Health Insurances

Check prescriptions and drug prices for cost and correctness

For contract management, drug referents and medical advisors at statutory and private health insurers who have to judge whether a prescription was correct and whether it was priced correctly. One platform for price history, Aut idem comparison and the directives behind a prescription.

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Do you know these problems?

Costs you cannot see through

I cannot see by how much the price was reduced in the course of the negotiations.

Consultant, health economics

The list price is public and the real price is not, so the number you work with is the one you can find rather than the one that applies. Every assessment built on it carries an error you cannot quantify. The gap stays open because the information sits with the parties who negotiated it, not with the people who have to check the result.

Sources that are out of date

Specialist information is often not up to date.

Staff member, healthcare services provider

A document that was correct last quarter looks exactly like one that is correct today. Nothing on the page tells you it has moved on, so the decision gets made on the old version and nobody notices until an account is disputed. The cost is not the lookup, it is the rework and the financial exposure behind a wrong call.

Every PZN checked by hand

Until now you sit there, take the standard German drug price list and go through every single PZN in Excel. Awful.

Manager, pharmaceutical company

The work is not hard, it is long, and it is exactly the kind of work that produces mistakes at row two hundred. The spreadsheet is also a snapshot: the moment it is finished, it is out of date. It survives because it is the only version of the process anyone has ever written down.

See what a prescription actually costs

One preparation with three price levels below it, list price, discount contract and import, with the lowest option marked and a price history line beside it

The platform is built around low-priced prescription under the aspect of discount contracts, AMNOG and imports. Instead of tracking price changes yourself, you look up the history behind a preparation and compare it against its alternatives in the same view.

  • Price history for a preparation instead of tracking changes by hand
  • Compare prices with Aut idem and generic groups
  • Price calculation of remedies and aids
  • Backed by the ABDA-Artikelstamm and the Transparency List AVWG
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Find the drug behind the code

A search field for an active ingredient fanning out into linked layers for MedDRA, ATC code and dosage strengths

Checking a prescription starts with identifying what was prescribed and for what. You look up indications of drugs based on MedDRA, ATC and dosages, so the clinical context and the product record sit in the same place.

  • Indications based on MedDRA, ATC and dosages
  • Active ingredient lookups through the Pharmazeutische Stoffliste
  • Icebergsearch runs one query across 25+ databases in parallel
  • German and international preparations in the same search
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Check the rule, not just the price

A prescription line with status markers for prescription restriction and therapeutic instruction, referenced to the annexes of the medicinal products directives

A prescription can be correctly priced and still not be prescribable. The platform carries restrictions on prescriptions and therapeutic instructions in accordance with the Annexes to the Medicinal Products Directives.

  • Prescription restrictions per preparation
  • Therapeutic instructions alongside the restriction
  • Referenced to the Annexes to the Medicinal Products Directives
  • Looked up where you check the prescription, not in a separate document
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The official document, not a copy of it

One preparation with stacked documents beside it for technical information, instruction leaflet and official approval information, each carrying an update stamp

Behind every assessment there has to be a source you can point to. You get instruction leaflet and technical information with official approval information, attached to the product record rather than filed somewhere else.

  • Instruction leaflet and technical information per preparation
  • Official approval information with the record
  • German SMPC Drug Dictionary as the underlying source
  • Current notices for what has changed
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Drug data for health insurers, prescription and account checks in one search

pharmazie.com is a B2B drug database that lets payer teams check a prescription or an account for both correctness and cost in a single search. Instead of moving between price lists, generic-group tables and source documents, you identify what was prescribed, see what it costs, compare it against substitutable alternatives and open the official document behind the decision, all from one result.

See what a prescription actually costs

A price on today's list is only half the picture. For an economic check you need to know how a price moved and what the lower-priced route would have been. Price history is part of every product record, so you can look up what an item cost on a past date rather than reconstruct it from memory, which is what makes a rebate difference or a retax defensible. Discount contracts, AMNOG and imports all feed into the low-priced-prescription view.

Compare Aut idem and generic groups the way substitution works

The core question in a formal check is whether a cheaper, substitutable product should have been dispensed. You compare prices across the Aut idem and generic groups with the Transparency List behind them, so the economic reason to substitute is visible in one comparison rather than assembled by hand. This is the best-covered need in this segment.

Check the rule, not only the price

A prescription can be correctly priced and still not be prescribable. The platform carries restrictions on prescriptions and therapeutic instructions, and it lets you look up the indication behind a code by MedDRA, ATC and dosage, so you check the medicine against the condition it was written for. Behind each assessment sits the official document: technical information and the instruction leaflet with official approval, not a copy of it.

Where the honest limits are

Some things no data source can hand a payer, and we would rather say so here. The rebate amount agreed in a discount contract is confidential and not public, so you see contract coverage per product and fund but not the negotiated figure. Fixed amounts are included, including co-payments broken down per individual insurer. Everything for the check runs from official sources, consolidated from 25+ databases.

Test it on your own cases

The fastest way to judge fit is a 30-minute demo on your data. Bring a batch of prescriptions or accounts you are checking now and we will run them live.

Book a demo

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More clarity, faster research, and faster decision-making.

I work with the German Drug Pricing module every day. Dapou Pharma is a pharmaceutical wholesaler and parallel distributor and needs access to reliable and up-to-date drug prices. The best thing about pharmazie.com is that you always know which product is marketed in which country. The contact details of drug manufacturers and marketing authorization holders are also very helpful.
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I currently use pharmazie.com several times a week to access the ABDA database/German SMPC drug lexicon, the archive of discontinued drugs, and international SMPC drugs. This allows me to stay up to date. I am very satisfied with the platform provided by pharmazie.com, thanks to the team!
We use the ABDA database of German finished medicinal products and international medicinal products to offer our customers, in particular pharmacies and hospitals, international procurement options for medicinal products that are not available locally (in Germany, for example, individual imports in accordance with Section 73.3 of the German Medicinal Products Act (AMG)). Thank you very much for your fast and excellent service!
The use of the ABDA database CAVE and the ABDA database Interactions is very valuable for teaching at the Pharmacological Institute because there is no other complete directory of all drugs approved in Germany. There is also no other program as good and reliable as the Cave and Interaction modules for testing for interactions, which we regularly use as part of the course tasks.
We are a supplier of medical practice supplies and use the platform for the pricing strategy of health insurance companies. We are very satisfied with pharmazie.com, because they are fast, easy to find and all products can be found through the free text search.

Questions we often hear in demos

Does pharmazie.com include the same drug price data as Germany's standard pricing list?
Do I see historical price developments and price changes?
How are discount contracts represented?
Can I compare Aut idem and generic groups?
Are fixed reimbursement amounts and co-payments per health insurer included?
How current is the data and which sources does it come from?
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