Rebates & Reimbursement

Run rebates, reimbursement and AMNOG day to day

The operational side of German drug pricing, for the people who execute the strategy. Watch tenders and rebate contracts, check where you sit against the four cheapest, and follow AMNOG procedures, in one search over 25+ databases.

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Hunting tenders by hand

Searching portals for tenders manually is time consuming. The relevance is high when something is overlooked.

Tender Manager, generics manufacturer

Tenders and open house contracts sit across several portals, so the search is a weekly manual sweep that never fully closes. The cost is not only the hours it eats, it is the one tender that slips through unseen. A missed deadline is not a small error in this workflow, it is a market you cannot bid for.

The real net price is hard to pin down

Open house contracts require complex calculations of the three cheapest competitor prices. That leads to manual tracking and billing.

Contract Manager, pharmaceutical manufacturer

Regulations like the price anchor tie your price to a moving set of competitor prices, so the number that matters changes without warning. Reassembling it by hand from several sources is slow and easy to get wrong. Every pricing decision then starts from a figure nobody is quite sure of.

The history you need is out of reach

The difficulty of retrieving price information from further back, for example 1.5 years, for rebate contract billing.

Compliance Manager, pharmaceutical manufacturer

Sick funds send invoices for rebate differences long after the fact, and checking them means knowing the price as it stood back then, not today. When the old figure lives in a source you no longer reach, the check stalls. The safe fallback becomes paying a claim you cannot verify.

Capture every tender without combing through portals (in pilot phase)

On the left several tender portals searched by hand with tangled connections, on the right a single clean alert stream listing new tenders and rebate contracts

Tender and rebate contract alerts replace the manual sweep across portals with one stream. New tenders read from the EU TED database land next to the rebate contract coverage for a product, so you see per PZN which contracts already exist and with which sick fund.

  • Automatic alerts for new tenders, read from TED including national procedures (in pilot phase)
  • Rebate contract coverage shown per PZN and sick fund for competitor analysis
  • One central overview instead of a weekly sweep across separate portals
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Know where you sit against the four cheapest

A gauge showing your own price relative to the four cheapest competitor prices, with a safe green zone, a tight yellow zone and a too expensive red zone

The G4 evaluation puts your price in relation to the four cheapest alternatives, the group that drives substitution and rebate exposure under section 130a SGB V. When a competitor moves, you see whether you are still safe or have slipped out of the group.

  • Your price compared against the four cheapest competitor packs
  • Price changes among competitors surfaced so you are not caught out
  • Support for the price anchor logic behind open house contracts
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Pull the price as it stood, for any audit

A calendar page for a past date showing the price snapshot of a product as it stood on that day, next to a note that the snapshot supports rebate contract billing checks

Historical price and contract data lets you retrieve what a product cost on a past date, so a rebate difference invoice from a sick fund can be checked against the figure that actually applied. Saved searches make the same audit repeatable rather than a one off reconstruction.

  • Historical prices held in the ABDA article master
  • PharMonitor tracks price changes over time for follow up
  • Saved searches you can rerun for recurring audits and reconciliations
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Follow an AMNOG procedure without rebuilding the file

A flow diagram of an AMNOG benefit assessment procedure from dossier through IQWiG assessment, oral hearing and G-BA resolution to the mandatory discount, with info points along the way

AMNOG information brings current and completed benefit assessment procedures into one view, so you follow a substance through its procedure instead of rebuilding the file from scattered documents. It is enough to see the status and its effect on your pricing, and honest about where the confidential parts stay confidential.

  • Search by substance to see whether a product is in AMNOG
  • Procedure history from dossier and IQWiG assessment through to resolution
  • AMNOG mandatory discount and European comparison price in context
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Run rebates, reimbursement and AMNOG day to day

pharmazie.com brings German tenders, rebate contracts, reimbursement and AMNOG into one search, so the operational side of market access stops being a sweep across separate portals. You follow a substance from its tender to its rebate coverage to its benefit assessment in one place, and you can retrieve the price and contract picture as it stood on a past date when an audit asks for it.

Catch every tender without combing portals

Tender and rebate contract alerts replace the manual sweep with one stream. New tenders read from the EU TED database, the official source that also covers national tenders, and land in front of you instead of waiting to be found. You can save the ATC groups that matter to you as an alert basket and reuse it, so the relevant procedures come to you rather than the other way round.

Know where you sit against the four cheapest

The economic pressure in a rebate market comes from the group that drives substitution: the cheapest alternatives. The G4 evaluation puts your price in relation to the four cheapest options, so you see your exposure rather than infer it. The platform also shows rebate contract coverage per PZN and per sick fund, which is what makes it useful for reading the competitive field around a product.

Pull the price as it stood, for any audit

Reimbursement work often has to look backwards. When a rebate difference invoice from a sick fund lands, you need what a product cost on a specific past date, not today's figure. Historical price and contract data lets you retrieve that record, so a dispute rests on the number that applied at the time rather than a reconstruction.

Follow an AMNOG procedure, and know what stays confidential

AMNOG information brings current and completed benefit assessment procedures into one view, from the dossier and IQWiG assessment through to the resolution, so you follow a substance without rebuilding the file each time. One limit we would rather state than let you discover: the agreed rebate amounts themselves are confidential and not public, and no provider can hand you those. What you get is the structure around them, which is what day-to-day decisions actually run on.

See it on your own substances

The fastest way to judge fit is a 30-minute demo on your data. Bring the ATC groups or products you track today and we will run the tender, rebate and AMNOG view live.

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Questions we often hear in demos

Are the tender data you read out of TED EU also complete for the national tenders?
Can we store the ATC groups that are relevant to us as an alert basket that we can call up again and again?
Are there confidential reimbursement amounts, and are they publicly visible anywhere?
Can we get the data as Excel, CSV or JSON as well?
For a given product, can I also see which rebate contracts already exist?
How comprehensive is the AMNOG information you now have in the PharMonitor report?
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