reading pricing threads from 2024 and half of it aged badly
reading pricing threads from 2024 and half of it aged badly. It is the sort of thing everyone half-believes and nobody writes down.
Switched pharmacies mid-titration and had to restart the ladder because the concentrations did not line up.
The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.
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.
Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.
best — the order this archive was captured in
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.
Concentrations can differ between products and between pharmacies. Switching mid-titration means redoing the arithmetic rather than carrying the old unit count across.
Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.
Agreed. The ICB variation is the thing that makes national advice useless here.
Agreed.
Adding the practical bit — ask what happens at discharge before you start, not after.
Yes — the consultation that asks nothing tells you what kind of service it is.
specialist service, not GP, for tier 3 in most of England
I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.
Pharmacy staff name removed. The pharmacy itself can be named in a pricing post.
Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.
That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.
Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.
tier 3 waiting lists are measured in years, not months
Push back: a private prescription is a separate route, not a shortcut through the NHS queue.
This. The monthly pricing tracker is the most useful thing on this board and it works because nobody is allowed to link anything.
BMI thresholds vary by ICB and by year
Careful, that pricing figure is a headline offer with conditions attached rather than the actual monthly cost.
That is Scotland’s arrangement and the post is asking about England.
England, Scotland, Wales and Northern Ireland are four different pathways
A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.
keep every letter, the dates matter later
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.
Discharge from a specialist service at goal is a normal end point of that pathway.
This is why national advice does not work here. It is commissioned locally and it varies.
GP said no in the spring, specialist said yes eighteen months later. Same person, same numbers.
an online consultation that asks you nothing is not a consultation
Discharge at goal, which nobody warns people about.
Specialist services in England are commissioned to deliver a defined intervention. Reaching goal is a successful outcome and it typically ends with discharge back to primary care. Whether prescribing continues after that is a local decision that varies, and plenty of members here have discovered it at the point of discharge rather than at the start.
The useful thing to do is ask early: what happens when I finish, and does prescribing continue in primary care in this area. Ask it in writing, keep the answer, and you will at least know which conversation you are heading for.
How long have you been on the list, and from what date?
- 1Concentrations can differ between products and between pharmacies. Switching…8 comments in this branch · started by u/sten_bhattacharya
- 2Pharmacy staff name removed. The pharmacy itself can be named in a pricing…6 comments in this branch · started by u/lane_watcher