vialroom

#uk-ireland 2025-09-14

Sunday48 messages9 participantstimes are UTC
Highlights from this day
  • knees_first — the online clinics vary enormously in how much they check. one wanted a video call and photographs and one wanted almost nothing 15:08
  • meal_prep_mick — 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 16:25
  • reship_rita — the tier 3 referral needed my gp to actually make it, and that turned out to be harder than meeting the criteria off label and unlicensed get used interchangeably in… 20:05
KF

the online clinics vary enormously in how much they check. one wanted a video call and photographs and one wanted almost nothing

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KF

private clinic quoted me $72 a month, is that about right or am i being had

SB

ok so the shortage was upstream of the pharmacies as far as anyone here could tell, and shouting at counter staff achieved nothing

BS

update from 8 months ago: my clinic price went up by £120 and the supply steadied in the same month, we shall see

pharmacy has had nothing for three weeks, is that everywhere or just my bit of the country

the mhra publishes supply notices. whether your pharmacy has read them is an entirely separate matter

i rang eleven pharmacies and the twelfth had it. that was one winter, and it is not a strategy

SB

vat was not charged on the private prescription i saw, but i am the wrong person to ask about tax

BS

everything in this channel about pricing is a snapshot. read any figure here as the month somebody typed it

BS

a private prescription in the uk was dispensable at any pharmacy willing to take it, in my experience of it

MP

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

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MM

i would not repeat any of the nhs criteria as current fact, they were revised at least once since i last read them

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

MP

quick one scotland ran a different process from england when i looked into it, and a member there reported a shorter wait

BB

slightly off topic but what happens at the end of the two years on the nhs route

BB

is the irish price genuinely higher or is that a currency thing

BS

coming back after 4 months, is the nhs picture any better

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BB

i paid €94 a month at a private clinic in 2024 and the price went up twice while i was with them

while im here ireland runs its own reimbursement system and as best i understood it a year ago the picture there was less generous than people expect

BB

quick one did anyone get a tier 3 referral without a bmi over 35

NA

i was wrong in here about what unlicensed meant for about six months until somebody sorted me out

NA

i moved from private to nhs and the handover was messy. one experience in one area, nothing more than that

that was 2024

BS

driving never came up for me at all and i would ask a clinician rather than take my word on it, take that with a pinch of salt

MP

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

RR

is the picture in ireland completely separate on reimbursement

BS

follow up nobody here can tell you what your gp will do. the variation between practices is the whole story in england, still working it out

snapshot not fact

MP

northern ireland has two sets of rules doesnt it, how does that work in practice

RR

did anyone get through the nhs route and how long was it end to end

the tier 3 referral needed my gp to actually make it, and that turned out to be harder than meeting the criteria
off label and unlicensed get used interchangeably in here and they are different. off label is a licensed product used outside its licence

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as of when i last looked, nhs access ran through specialist weight management services and the criteria were tight