Drug Pricing Germany Plus V

Price determination and billing data for assistive products, dressings, and medical devices, based on national and regional delivery contracts.

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Key Benefits
  • Faster, more reliable price determination for assistive products
  • Billing details aligned with national and regional delivery contracts
  • Retrieval via the PZN and assistive-product position numbers
  • Monthly updates from ABDATA Pharma-Daten-Service
  • Covers assistive products, dressings, medical devices, and dietetic products

Drug Pricing Germany Plus V in a nutshell

Drug Pricing Germany Plus V is an optional supplement to the Drug Pricing Germany tool. It provides the information needed to bill articles in accordance with national and regional delivery contracts, with a focus on assistive products.

The module supports providers in the often complicated and time-consuming price determination of assistive products. Prices and billing details can be retrieved via the PZN and the assistive-product position numbers.

What the module covers

  • Medicinal products in accordance with § 47 AMG
  • Urine and blood test strips
  • Assistive products and dressings
  • Medical devices prescribable under Annex V
  • Dietetic products under § 31 SGB V, including amino acid mixtures, protein hydrolysates, elemental diets, and probe diets
  • Approval limit references
  • Delivery exclusions of individual funds resulting from tenders (§ 127 SGB V)
  • Supply contracts with package arrangements
  • Billing in accordance with § 302 SGB V, including fund-specific billing numbers
  • Contract-specific billing of compression stockings

Data source and updates

The data originates from ABDATA Pharma-Daten-Service in Eschborn and is updated monthly. Drug Pricing Germany Plus V requires the Drug Pricing or Premium subscription.

Highlights of this database

Assistive-product pricing

Determine prices for assistive products, dressings, and medical devices that qualify for prescription under Annex V.

  • Assistive products and dressings
  • Annex V medical devices
  • Urine and blood test strips

Contract-based billing

Bill articles in line with the delivery and supply contracts that apply nationally and at the regional fund level.

  • Billing under § 302 SGB V with fund-specific billing numbers
  • Supply contracts with package arrangements
  • Contract-specific billing of compression stockings

Fund-specific rules

Account for the delivery exclusions and approval limits that individual health insurance funds apply.

  • Delivery exclusions from tenders under § 127 SGB V
  • Approval limit references
  • Dietetic products under § 31 SGB V

Retrieval by PZN and position number, updated monthly

Reach the pricing and billing details for an article through both the Pharmazentralnummer and the assistive-product position number, working from a dataset that is refreshed every month.

  • Lookup via PZN and assistive-product position number
  • Monthly updates from ABDATA Pharma-Daten-Service
  • One source for pricing and contract-based billing

More background information

Assistive products sit at the intersection of pharmaceutical distribution and statutory health insurance rules. Their reimbursement is governed less by a single national price and more by a web of delivery and supply contracts that differ between funds and regions. For providers, this makes correct billing a demanding, detail-heavy task.

Why assistive-product pricing is complex

Unlike standard pharmaceuticals, assistive products are billed against contracts negotiated under the German Social Code (SGB V). Rules such as delivery exclusions from tenders (§ 127 SGB V) and billing requirements under § 302 SGB V vary by fund, so the same article can carry different conditions depending on the patient's insurer.

How the module helps

Drug Pricing Germany Plus V consolidates the relevant contract and billing information so that prices can be determined via the PZN and the assistive-product position numbers. With monthly updates, providers can keep pace with changing contracts and fund-specific arrangements.

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