unpopular opinion: most of what gets said here about pricing is guesswork
unpopular opinion: most of what gets said here about pricing is guesswork. Not a hot take, just something I have not seen said plainly here.
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.
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.
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.
That is everything I have. The rest is opinion and I have tried to keep it out.
best — the order this archive was captured in
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
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Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.
the MHRA supply notices are published, read them before the panic threads
Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.
Which nation, and which ICB if you are in England?
Correcting myself: the referral was 19 months ago, not the figure I gave. I keep rounding it down.
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.
The online consultation asked me three questions, none of them about my history. I did not go ahead.
private and NHS pathways are not a ladder, they are separate routes
Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
Cosigning on discharge at goal. It catches people who have done everything right and did not know it was coming.
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.
- 1Concentrations can differ between products and between pharmacies. Switching…9 comments in this branch · started by u/marit_coelho