why does nobody talk about pricing
Trying to get a straight answer on this: why does nobody talk about pricing.
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.
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.
The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.
If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.
best — the order this archive was captured in
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.
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
Have you seen the current threshold published by your ICB?
England, Scotland, Wales and Northern Ireland are four different pathways
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
NHS pathway or private prescription?
NHS pathway or private prescription?
This is why national advice does not work here. It is commissioned locally and it varies.
That is the first-month offer price, not the ongoing monthly cost.
Disagreeing with this line: that is the arrangement in one nation and the question is about another.
Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.
How long have you been on the list, and from what date?
Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.
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.
Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.
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Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
What did the referral letter actually say?
BMI thresholds vary by ICB and by year
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
the price difference between pharmacies this month is genuinely large
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.
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
- 1Supply notices from the regulator describe expected availability at a…9 comments in this branch · started by u/rina_nascimento
- 2Same. My ICB threshold was different from the neighbouring one and nobody…9 comments in this branch · started by u/marisol_moreau