scotland differs
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#uk-ireland 2025-05-03
Saturday46 messages7 participantstimes are UTC
Highlights from this day
- retention_time — driving never came up for me at all and i would ask a clinician rather than take my word on it, i could be wrong 18:54
- private_script_pri — as of when i last looked, nhs access ran through specialist weight management services and the criteria were tight 22:14
- bea_reconstitutes — gp said they cant prescribe it at all, is that national or a local budget thing 22:43
genuine question nobody here can tell you what your gp will do. the variation between practices is the whole story in england
the criteria included a bmi threshold plus comorbidities when i read them, and they have been revised since, so check rather than trust me
when i checked last year my local specialist service was quoting eighteen months to two years, and that was for a first appointment
driving never came up for me at all and i would ask a clinician rather than take my word on it, i could be wrong
reported by members, own currency, not comparable directly
private clinic, UK 145 - 220
statutory, DE 10 co-pay
private script, DE 180 - 240
pharmacy, PL 95 - 140
pharmacy, SE 210 - 260is the pharmacy supply gap the manufacturer or the wholesalers
off label is different
check, dont trust me
does anyone know whether the shortage list is public
[edited]is the picture in ireland completely separate on reimbursement
update from 22 months ago: my clinic price went up by €94 and the supply steadied in the same month
northern ireland sits under different arrangements from great britain and those have changed more than once, so do not treat anything i say about it as current
there was a two year limit in the nhs guidance i read. what happened at the end of it was not clear to me then and may be clearer now
genuine question a member in dublin said their pharmacy supply was steadier than mine in england, which surprised both of us
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border force stopped a parcel of mine and sent a letter, and that was the whole of it. no follow up and no knock at the door
an irish member told me their out of pocket cost was noticeably higher than the uk equivalent when they compared in 2024
cheapest legitimate route i found was a pharmacy led online service, and cheapest is only one axis of that decision
prices have moved since
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i paid $55 a month at a private clinic in 2024 and the price went up twice while i was with them, ill dig out the number
everything in this channel about pricing is a snapshot. read any figure here as the month somebody typed it, we shall see
[edited]what does unlicensed actually mean when the mhra uses the word
the seizure letters members have had here have been letters and nothing else, but that is our sample rather than a guarantee, anyway
20:09tenpence pinned a message to this channel
just a letter
a private prescription in the uk was dispensable at any pharmacy willing to take it, in my experience of it, anyway
right so the honest position on uk policy is that it moved four times in the two years i have been paying attention
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right so anyone had a parcel stopped by border force and what actually happened next
member reported tier 3 waits in england were all over the place, from nine months to nearly three years, as of about a year ago
the online clinics vary enormously in how much they check. one wanted a video call and photographs and one wanted almost nothing
snapshot not fact
vat was not charged on the private prescription i saw, but i am the wrong person to ask about tax
does the two year wait figure people quote come from anywhere real
i have never been asked for id at a pharmacy for this and other members here have, so it seems to be down to the individual pharmacist
anyone in ireland willing to compare what theyre paying
ni has its own rules
[edited]quick one unlicensed in mhra terms means there is no uk marketing authorisation for that product. it is not the same as illegal and it is not the same as approved
off label and unlicensed get used interchangeably in here and they are different. off label is a licensed product used outside its licence
ok so i would not repeat any of the nhs criteria as current fact, they were revised at least once since i last read them, not advice obviously
i was wrong in here about what unlicensed meant for about six months until somebody sorted me out
that was 2024
anyone moved from a private clinic to nhs or the other way round
as of when i last looked, nhs access ran through specialist weight management services and the criteria were tight
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follow up northern ireland has two sets of rules doesnt it, how does that work in practice
gp said they cant prescribe it at all, is that national or a local budget thing
[edited]weights-monthly.csv
885 rows · not retained in the public archive
has anyone been asked for id at a pharmacy counter for this
when i checked last year my local specialist service was quoting eighteen months to two years, and that was for a first appointment
the mhra publishes supply notices. whether your pharmacy has read them is an entirely separate matter
ireland runs its own reimbursement system and as best i understood it a year ago the picture there was less generous than people expect