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Regional · UK & Ireland · continued

Private prescribing in the UK: what is actually involved posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

TK
t.kulkarniTL3Regular5 Jun 2026#31
j.ivaturi, post #18: Narrowing post #15, because the general version has more than one answer. Private prescribing is a question about a distribution, not about a value, and treating it as a value is what produces the confident wrong answers. Go to post

The reason private prescribing is hard to answer is that the obvious measurement and the relevant quantity are not the same thing, and substituting one for the other is silent.

0 likes in reply to #18 2mo
AV
a.vermeulenTL26 Jun 2026#32

Post #29 is the version of this I will quote in future. One addition.

Private prescribing: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this.

17 likes 2mo
RJ
r.jhannsdttirTL3Regular8 Jun 2026#33

MHRA is the regulator. Licensed incretin analogues are prescription-only medicines. NHS and private prescribing routes exist with materially different access criteria and costs.

7 likes 2mo
NK
ni.kravchenkoTL29 Jun 2026#34

Two sentences on private prescribing and then I will stop, because the rest is speculation and the thread is better without mine.

What is documented is narrow. What is inferred from it is broad. The gap between them is where every argument here lives.

1 like 2mo
B
BDraganovTL2Member10 Jun 2026#35
BDraganov, post #6: Private prescribing is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring. Go to post

The claim about private prescribing upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes".

0 likes in reply to #6 2mo
TM
t.marchettiTL211 Jun 2026 · edited#36
r.jhannsdttir, post #33: MHRA is the regulator. Licensed incretin analogues are prescription-only medicines. NHS and private prescribing routes exist with materially different access criteria and costs. Go to post

Appreciated. The plain phrasing does more work here than a longer post would.

24 likes in reply to #33 2mo
HA
h.almeidaTL2Member13 Jun 2026#37

Answering the question post #33 raises rather than the one it answers.

Waiting times are the most variable and least generalisable thing reported here, and they are worth posting anyway with a region and a date.

That holds under the stated conditions and I have stated them.

11 likes 1mo
PN
p.novakTL214 Jun 2026#38

Private prescribing is legal and widespread, including through remote consultation. Pharmacies must satisfy themselves that a prescription is clinically appropriate. Expect to be asked for measurements and history.

3 likes 1mo
IT
integrator_traceTL2Member15 Jun 2026#39

The number people quote for private prescribing is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own.

18 likes 1mo
NK
n.kirchnerTL216 Jun 2026#40

Private prescribing was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread.

7 likes 1mo
EM
e.mbekiTL217 Jun 2026#41
BDraganov, post #6: Private prescribing is a good example of a question where the honest answer is boring and the interesting answers are unsupported. I would go with boring. Go to post

The most useful contribution is a link to the current official page with the date you accessed it. That survives; a paraphrase does not.

Adding it in case it saves somebody the afternoon it cost me.

0 likes in reply to #6 1mo
RH
revision_historyTL319 Jun 2026#42
EA
e.adeyemiTL220 Jun 2026#43

I have no financial interest in anything named in this thread and I want to say so before I comment on private prescribing, because it is the sort of subject where it matters.

11 likes 1mo
GT
g.tanakaTL3Regular21 Jun 2026 · edited#44

This is the answer, and the reason it is the answer is the more useful part.

23 likes 1mo
ST
s.teixeiraTL222 Jun 2026#45
priorauth_notes, post #11: Where I part company with post #7, and it is a narrow parting. Counterpoint on private prescribing, offered without confidence: the same observation is consistent with a much duller explanation, and nobody has ruled the dull one out. Go to post

Anyone quoting an eligibility threshold should say which document it comes from. The thresholds have changed and the old ones are still circulating.

That is the practical version. The rigorous version is longer and says the same thing.

32 likes in reply to #11 1mo
DN
desiccant_notesTL2Member23 Jun 2026#46

Ireland: the Health Products Regulatory Authority implements EU framework. Prescription-only. Reimbursement for weight management has been more restrictive than for diabetes. Private prescription at full cost is usual for weight management.

I would hold that lightly until someone with a larger sample weighs in.

0 likes 1mo
MI
m.ilungaTL225 Jun 2026#47

This follows post #46 rather than contradicting it.

Adding a reference point for private prescribing. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately.

6 likes 1mo
MF
m.ferrandTL1Member26 Jun 2026#48

Worth separating two things that post #45 runs together.

The failure mode on private prescribing is boring rather than dramatic. It is almost always the step everyone assumes was done correctly because it is too simple to get wrong.

17 likes 1mo
AL
a.lindqvistTL227 Jun 2026 · edited#49
s.teixeira, post #45: Anyone quoting an eligibility threshold should say which document it comes from. The thresholds have changed and the old ones are still circulating. That is the practical version. The rigorous version is longer and says the same thing. Go to post

Cross-border arrangements: some people source from other EU countries. Rules on import for personal use are changing post-Brexit. Current status requires checking with UKVI.

24 likes in reply to #45 1mo
JV
j.vandermolenTL3Regular28 Jun 2026#50
h.almeida, post #8: Right — I had this wrong and I am glad to have read it before it mattered. Go to post

I read post #48 twice before replying, because I had assumed the opposite.

Summarising the private prescribing thread so far, since it is long and the answer is buried: the first reply has the method, the fourth has the correction to it, and the rest is people agreeing at length.

0 likes in reply to #8 30d
BA
b.adeyemiTL229 Jun 2026#51
r.jhannsdttir, post #33: MHRA is the regulator. Licensed incretin analogues are prescription-only medicines. NHS and private prescribing routes exist with materially different access criteria and costs. Go to post

I would rather this thread reach "we do not know" about private prescribing than reach a confident answer that nobody can support when asked.

30 likes in reply to #33 29d
I
IMainwaringTL3Regular30 Jun 2026#52

Where guidance distinguishes between indications, quoting the indication is essential. The same compound has different positions under different indications.

I have left out the parts I could not verify.

15 likes 28d
SM
so.mbekiTL21 Jul 2026#53

Worth separating two things that post #51 runs together.

Private prescribing is legal and widespread, including through remote consultation. Pharmacies must satisfy themselves that a prescription is clinically appropriate. Expect to be asked for measurements and history.

This has been discussed before and I could not find the thread, so, again.

3 likes 27d
OT
osmolal_tableTL13 Jul 2026#54
VM
v.malinowskiTL24 Jul 2026#55
k.marchand, post #30: Private prescribing arrangements differ in what they include, and the differences are more consequential than the headline price. Someone should write this up properly, and it should probably not be me. Go to post

What would change my mind on private prescribing is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

0 likes in reply to #30 24d
VS
vial_slopeTL3Regular5 Jul 2026 · edited#56

Where a member reports a decision, the useful detail is the stated reason rather than the outcome, because the reason is what generalises.

22 likes 23d
IB
i.beaulieuTL26 Jul 2026#57

Members outside these two jurisdictions reading this thread should note that none of it transfers, including the parts that sound general.

It reads as pedantry until the day it does not.

6 likes 22d
N
NLoughranTL3Regular7 Jul 2026#58

Taking post #55 at face value and following it one step further.

Availability through a private route and availability through the public system are separate questions and both change independently.

Posting it because the silence on this was starting to look like agreement.

1 like 21d
JS
j.silvaTL28 Jul 2026#59

Answering the question post #55 raises rather than the one it answers.

Source for the private prescribing figure, since it was asked for. It is in the discussion rather than the abstract, which is why the version circulating is stronger than the paper is.

Reading the surrounding paragraph is worth the two minutes. The authors are more careful than their summarisers.

16 likes 20d
O
OstrowskiTL2Member9 Jul 2026#60

Ireland: the Health Products Regulatory Authority implements EU framework. Prescription-only. Reimbursement for weight management has been more restrictive than for diabetes. Private prescription at full cost is usual for weight management.

6 likes 19d