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

[Question] how do you actually verify MHRA

Question Slow Clap ×5

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

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

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.

Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

883 up / 331 down73% upvoted22 commentsid 2w2n9f12 Aug 2024

22 comments

15 in this archive, depth 3

best — the order this archive was captured in

u/viktor_kirchner75 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/elise_ramos41 points·1 year ago

NHS pathway or private prescription?

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u/controversial_only11 points·1 year ago

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

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u/lina_bruun4 points·1 year ago

Right, and reading the actual supply notice rather than the coverage of it saves a fortnight of speculation.

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u/hassan_castellanos59 points·1 year ago

NHS pathway or private prescription?

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

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u/camila_marchand32 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/nhs_waitlist_nOPUK-27 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/milan_wikstrom1 point·1 year ago

Small fix — that is the Scottish pathway.

Adding the practical bit — ask what happens at discharge before you start, not after.

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u/vitamin_d_void10 points·1 year ago

Yes — the consultation that asks nothing tells you what kind of service it is.

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u/pavel_kravchenko2 points·1 year ago

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

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u/ice_pack_auditcold chain20 points·1 year ago

Did the consultation ask about history and medication?

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u/boots_or_bustMOD21 points·1 year ago

Left up. It names a nation and an ICB, which is all we ask of a pathway post.

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u/camila_sandvik5 points·1 year ago

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.

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u/blunt_coldbox2916 points·1 year ago

Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.

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[removed]11 points·1 year ago

[removed by moderator]

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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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