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176
c/glp1uk·posted 28 days ago by u/chidi_abubakar

genuine question about MHRA that I am slightly embarrassed to ask

NHS

genuine question about MHRA that I am slightly embarrassed to ask, and I want the answer with the reasoning attached rather than just the conclusion.

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

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

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.

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

1,482 up / 1,306 down53% upvoted19 commentsid 7ckkgk2 Jul 2026

19 comments

16 in this archive, depth 4

best — the order this archive was captured in

u/rt_shift_reggie14 points·27 days 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/rina_nascimento4 points·26 days ago

Is this a discharge back to the GP, or a discontinuation?

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u/ice_pack_auditcold chain3 points·26 days ago

Small fix — that is the Scottish pathway. The post is asking about England and the answer is different.

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u/lane_map_larrylogistics10 points·27 days ago·edited

I would not read a supply notice as a shortage in your pharmacy tomorrow. They are not the same thing.

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u/enzo_fonseca6 points·27 days ago

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

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u/a1c_arcT2D3 points·27 days ago

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

Disagreeing with this line: that is the arrangement in one nation and the question is about another.

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u/camila_marchand4 points·27 days ago

specialist service, not GP, for tier 3 in most of England

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u/hsa_math3 points·27 days ago

Correction: that threshold is your ICB’s, not a national one. They differ and they change by year.

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u/rasmus_kimani8 points·26 days ago

an online consultation that asks you nothing is not a consultation

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u/ireland_drugs_payMOD4 points·26 days ago

Referral link removed and the post left up. No links of any kind here, and that rule is not negotiable.

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u/curious_panel_only2 points·27 days ago

Same. My ICB threshold was different from the neighbouring one and nobody could tell me why.

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u/vomit_free_since1 point·26 days ago·edited

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.

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u/chidi_abubakar1 point·26 days ago

Have you seen the current threshold published by your ICB?

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u/cormac_erdogan2 points·26 days ago

England, Scotland, Wales and Northern Ireland are four different pathways

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u/nordic_pricing2 points·26 days ago

NHS pathway or private prescription?

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u/mei_cardoso1 point·26 days ago

That is the first-month offer price, not the ongoing monthly cost. The tracker records the second one.

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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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