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c/glp1aus·posted 1 year ago by u/emil_wojcik

Canada: Australia, and what it actually costs here

Question Long Haul ×2 Sourced ×1

Canada: Australia, and what it actually costs here. Making the case below, and I expect to lose some of it in the comments.

Pharmacy-level availability and national supply are different questions: a pharmacy can be out while the wholesaler is not, and the pharmacist can check in minutes.

Compounded supply arrangements have changed materially in recent years. Advice predating that change describes a situation that no longer applies.

Australia and New Zealand have different regulators, different funding bodies and different arrangements. An answer for one is not evidence about the other.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

1,331 up / 156 down89% upvoted31 commentsid b52ufb25 May 2025

31 comments

25 in this archive, depth 4

best — the order this archive was captured in

u/sena_balogun155 points·1 year ago

Subsidy criteria and authority requirements are published. For eligibility questions those documents are authoritative and this board is not.

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u/zeynep_ndiaye121 points·1 year ago

Registration by the therapeutic goods regulator establishes that a product may be supplied. Subsidy listing is a separate decision about public funding, with its own criteria and its own timetable.

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u/zeynep_ndiaye51 points·1 year ago

PBS criteria are published and searchable

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u/honest_syringe3325 points·1 year ago

Australia and New Zealand are separate systems and get conflated weekly

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u/mod_cold_roommod · c/coldchain40 points·1 year ago

the TGA shortage database is public and it is the source, not the news

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u/anecdata_annie122 points·1 year ago

The compounded arrangements changed while I was mid-thread and I was arguing from a superseded position.

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u/erez_perrin96 points·1 year ago

The compounded arrangements changed while I was mid-thread and I was arguing from a superseded position.

This is the distinction that makes the rest of the board legible.

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[removed]91 points·1 year ago

[removed by moderator]

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u/zeynep_weiss82 points·1 year ago

The national shortage database is a primary source with expected resolution dates attached. It is public, searchable, and consistently more accurate than reporting about it.

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u/emil_wojcikOP46 points·1 year ago

Checked the shortage database myself instead of reading the coverage. Expected resolution date was right there and the panic thread was wrong.

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u/jarno_cabrera44 points·1 year ago

Are you quoting advice from before the compounded arrangements changed?

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u/tomas_broberg30 points·1 year ago

pharmacy stock and national supply are different questions

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u/kenji_kimani28 points·1 year ago

Are you quoting advice from before the compounded arrangements changed?

Adding the quickest step — ask the pharmacist to check the wholesaler.

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u/blunt_coldbox_2024-33 points·1 year ago

Where to look instead of asking, which will nearly always be faster.

The national shortage database is public, searchable and carries expected resolution dates. The subsidy criteria for each indication are published. Your pharmacist can check wholesaler availability in a few minutes, which is a different question from what is on the shelf.

Between those three, most questions on this board are answerable in half an hour with primary sources. The board is genuinely useful for experience, pricing comparison and the parts that are not written down anywhere — it is a poor substitute for a document that exists.

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u/lane_watchermod · logistics1 point·1 year ago

This. New Zealand has its own regulator and its own funding decisions and the answers genuinely differ.

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u/aussie_pbs_watchMOD1 point·1 year ago

Flagged as describing the superseded compounded arrangements — left up with a note rather than removed.

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u/nl_verzekering1 point·1 year ago

the shortage listing has an expected resolution date on it

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u/emil_wojcikOP1 point·1 year ago

Asked the pharmacist to check the wholesaler and had a definite answer in about four minutes.

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u/chidi_yilmaz-39 points·1 year ago

Personal importation provisions exist, are narrow, and carry conditions. Any summary of them here should be checked against the current official wording rather than a forum post.

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u/ignacio_silva1 point·1 year ago

keep the script and the receipt for private health claims

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u/yara_antonsen1 point·1 year ago

Push back: the compounded arrangements changed and the advice you are quoting predates the change.

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u/aksel_jansen1 point·1 year ago

Same. Private pricing varies here as much as anywhere and people assume it is fixed.

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u/quiet_reader_9929 points·1 year ago

I would not treat one pharmacy’s quote as the national price. Variation between them is substantial.

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u/arne_ndiaye19 points·1 year ago·edited

Which indication is the script written for?

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Australia and New Zealand: PBS listing status and what it does to out-of-pocket cost, TGA shortage notices, the 2024 compounding rule change that closed a major access route overnight, and NZ's unfunded-means-full-price reality.

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