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c/glp1uk·posted 1 year ago by u/sorted_by_new

[Question] how do you actually verify tier 3

Question Clean Column ×2

Genuine question, and the title is the question: how do you actually verify tier 3.

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.

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.

Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.

396 up / 119 down77% upvoted17 commentsid 161ji510 Jul 2025

17 comments

16 in this archive, depth 4

best — the order this archive was captured in

u/ice_pack_auditcold chain56 points·1 year 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/sorted_by_newOP25 points·1 year ago

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

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u/ignacio_roos37 points·1 year ago

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

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

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u/dhl_or_bust-18 points·1 year ago

How long have you been on the list, and from what date?

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u/milos_mensa26 points·1 year ago

Have you seen the current threshold published by your ICB?

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u/ahmed_okafor14 points·1 year ago

Not convinced — the US threads are a different system entirely and importing their advice here does real harm.

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u/emeka_beaulieu25 points·1 year ago

Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.

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u/priya_guerrero20 points·1 year ago

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

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u/ireland_drugs_pay17 points·1 year ago

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/sorted_by_newOP11 points·1 year ago·edited

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

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u/gradient_goblin8 points·1 year ago

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

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u/units_not_mgsyringe math10 points·1 year ago·edited

Push back: a private prescription is a separate route, not a shortcut through the NHS queue.

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u/a1c_arcT2D8 points·1 year 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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u/hsa_math4 points·1 year ago

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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u/ferran_mensah1 point·1 year ago

Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.

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u/jarno_karlsen1 point·1 year ago

Agreed on keeping letters.

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

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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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