Early benefit assessment: Detailed analysis of all G-BA resolutions

The AMNOG monitor provides current, well-founded analyses of all early benefit assessments and an overview of the negotiated reimbursement prices in Germany. It is an indispensable tool for HTA, market access and pricing managers.

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Every Resolution Reviewed in Detail

The AMNOG monitor includes detailed analyses of every sinlge benefit assessment since 2011. more >>

Reimbursement Price Trends

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Identify decision-paths and trends in early benefit assessment. The AMNOG monitor is indispensable for managers and decision-makers in market access, pricing and reimbursement. 

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Dear AMNOG Monitor readers,

Thank you for the encouraging feedback on the new AMNOG monitor analysis options that went live in September. The step-by-step instructions are designed to guide you through making the most of the options. In the weeks ahead, we will be offering a number of online training courses to help you get to know the AMNOG Monitor even better. We look forward to our continued cooperation with you.

The first two Digital Health Applications (DiGA) have been available for prescription and have been eligible for reimbursement by statutory health insurance funds since 15 October 2020 (Kalmeda for tinnitus and Velibra for certain anxiety disorders). In each case, the prescription now includes the DIG dosage form as well. A list of the apps eligible for reimbursement can be found on the BfArM website. https://diga.bfarm.de/de/verzeichnis

The new framework agreement between the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband) and the National Association of Statutory Health Insurance Physicians (KBV) calls for an expenditure increase of 4.6% in 2021, primarily due to the use of innovative medicinal products. https://www.kbv.de/media/sp/Rahmenvorgaben_Arzneimittel_2021.pdf

According to the 2020 Arzneiverordnungsreport, which provides information on the cost of prescription drugs, total expenditure by statutory health insurance funds rose by 5.3% to €251.9 billion. Spending on medicinal products within the statutory health insurance funds rose by a below-average 4% to stand at €41.1 billion, mainly due to the higher discounts received by health insurance funds in 2019. Thanks to discount agreements, insurers were able to save €4.8 billion, with reimbursements attributable to AMNOG negotiations accounting for €3.6 billion in savings and fixed reimbursement rates resulting in a reduction of €8.2 billion in total. Further patent expirations in 2020 and the use of biosimilars offer additional potential for savings to finance the wide range of innovations. https://www.springer.com/de/book/9783662621677

The new DAK Report for 2020 writes that the AMNOG procedure is a system that has proved its worth over the past 10 years. However, it also states that there is still need for improvement, especially due to the new authorisation procedure (PRIME). Under PRIME, only limited scientific evidence will be available upon market entry, necessitating further investigations to validly assess the additional benefit in everyday healthcare situations, according to the report.https://www.dak.de/dak/bundesthemen/dak-amnog-report-2020-2331046.html

October 2020 saw nine new G-BA resolutions, the results of which are presented in the following table.

Procedure (no.)

Brand name


Additional benefit (highest subgroup)


Venetoclax (4)Venclyxto®Chronic lymphocytic leukemia (CLL)100% no additional benefit
Insulin glargin / Lixisenatid (2)Suliqua®Diabetes mellitus type 2100% no additional benefit
GivosiranGivlaari®Acute hepatic porphyria100% Indication of considerable additional benefit
DarolutamidNubeqa®Prostate carcinoma100% Indication of considerable additional benefit
Brigatinib (2)Alunbrig®non-small cell lung carcinoma (ALK+ NSCLC)50% Hint for considerable additional benefit
Trifluridin / Tipiracil (3, reassessment)Lonsurf®Colorectal carcinoma, pretreated patients100% Hint for minor additional benefit
Cobicistat (2)Tybost®HIV infection100% no additional benefit
Avelumab (3, reassessment)Bavencio®Merkel cell carcinoma100% no additional benefit
Apalutamid (3, reassessment)Erleada®Prostate carcinoma (mHSPC)100% Indication of minor additional benefit

In October 2020, changes in manufacturer's prices / reimbursement prices were only seen for Ropeginterferon alfa-2b (Besremi®) and Vestronidase alfa (Mepsevii®).

Kind regards
Dr Johannes Hankowitz