Maintenance Policy Email Cloud Pharmacy And Others. (A list of Mounjaro maintenance providers)

[RightOnTrack]

Hi, just for anyone who's asking for pharmacies policies on maintenance, I've just received an email from Cloud pharmacy and this is so far the best stance I've seen anywhere. Some other pharmacies offer maintenance but Cloud seem to be the first I've seen to finally outrightly state "for life" rather than 'We'll see how it goes', 'Well have a consultation and discuss your options', 'Let's have a chat', 'You have to pay a small fee to stay on our books while you're on maintenance', 'We're happy to work with you for maintenance and we take it individually', etc. I also know they offer one month on and one month off for maintenance from what some people on reddit are on. I hope more pharmacies get on board this "for life" stance rather than beating about the bush or being limited to a certain bmi cutoff or taper.

Just wanted to post this so others can have an idea and decide for themselves as it's mostly been one or two popular pharmacies that posters constantly advertise all over the MJ forums. I use Cloud and they're excellent so far. They're on the monj.co uk list and others lists too. I'll definitely stay with them for maintenance when the time comes. No referral codes and they give discounts to their customers without you doing anything for it, so I have no skin in the game. I definitely have nothing to gain from posting, just sharing to help others.

Feel free to share other pharmacies maintenance policy on this thread if you have any in writing. It will help us all to know who to go with for support. X

I'm happily maintaining with Oushk, though I'm definitely not a dedicated Oushker haha! I'm very happy, but I cringe at the fb group.

They've made some big mistakes, like discount codes for tiktok 'influencers' which imo is unethical.

They're also announcing new pricing today, there's been hints that our maintenence discount will reduce which is disappointing. They are reducing the prices of the highest doses so have to reduce the maintenence % but that will adversely affect those of us on the lower doses to benefit those on the higher doses, which doesn't sit right with me.

But I shouldn't preempt, let's see what happens!

I pay £127.50 for my maintenence dose, including delivery, will be interesting to see how that changes with the new prices.

The video call was a bit inconvenient but did actually help as I explained to Hira that I was struggling to switch my brain over to maintenence, so had lost a further stone beyond my planned goal weight (my BMI is now 25 so it's not as drastic as it sounds, my goal weight was one I have maintained well in the past, I don't care about bmi). She gave me some great advice - much more helpful than I expected.

I never wanted to chase discounts and constantly switch suppliers as it doesn't sit right with me with a prescription medication so Oushk was definitely the best choice for me.

Just seen Oushk's new prices. Very competitive for maintenance I'd say! Good tactic by them having possibly observed habits of those customers already maintaining - if you can keep a customer when they start getting to the higher doses you're probably going to make more money. Those at lower doses still more likely to shop around and switch provider. Also talk of making the consultation calls optional. I think they're working hard to stay ahead of the game - good to see.

Does anyone else see the Oushk FB group and think 'gosh I feel sorry for them having to deal with that lot?" or is it just me?

Not just you, no - I do wonder if they aren't grimacing at it behind the scenes!

It's like a collection of all that's annoying about humanity rolled up into one place.

Sorry that was an aside (glad to see not just me though!) yes the prices look good. It's just the FB group and having to do 'video chats' puts me off. Plus I worry now they might get v busy with the new prices too and they seem v. dependant on one person in charge.

Hopefully both will be very optional!

I don't need to decide quite yet...

Me too. I will wait and see how things go..

I wonder if doing maintenance with one supplier and proof means you could change to another easily if bmi is 22/23
And you prove it's due to maintenance

I guess I'm worried that whoever I stick to and prob cloud or iq that it may then be wrong and I'm stuck unhappy

I think there are more people in the background than it appears from the Facebook page.

I watched the live the other day (I wasn't sure as I find the FB can be a bit OTT but it was useful) and there were clear references to other pharmacists and to a customer service team working in the background.

I'm sure in time this will be easier than it is now - ultimately if you can prove your MJ history all these companies are going to be VERY interested in attracting customers who are potentially giving a very long term income stream.

I agree, it is difficult for prescribers.

There is a huge range of people using MJ and their background and history will be different.

Some will undoubtedly require lifetime medication but not necessarily everyone and the science is developing quickly.

While "develop healthy habits" might sound patronising there will be people who have had the chance to change their lifestyle and habits with help frim MJ and that might be enough for them to maintain their weight at a reasonable level. Especially people who gained weight due to a specific trigger/event.

For many maintenance without drugs won't be possible but it isn't terribly supportive to tell people that if they aren't ready to hear it.

People who want to try to taper down and come off need to be supported to do so but should also have the ability to go back on if it isn't working and very few pharmacies seem to be clear that they are supportive of that.

That's true @85reasons

If we all taper down and obv eat more calories so sts rather then lose 2lbs week wouis we still need a weekly pen

Guess don't know till stop and if hunger pains come back

Thinking long term - if the NHS does eventually roll out prescriptions to the obese (that's 15m UK adults!) these private prescribers have a finite window to attract and keep us private customers. I'd be much more interested in hooking in the lifetime maintainers than pandering to those wanting 2.5mg pens just starting off. Eventually it would seem it will just be prescribed by NHS so long term private pharmacies' customer base will diminish - making those of us paying privately now even more valuable.

This was mentioned on the Oushk maintenance FB page, and they seem to be open to looking into less frequent doses. The main page is very absolute about not discussing any use other than strictly by the book but on the maintenance page they are asking about what people would like to do in maintenance and a few people are talking about less frequent doses. I think it was mentioned on the live as something that can be considered following discussion with the prescriber.

If you are grimacing at their fb posts already you are in for a treat when you see their next announcement which is coming soon, a project from the other half of the business.................OushkFuel !!!!!!!!!! Their own brand of protein powder with collagen 🙈🤣🤣

Some other better news from Oushk - I believe the maintenance prices are also free delivery which is good as their usual £6.99 delivery is quite steep.

There was a fb post with the new pricing structure which also said video consultations for maintenance are still available but will become optional and they are soon putting in place a maintenance consultation form for those that don't want a video call. I assume now they had a few they have found them of little added value to the average/well informed patient, or just take up too much of their prescribers time (it isn't just Hira the lead prescriber that does them, their other prescribers do them too).

I am months and months away from maintenance so it will probably all change again by the time I get there, but I'm glad to hear the video consultations are not needed anymore as they would be my idea of hell!!!

Oh a form sounds a much better plan, especially as things might change as someone goes into maintenance depending on how things go.

I have to say that the new Oushk pricing structure is very appealing. The only thing now putting me off (other than the FB group!) is the requirement for a full consultation form every time although I see they have changed it slightly and now tells you where you can skip if a long term customer.

Having just had a pen from Pharmulous (which admittedly wasn't delivered seamlessly!), I have to say I am quite keen on them as the process was very simple, they were very responsive (before the radio silence over delivery!), I like Dr Mel and they are fairly LOCAL so I could pick up at a push. I am hoping they do something with their maintenance pricing in the next couple of months.

I have pens till the beginning of March and will (hopefully!) be withing spitting distance of goal then so will watch and see what happens...

Definitely not just you!

Following this thread about maintenance with great interest. I swapped to Ousch a while back only because they were offering a clear maintenance plan. I have probably paid too much for my pens, although I have mainly had discount codes for Ousch. When you sign up for maintenance with Ousch, there is a statement that you have to agree to.. something about agreeing not to order pens from any other supplier. I have already had my 15 minute maintenance video call with Hira. That cost £5 which i thought was very good. She mentioned the idea of spacing jabs up to 9 days apart, which fits in with 30 day window (if you aren't using the bonus dose, which I am using) I am not sure I will stay with Ousch now because of the £20 monthly fee to stay on the books when you are not jabbing anymore. Yesterday, I ordered from Pharmacy2U as there was £60 off your first order, which made my 12.5 mg pen 'only' £139 including postage. Hopefully by the end of that pen I should be very near target.
I have emailed the companies mentioned on this thread offering maintenance (need to add BOLT to this now) with some specific questions. It will be interesting to see the responses and how long they take to respond. For anyone interested I will post the content of my email here. I might not have expressed it perfectly, and maybe there are extra questions to ask.

Hi there
Maintenance Plans
I am nearing the end of my weight loss journey with BMI of 27. I am aiming for 25 BMI at the top of my healthy weight range.

I have heard that you are offering a maintenance plan.

My intention is to titrate down from 12 5 and at some point try to maintain without Mounjaro, with option to go back on if I am gaining weight.
My concern is that I can take a break but go back onto Mounjaro if I gain up to 7 pounds. I don't want to wait to go back on after a more significant gain.

Please can you respond with answers to the following?

1. What BMI will you accept a new patient for maintenance?
2. How long can I stay on maintenance?
3. How long a gap do you allow between being on an MJ pen, stopping an MJ pen, then going back onto a MJ pen.

Many thanks

I have just emailed BOLT now.

Thanks for all the information on here and the list 😀

Sorry I don't know how to edit but I am wondering if I actually got the 30 day window and jabbing 9 days apart right. 4 jabs every 9 days would be over 30 days so I might have misheard that. But I am wondering if people do use their pen (once it is opened and stored in the fridge) for more than 30 days?

The first jab would be day 0 though, with the other 3 would take you up to 37 days or with an extra one would be 36 days

I didn't realise with Oushk you had to agree not to order from anyone else. I'm not sure I'm keen on that.

*27 not 37 (sorry was typing a bit fast)

Many thanks for calculations. I wonder how many people use an opened pen kept in the fridge after 30 days? I am pretty sure that when I signed up for Oushk maintenance there was some box I ticked regarding only ordering from Oushk, but I sometimes doubt my own memory these days (getting older at 68) The whole maintenance issue is tricky and I don't want to suddenly stop, but not sure if I want to jab for life. If I stop jabbing, then gain half a stone I want the option to go back to jabs. I don't want to have to regain weight up to 30 BMI before going back on the jabs...sorry if I haven't made sense! Hopefully on this thread we can get clarity on the plans offered. It's great to share the knowledge.