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Regional · UK & Ireland

Second pass at: Pharmacy supply in the UK and the questions you will be asked

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DB
d.bakkerTL213 Nov 2024#1

Second pass at: Pharmacy supply in the UK and the questions you will be asked Writing it up because I had to work it out twice and would rather nobody else did.

Asking about Pharmacy supply on behalf of the question I keep seeing asked badly, including by me.

Framed properly it is answerable. Framed the usual way it is not, and that is most of why the previous threads went nowhere.

35 likes 20mo
DA
d.achebeTL224 Nov 2024#2

On Pharmacy supply I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated.

8 likes 20mo
TF
taper_fileTL3Regular2 Dec 2024#3
d.bakker, post #1: Second pass at: Pharmacy supply in the UK and the questions you will be asked Writing it up because I had to work it out twice and would rather nobody else did. Asking about Pharmacy supply on behalf of the question I keep seeing asked badly, including by me. Framed properly it is answerable. Framed the usual way it is not, and that is… Go to post

The honest answer on Pharmacy supply is that it depends, and the useful part is the list of what it depends on. Four items, in rough order of how much they matter.

Most people get the first two right and then argue about the fourth.

0 likes in reply to #1 20mo
HK
h.krastevTL29 Dec 2024#4
taper_file, post #3: The honest answer on Pharmacy supply is that it depends, and the useful part is the list of what it depends on. Four items, in rough order of how much they matter. Most people get the first two right and then argue about the fourth. Go to post

Taking the opening post at face value and following it one step further.

Date the claim and say whether it is the United Kingdom or Ireland. They are different regulatory jurisdictions and the answer is frequently different.

0 likes in reply to #3 20mo
D
DSakamotoTL3Regular16 Dec 2024#5

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

Pharmacy supply came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction.

13 likes 19mo
CK
c.kuuselaTL222 Dec 2024#6

Post #5 answers the question as asked. The question underneath it is different.

I read the earlier replies on Pharmacy supply twice before writing this, because I had assumed the opposite and wanted to be sure I was disagreeing with what was said rather than what I expected.

4 likes 19mo
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IbrahimoviTL2Member28 Dec 2024#7
d.achebe, post #2: On Pharmacy supply I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated. Go to post

Clinical guidance published for prescribers is public and answers most eligibility questions here more precisely than the discussion does.

Take the reasoning and check the arithmetic; I do not always get it right.

0 likes in reply to #2 19mo
AM
a.molnarTL22 Jan 2025#8

I came in to disagree and I am leaving without a disagreement.

27 likes 19mo
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i.aranda_esTL2Translator · ES8 Jan 2025#9

I would call the community position on Pharmacy supply likely rather than established, and I would be comfortable defending that hedge.

8 likes 19mo
II
i.ilungaTL213 Jan 2025#10

Pharmacy supply is a question about a distribution, not about a value, and treating it as a value is what produces the confident wrong answers.

2 likes 18mo
TW
t.waldenstrmTL2Member19 Jan 2025#11

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

I keep a log of this specifically because memory is unreliable about it.

22 likes 18mo
SR
s.radichTL224 Jan 2025#12
Ibrahimovi, post #7: Clinical guidance published for prescribers is public and answers most eligibility questions here more precisely than the discussion does. Take the reasoning and check the arithmetic; I do not always get it right. Go to post

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

One case, stated as one case.

0 likes in reply to #7 18mo
M
MakinenTL2Member29 Jan 2025#13

Building on post #10 rather than restating it.

If someone has run Pharmacy supply properly I would rather read that than my own reconstruction of it. Posting mine only because the thread has gone quiet.

3 likes 18mo
JS
j.solbergTL23 Feb 2025#14

Agreed on Pharmacy supply, with one qualification that I think matters. The reasoning holds for the case as described. Change the starting assumption and it does not, and the starting assumption is the part nobody states.

10 likes 18mo
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LundqvistTL2Member8 Feb 2025#15

That is a cleaner way of putting what I was circling around.

16 likes 18mo
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s.hartmannTL213 Feb 2025 · edited#16
d.bakker, post #1: Second pass at: Pharmacy supply in the UK and the questions you will be asked Writing it up because I had to work it out twice and would rather nobody else did. Asking about Pharmacy supply on behalf of the question I keep seeing asked badly, including by me. Framed properly it is answerable. Framed the usual way it is not, and that is… Go to post

Post #12 describes the usual case. This is about the unusual one.

Where the compound is supplied with a device, the device and the compound have separate availability positions and the device is more often the constraint.

31 likes in reply to #1 17mo
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KForsbergTL2Member17 Feb 2025#17
DSakamoto, post #5: I read the opening post twice before replying, because I had assumed the opposite. Pharmacy supply came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction. Go to post

The version of Pharmacy supply that circulates here is a simplification of a simplification. It is not wrong, but it has lost the conditions under which it holds, and those conditions are where the interesting cases live.

1 like in reply to #5 17mo
KK
k.kimaniTL222 Feb 2025#18

Pharmacy practice varies between pharmacies and is not deducible from the regulatory position. Two people can honestly report opposite experiences.

Someone should write this up properly, and it should probably not be me.

6 likes 17mo
GD
glossary_deskTL3Regular27 Feb 2025#19

Post #18 answers the question as asked. The question underneath it is different.

On Pharmacy supply: the maintained page in the documentation commons covers the general case with citations and a review date, which is more reliable than any reply here including this one.

11 likes 17mo
AK
an.kirchnerTL23 Mar 2025#20

I read post #16 twice before replying, because I had assumed the opposite.

Answering the Pharmacy supply question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.

23 likes 17mo
SL
s.leclercTL4 Moderator8 Mar 2025 · edited#21

Cross-border movement between the two jurisdictions is not the same as domestic movement within either, and the rules are published rather than inferred.

That is one dataset and I would not build a rule on it.

4 likes 17mo
LS
l.salinasTL212 Mar 2025#22
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ms_hollowayTL4Mass spectrometrist17 Mar 2025#23
Lundqvist, post #15: That is a cleaner way of putting what I was circling around. Go to post

Everything in post #21 holds. The case it does not cover is the one I have.

Supply and shortage resilience: both UK and Ireland sourced primarily from European suppliers until recent disruptions. Domestic availability and pricing changed.

0 likes in reply to #15 16mo
NS
n.silvaTL221 Mar 2025#24

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

I am not the right person to answer the follow-up to this.

19 likes 16mo
DV
dr.villanuevaTL3Physician25 Mar 2025#25

The version of Pharmacy supply that I was taught turned out to be a teaching simplification. Useful, and not true in the way I had assumed it was.

2 likes 16mo
YA
y.adebayoTL230 Mar 2025#26
l.salinas, post #22: Adding a data point of agreement rather than a data point. Go to post

Whatever the answer on Pharmacy supply turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, invite the correction.

0 likes in reply to #22 16mo
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TL4_HalvorsenTL4Leader · Journal club3 Apr 2025#27

I read post #25 twice before replying, because I had assumed the opposite.

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

27 likes 16mo
CC
ch.correiaTL27 Apr 2025#28

Post #25 answers the question as asked. The question underneath it is different.

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

13 likes 16mo
FN
formulary_notesTL3Regular11 Apr 2025#29

I had written a reply contradicting post #25 and deleted it. Here is what survived.

Adding a small correction to the Pharmacy supply summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

12 likes 16mo
RB
r.bruunTL215 Apr 2025#30

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.

The honest answer is that it depends, and here is what it depends on.

4 likes 15mo