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c/glp1uk·posted 8 months ago by u/lina_bruun

[Question] Ireland — has anyone got a straight answer on pharmacy

Question Cold Box ×9

Ireland — has anyone got a straight answer on pharmacy. Searched first, found three threads that contradict each other, hence the post.

A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.

Why the monthly pricing tracker works, and the rule that makes it work.

Members post the pharmacy, the product, the month and the price they actually paid — not an advertised offer, not a first-month discount. No links of any kind are permitted, which removes the entire incentive to post anything other than what happened.

The result is that the spread between pharmacies in a given month is visible, and it is consistently larger than people expect. That single table has saved members here more money than every other thread on the board combined, and it survives only because the no-links rule is enforced without exception.

Discharge at goal, which nobody warns people about.

Specialist services in England are commissioned to deliver a defined intervention. Reaching goal is a successful outcome and it typically ends with discharge back to primary care. Whether prescribing continues after that is a local decision that varies, and plenty of members here have discovered it at the point of discharge rather than at the start.

The useful thing to do is ask early: what happens when I finish, and does prescribing continue in primary care in this area. Ask it in writing, keep the answer, and you will at least know which conversation you are heading for.

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

842 up / 273 down76% upvoted11 commentsid 3r7pjk21 Nov 2025

11 comments

11 in this archive, depth 3

best — the order this archive was captured in

u/tomas_lehtinen56 points·8 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/ahmed_okafor13 points·8 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/marisol_moreau57 points·8 months ago

The online consultation asked me three questions, none of them about my history. I did not go ahead.

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u/emeka_beaulieu20 points·8 months ago

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

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u/vitamin_d_void37 points·8 months 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/halima_boateng25 points·8 months ago·edited

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/nhs_waitlist_nMOD13 points·8 months ago

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

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[deleted]10 points·8 months ago

[deleted]

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u/marit_mensa7 points·8 months ago

specialist service, not GP, for tier 3 in most of England

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u/niels_norgaard7 points·8 months 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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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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