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c/glp1uk·posted 4 months ago by u/tomas_broberg

[Discussion] pricing is doing more work than we give it credit for

Discussion Receipts ×1 Well Actually ×2

pricing is doing more work than we give it credit for. It is the sort of thing everyone half-believes and nobody writes down.

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.

Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.

GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

1,636 up / 125 down93% upvoted19 commentsid 17zaf015 Mar 2026

19 comments

6 in this archive, depth 4

best — the order this archive was captured in

u/slow_logbook_notes178 points·4 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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u/careful_gradient_notes80 points·4 months ago

Pharmacy pricing on a private prescription is set by the pharmacy.

slow_logbook_notes is right that the two routes are separate. A private prescription does not move you up the list.

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u/marit_sandvik95 points·4 months ago

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.

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u/gustav_solberg25 points·4 months ago·edited

NHS pathway or private prescription?

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[removed]18 points·4 months ago

[removed by moderator]

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u/rt_shift_reggie15 points·4 months ago

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

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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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