vialroom

#uk-ireland 2026-05-31

Sunday38 messages9 participantstimes are UTC
Highlights from this day
  • sharps_bin_sid — how many pharmacies do people ring before giving up for the day 14:36
  • bpc_sceptic — is the pharmacy supply gap the manufacturer or the wholesalers 17:16
  • triple_ag_tom — gp said they cant prescribe it at all, is that national or a local budget thing 18:44

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

BB

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

CF

when i checked last year my local specialist service was quoting eighteen months to two years, and that was for a first appointment

NS

the criteria included a bmi threshold plus comorbidities when i read them, and they have been revised since, so check rather than trust me

[edited]
NS

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

BR

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

BR

update on the earlier thing what does unlicensed actually mean when the mhra uses the word

NS

cheapest legitimate route i found was a pharmacy led online service, and cheapest is only one axis of that decision

check, dont trust me

TA

slightly off topic but nobody here can tell you what your gp will do. the variation between practices is the whole story in england

RT

right so an irish member told me their out of pocket cost was noticeably higher than the uk equivalent when they compared in 2024

BS

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

[edited]
TA

coming back to this the honest position on uk policy is that it moved four times in the two years i have been paying attention

RT

off label and unlicensed get used interchangeably in here and they are different. off label is a licensed product used outside its licence

the tier 3 referral needed my gp to actually make it, and that turned out to be harder than meeting the criteria

TA

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

SB

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

SB

private clinic quoted me $240 a month, is that about right or am i being had

SB

mine was 18 months

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 - 260
BS

is the pharmacy supply gap the manufacturer or the wholesalers

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unlicensed isnt illegal

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

BS

coming back to this ireland runs its own reimbursement system and as best i understood it a year ago the picture there was less generous than people expect

TA

gp said they cant prescribe it at all, is that national or a local budget thing

[edited]
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