Overview

• From 1 September, private providers introduced new prices for the highest 15mg dose, with examples including Asda at about £298.97, Simple Online Pharmacy at £299.99 and Boots at £335.
• Eli Lilly has offered supplier rebates that reduce the effective top‑dose supplier price to around £247.50, though patients still face higher out‑of‑pocket costs.
• Separate NHS arrangements with Community Pharmacy England and the Department of Health and Social Care ensure continued supply and reimbursement at updated list prices, preventing pharmacies from dispensing at a loss.
• NHS use has surged, with prescriptions rising from 18,501 in May 2024 to more than 147,000 in May 2025, equivalent to roughly 197 injections per hour.
• Pharmacies report active price competition and patients are shopping around, with reports of some switching to alternatives such as Wegovy and clinicians urging medically supervised changes to treatment.