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

how much of what we believe about tier 3 actually comes from UK threads

Pricing Long Haul ×3

how much of what we believe about tier 3 actually comes from UK threads. Searched first, found three threads that contradict each other, hence the post.

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

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

The online consultation asked me three questions, none of them about my history. I did not go ahead.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

929 up / 323 down74% upvoted29 commentsid 7n8g9424 Apr 2025

29 comments

23 in this archive, depth 6

best — the order this archive was captured in

u/hassan_chowdhury62 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/gradient_goblin74 points·1 year ago

Disagree. That is the pathway in one ICB and it does not generalise even to the next one over.

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u/ahmed_iyerOP-17 points·1 year ago·edited

Disagree.

This is why national advice does not work here. It is commissioned locally and it varies.

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u/ahmed_iyerOP41 points·1 year ago

How long have you been on the list, and from what date?

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u/ahmed_okafor26 points·1 year ago

This. The monthly pricing tracker is the most useful thing on this board and it works because nobody is allowed to link anything.

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u/bence_ibarra91 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/sorted_by_new30 points·1 year ago

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

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u/helga_vermeulen24 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/ahmed_iyerOP14 points·1 year ago

Have you seen the current threshold published by your ICB?

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u/zaid_balogun7 points·1 year ago

A private prescription is an independent route: it does not affect NHS list position, and it is not a step in the same pathway.

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u/kavya_kravchenko23 points·1 year ago

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

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u/tomas_lehtinen19 points·1 year ago

keep every letter, the dates matter later

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u/kavya_kravchenko28 points·1 year ago·edited

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.

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[deleted]10 points·1 year ago

[deleted]

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u/gradient_goblin3 points·1 year ago

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

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u/pavel_kravchenko4 points·1 year ago

The scheme cap in Ireland was the single most useful thing I learned in a year of reading this board.

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u/vitamin_d_void1 point·1 year ago

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

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u/careful_gradient_notes1 point·1 year ago

Push back: a private prescription is a separate route, not a shortcut through the NHS queue.

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u/ignacio_roos1 point·1 year ago

Yes — four nations, four pathways, and threads that ignore that give people the wrong answer confidently.

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u/mikkel_correia14 points·1 year ago

ask the pharmacy for the price list, not the headline offer

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u/helga_vermeulen14 points·1 year ago·edited

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

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u/yusuf_ramos10 points·1 year ago

Did the consultation ask about history and medication?

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u/vitamin_d_void6 points·1 year ago

Did the consultation ask about history and medication?

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

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