help me understand tier 3, I have read the wiki twice
Asking properly rather than in a comment on somebody else’s thread: help me understand tier 3, I have read the wiki twice.
Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.
Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.
Read the MHRA notice rather than the news coverage and the actual scope was much narrower than the panic threads suggested.
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
Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.
Did the consultation ask about history and medication?
Is this a discharge back to the GP, or a discontinuation?
The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.
GP said no and specialist said yes is a very common sequence
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 two routes, described separately, because mixing them is where most of the confusion here starts.
lane_watcher is right that the two routes are separate. A private prescription does not move you up the list.
The online consultation asked me three questions, none of them about my history. I did not go ahead.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
the Irish scheme cap is the single most useful fact in this board
an online consultation that asks you nothing is not a consultation
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
Which nation, and which ICB if you are in England?
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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.
specialist service, not GP, for tier 3 in most of England
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
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.
Which pharmacy, and what did they quote for the month rather than the first month?
How long have you been on the list, and from what date?
How long have you been on the list, and from what date?
Agreed — and keeping the letters with dates is what makes any later challenge possible.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
Small fix — that is the Scottish pathway.
Adding the practical bit — ask what happens at discharge before you start, not after.
- 1the Irish scheme cap is the single most useful fact in this board7 comments in this branch · started by u/a1c_arc
- 2Why the monthly pricing tracker works, and the rule that makes it work.…7 comments in this branch · started by u/vitamin_d_void