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

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u/jonas_eriksen102 points·2 years ago

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

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u/ahmed_iyerOP82 points·2 years 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/enzo_fonseca21 points·2 years ago

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

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u/lina_bruun133 points·2 years ago·edited

Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.

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u/omar_eriksen106 points·2 years ago

an online consultation that asks you nothing is not a consultation

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u/nhs_waitlist_nUK72 points·2 years ago

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

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u/cormac_erdogan59 points·2 years 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/ireland_drugs_pay41 points·2 years 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/emeka_beaulieu47 points·2 years ago

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

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u/chidi_abubakar21 points·2 years ago

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

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u/sten_bhattacharya13 points·2 years ago

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

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u/omar_eriksen22 points·2 years ago

BMI thresholds vary by ICB and by year

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u/vomit_free_since33 points·2 years ago

Is this a discharge back to the GP, or a discontinuation?

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u/sorted_by_new21 points·2 years ago

That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.

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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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c/glp1uk rules
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  2. Price posts need the date — UK private pricing moves monthly.
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