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c/glp1uk·posted 1 months ago by u/ahmed_okafor

why does nobody talk about private prescription

Question Long Haul ×7

The title is the whole question — why does nobody talk about private prescription — but here is why I am asking.

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

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.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

695 up / 98 down88% upvoted24 commentsid 7mk65j29 Jun 2026

24 comments

15 in this archive, depth 5

best — the order this archive was captured in

u/ice_pack_auditcold chain90 points·1 months ago

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/rasmus_kimani29 points·1 months ago

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

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u/hassan_chowdhury68 points·1 months 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_ramos55 points·1 months 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/ravi_sandvik14 points·1 months ago·edited

no referral links, ever, and that rule is why the pricing threads work

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u/slow_logbook8 points·29 days ago·edited

Discharged at goal back to the GP, who would not continue it. Nobody had mentioned that this was how it ends.

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u/camila_marchand46 points·1 months ago

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

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u/ahmed_okaforOP-22 points·1 months ago

That is the first-month offer price, not the ongoing monthly cost.

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

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u/marisol_moreau1 point·29 days ago

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

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u/marit_mensa17 points·29 days ago

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

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u/tomas_lehtinen7 points·29 days ago

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

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u/halima_boateng56 points·29 days ago

Cosigning on discharge at goal. It catches people who have done everything right and did not know it was coming.

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u/ahmed_okaforOP21 points·29 days ago

Have you seen the current threshold published by your ICB?

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u/rina_nascimento30 points·29 days ago

the Irish scheme cap is the single most useful fact in this board

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u/dilara_weiss14 points·29 days ago

the Irish scheme cap is the single most useful fact in this board

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

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About c/glp1uk

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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