Cloud Pharmacy now querying my Mounjaro maintenance and ordering schedule

[LilyRose88]

I've been ordering Mounjaro from Cloud Pharmacy for over a year, and have been maintaining for 12 months. I've been injecting 5mg every 9-10 days and using the 5th dose via an insulin syringe during my maintenance phase. Up until now Cloud has been fine about me ordering a 5mg pen every couple of months, but suddenly today when I placed an order I got a message asking me when I last injected. I explained the above and got a message back saying that this was not okay and that unless I agree to inject every 7 days and order every 4 weeks they cannot supply me.

I confirmed I would do this as I wanted to order another pen (I do have a bit of a stash in the fridge!). I then got a couple of other messages asking about my health and warning me about various potential interactions with my thyroid medication. They also asked me to confirm that my GP was aware I was taking Mounjaro. I did so and they then approved my order.

It seems that they have tightened up their prescribing. Can anyone recommend an online pharmacy that is happy to prescribe Mounjaro less frequently for someone in their maintenance phase?

I had a similar poor experience with Ashcroft Pharmacy having loyally been with them for approaching 2 years and they refused and refunded two x £500 orders.

They had a meeting of a group of pharmacists to analyse my ordering and doses…
Feel unhappy about some of the dialogue with them.

I was always excellent at providing a lot of clinical responses and justification (former healthcare professional and I’m of an age!)

Always explained that constipation was an issue, I had to wait for bowel opening at (or mostly after) the 7 days stage, before I felt I could reinject.

It’s been a huge problem when travelling/on the road/flying regularly every month and companies put obstacles in the way, we need to be certain that if there is say a one week gap where we are home and able to receive the chilled parcel - that they won’t let us down - and worst case, have to start again at a 2.5mg non-therapeutic dose.

I’m currently with Pharmacy 2 U who also efficiently deliver my other NHS / statin meds - but am not happy with their pricing so looking elsewhere.

Hi LilyRose88,

Thank you for coming back to us. We’ve taken the time to look into your email, and we completely understand why you were disappointed with the response you received.

We appreciate that, on this occasion, we could have done more to make sure you felt supported and that your individual circumstances were properly understood. We’ve shared this with the team as feedback, as it’s really important to us that our patients feel listened to and supported throughout their treatment journey.

Our website provides guidance around what to expect from our Maintenance Programme and our Cloud Care Model, but we recognise that this is only the starting point. Everyone’s maintenance journey is different, and sometimes having the opportunity to talk things through with our clinical team is what’s most helpful.

With this in mind, we’ll be asking a member of our clinical team to reach out to you directly to talk through your maintenance journey, answer any questions you may have and make sure you feel comfortable with the next steps.

We really appreciate your feedback and hope speaking with our clinical team gives you the personalised support you’re looking for.

Kindest regards,
Cloud Pharmacy

Quick update after my phone call with Cloud. They explained that as the manufacturer only guarantees that a Mounjaro pen is safe for 30 days after opening, they do not support micro dosing if it results in the pen being used beyond this time, even if it is kept in a fridge. They were happy for me to order less frequently than every 4 weeks if I kept to this requirement. I think injecting every 8 to 9 days does keep to this, counting the first injection as day 1. And if I provide a photo of my ‘stash’ of pens in the fridge ordered from other providers they would support less frequently ordering. I am paraphrasing a bit here but that is the jist of the call. I am going to stay with them for the next few orders and see how things go. Thank you to those on this thread who have recommended other providers who support maintenance, I will bear those suppliers in mind for the future if things don’t work out with Cloud.