For the first time, the AMNOG seriously tackles the price monopoly of 1 January onwards for eligible new pharmaceuticals launched on. Since its introduction on January 1, , AMNOG has hampered the market access of some products in Germany such as Trajenta (anti-diabetic) and Retigabin. AMNOG is here to stay. However, all this changed at the beginning of AMNOG, meanwhile, sought to achieve a longer-term reduction of drug prices.

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We understand products to be innovative which tangibly improve patient care. Different questions are relevant within the framework of early benefit assessment.

Implementation of AMNOG: An industry perspective

Further information about the benefit assessment: In the latter case, the pharmaceutical company must pay the cost of the evaluation. It is only for those medicinal products that pharmaceutical companies can expect to receive an adequate refund rate in future. This amount then applies to all persons with statutory insurance, as well as to those with private insurance.

This is however only possible at the earliest one year after publication of the resolution on the early additional benefit evaluation. AMNOG 0211 is vague on the quantitative definition of an additional benefit. The threshold changes over time based on multiple considerations including inflation.

Only the German versions are binding.

However, the latter is typically done in the context of the disease population and the overall evidence instead of applying a prespecified set of thresholds to all situations. Please use two envelopes and note the following on the inside envelope containing the cover letter and CD or DVD: The arbitration body is composed of three non-partisan representatives and two representatives each of both negotiation partners.


This change will influence the treatment choices available to the physician and patient. In February the legislator stopped all planned assessments of the established market by changing the law 14th Social Code Book V Amendment Act.

When presented with the same data, IQWiG may conclude that additional benefit could not be proven. We encourage pharmaceutical companies to seek early advice, which may lead to modifications to the development program. The Federal Joint Committee plays a major role through the early benefit evaluation.

The process consists of two phases. IQWiG assesses the certainty of results on the basis of these data. The implementation of AMNOG in sought to reduce drug prices and relieve the healthcare budget, yet financial pressure remains, particularly from high-priced novel agents in Hepatitis C, and Oncology.

The Board will determine the product price and the price will apply retroactively.

AMNOG – evaluation of new pharmaceutical

Is it really better than the treatments already on the market? New indications of drugs approved from are also assessed.

In this paper, we identify these differences and propose ways to address these differences. Many of our comments relate to the scientific basis for making pricing and reimbursement decisions. The process to determine reimbursement decisions under the new law consists of two phases and is described in Fig.

This alleged novelty however frequently only lies in a molecule variant which is not relevant to the effect of the pharmaceutical. The benefit of a medicinal product is understood to mean its therapeutic effect as relevant to patients. The expectation of two large outcome trials is amnkg unrealistic for a new indication on mortality or severe morbidity for an approved drug.


Consultation fees in accordance with SGB V, section 35a back to top Questions and answers on the procedure Questions on the scope qmnog application Questions on the special case of orphan drugs Questions on appropriate comparators Questions on compiling dossiers Questions on documents in module 5 of the dossier Questions on submitting dossiers Questions on hearing procedures Questions on the handling of confidential documents Questions on the revisability of G-BA decisions Questions on price negotiations with statutory health insurance providers back to top.

Combination of direct and indirect evidence in mixed treatment comparisons. The new medicinal product must take this as its benchmark. The pharmaceutical company must send these documents, including all clinical trials it has commissioned or carried out, to the G-BA in electronic form no later than the day the pharmaceutical is first brought into circulation.

Pharmaceutical companies can send amnof questions they may have regarding the G-BA consultation procedure to the following email address:. C requires an interaction test.