Germany: pricing, and what it actually costs here
Something I keep coming back to: Germany: pricing, and what it actually costs here.
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.
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.
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.
Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.
best — the order this archive was captured in
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
Not convinced — the US threads are a different system entirely and importing their advice here does real harm.
What did the referral letter actually say?
Not convinced — the US threads are a different system entirely and importing their advice here does real harm.
sten_palacios is right that the two routes are separate. A private prescription does not move you up the list.
Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.
an online consultation that asks you nothing is not a consultation
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
That is Scotland’s arrangement and the post is asking about England.
Four pharmacies, four prices, same product, same month. The spread was larger than I expected and none of them were the headline offer.
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.
the ICB decides the threshold and they are not the same across England
the ICB decides the threshold and they are not the same across England
Adding the practical bit — ask what happens at discharge before you start, not after.
In England, specialist weight management services are commissioned locally, so eligibility criteria and waiting times differ by ICB.
Disagreeing with this line: that is the arrangement in one nation and the question is about another.
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
tier 3 waiting lists are measured in years, not months
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.
Agreed on keeping letters. Dates are what make an appeal or a re-referral possible.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
This. The monthly pricing tracker is the most useful thing on this board and it works because nobody is allowed to link anything.
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
Concentrations can differ between products and between pharmacies.
Agreed — and keeping the letters with dates is what makes any later challenge possible.
the MHRA supply notices are published, read them before the panic threads
the Irish scheme cap is the single most useful fact in this board
Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.
Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.
GP said no and specialist said yes is a very common sequence
- 1Discharge from a specialist service at goal is a normal end point of that…8 comments in this branch · started by u/ahmed_iyer
- 2Referral link removed and the post left up. No links of any kind here, and…6 comments in this branch · started by u/lane_watcher