Currently active benefit assessment procedures persuant to art. 35a SGB V

Start Resolution Procedure (no.) Brand name Pharm. company Therapeutic area Indication
Abaloparatid Eladynos® Theramex Germany GmbH Musculoskeletal system diseases Osteoporosis, postmenopausal women
Etrasimod Velsipity® Pfizer Pharma GmbH Digestive system diseases Ulcerative colitis, ≥ 16 years
Efgartigimod alfa (2, reassessment >€30m) Vyvgart® Argenx Germany GmbH Nervous system diseases Myasthenia gravis, AChR antibodies+ (Orphan (turnover limit))
Gadopiclenol Elucirem® Guerbet GmbH Other diseases Contrast-enhanced magnetic resonance imaging, ≥ 2 years
Idecabtagen vicleucel (3) Abecma® Bristol-Myers Squibb GmbH & Co. KGaA Oncological diseases Multiple myeloma, at least 2 prior therapies
Omaveloxolon Skyclarys® Biogen GmbH Nervous system diseases Friedreich's ataxia, ≥ 16 years (Orphan)
Idecabtagen vicleucel (2, reassessment >€30m) Abecma® Bristol-Myers Squibb GmbH & Co. KGaA Oncological diseases Multiple myeloma, at least 3 previous therapies
Zilucoplan Zilbrysq® UCB Pharma GmbH Nervous system diseases Myasthenia gravis, AChR antibody+
Rozanolixizumab Rystiggo® UCB Pharma GmbH Nervous system diseases Myasthenia gravis, AChR antibodies+, MuSK antibodies+ (Orphan)
Enalapril Aqumeldi® Proveca Pharma Limited Cardiovascular diseases Heart failure, < 18 years
Decitabin / Cedazuridin Inaqovi® Otsuka Pharma GmbH Oncological diseases Acute myeloid leukaemia, first line
Daridorexant (2) Quviviq® Idorsia Pharmaceuticals Germany GmbH Mental illnesses Sleep disorders
Nirsevimab Beyfortus® Sanofi-Aventis Deutschland GmbH Infectious diseases Secondary prophylaxis of RSV infections, children during their 1st RSV season
Momelotinib Omjjara® GlaxoSmithKline GmbH & Co. KG Oncological diseases Myelofibrosis (Orphan)
Talazoparib (2) Talzenna® Pfizer Pharma GmbH Oncological diseases Prostate carcinoma, metastasised, castration-resistant, in combination with enzalutamide)
Rezafungin Rezzayo® Mundipharma Infectious diseases Invasive candida infections (Orphan)
Patiromer (2) Veltassa® Fresenius Medical Care Nephrologica Deutschland GmbH Metabolic diseases Hyperkalaemia, ≥ 12 to < 18 years
Fezolinetant Veoza® Astellas Pharma GmbH Other diseases Severe vasomotor symptoms (VMS) associated with the menopause
Ublituximab Briumvi® Neuraxpharm Arzneimittel GmbH Nervous system diseases Relapsing-remitting multiple sclerosis
Quizartinib Vanflyta® Daiichi Sankyo Deutschland GmbH Oncological diseases Acute myeloid leukaemia (AML)
Pegzilarginase Loargys® Immedica Pharma Germany GmbH Metabolic diseases Hyperargininemia (ARG1-D), ≥ 2 years (Orphan)
Elranatamab Elrexfio® Pfizer Pharma GmbH Oncological diseases Multiple myeloma, relapsed and refractory, after at least 3 previous therapies
Vamorolon Agamree® Santhera Pharmaceuticals GmbH Musculoskeletal system diseases Duchenne muscular dystrophy, ≥ 4 years (Orphan)
Evinacumab (2) Evkeeza® Ultragenyx Germany GmbH Metabolic diseases Homozygous familial hypercholesterolemia, ≥ 12 years of age
Evinacumab Evkeeza® Ultragenyx Germany GmbH Metabolic diseases Homozygous familial hypercholesterolemia, ≥ 5 to < 12 years of age
Pembrolizumab (33) Keytruda® MSD Sharp & Dohme GmbH Oncological diseases Biliary tumours, first-line, combination with gemcitabine and cisplatin
Pembrolizumab (32) Keytruda® MSD Sharp & Dohme GmbH Oncological diseases Adenocarcinoma of the stomach or gastroesophageal junction, PD-L1 expression ≥ 1, HER2+, first-line, combination with trastuzumab, fluoropyrimidine- and platinum-based chemotherapy
Pembrolizumab (31) Keytruda® MSD Sharp & Dohme GmbH Oncological diseases Adenocarcinoma of the stomach or gastroesophageal junction, PD-L1 expression ≥ 1, HER2, first-line, combination with fluoropyrimidine- and platinum-based chemotherapy
Palopegteriparatid Yorvipath® Ascendis Pharma Endocrinology GmbH Metabolic diseases Chronic hypoparathyroidism, parathyroid hormone (PTH) substitution therapy (Orphan)
Dostarlimab (2) Jemperli® GlaxoSmithKline GmbH & Co. KG Oncological diseases Primary advanced or recurrent endometrial carcinoma with dMMR/ MSI-H, combination with carboplatin and paclitaxel
Empagliflozin (6) Jardiance® Boehringer Ingelheim Pharma GmbH Metabolic diseases Diabetes Mellitus Type 2, ≥ 10 years
Avapritinib (3) Ayvakyt® Blueprint Medicines GmbH Oncological diseases Indolent systemic mastocytosis (ISM) (Orphan)
Polatuzumab (3, reassessment >€30m) Polivy® Roche Pharma AG Oncological diseases Diffuse large B-cell lymphoma, combination with rituximab, cyclophosphamide, doxorubicin and prednisone (R-CHP) (Orphan (turnover limit))
Polatuzumab (4, reassessment >€30m) Polivy® Roche Pharma AG Oncological diseases Diffuse large B-cell lymphoma, combination with bendamustine and rituximab (Orphan (turnover limit))
Zanubrutinib (5) Brukinsa® BeiGene Germany GmbH Oncological diseases Follicular lymphoma, after ≥ 2 prior therapies, combination with obinutuzumab
Rucaparib (4) Rubraca® pharmaand Deutschland GmbH Oncological diseases Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, maintenance therapy after first-line therapy
Durvalumab (6) Imfinzi® AstraZeneca GmbH Oncological diseases Hepatocellular carcinoma, first-line, monotherapy
Alirocumab (3) Praluent® Sanofi-Aventis Deutschland GmbH Metabolic diseases Hypercholesterolaemia, ≥ 8 years to 17 years
Lebrikizumab Ebglyss® Almirall Hermal GmbH Skin diseases Atopic dermatitis, ≥ 12 years
Letermovir (3, reassessment >€30m) Prevymis® MSD Sharp & Dohme GmbH Infectious diseases CMV reactivation/disease, prophylaxis after stem cell transplantation (Orphan (turnover limit))
Letermovir (2) Prevymis® MSD Sharp & Dohme GmbH Infectious diseases CMV disease, prophylaxis after kidney transplantation (Orphan (turnover limit))
Lanadelumab (3) Takhzyro® Takeda GmbH Other diseases Hereditary angioedema, prophylaxis, 2 to < 12 years (Orphan (turnover limit))
Ivacaftor / Tezacaftor / Elexacaftor (15, reassessment >€30m) Kaftrio® Vertex Pharmaceuticals (Germany) GmbH Metabolic diseases Cystic fibrosis, combination treatment with ivacaftor, from 2 to ≤ 5 years of age (heterozygous for F508del and MF mutation) (Orphan (turnover limit))
Ivacaftor / Tezacaftor / Elexacaftor (14, reassessment >€30m) Kaftrio® Vertex Pharmaceuticals (Germany) GmbH Metabolic diseases Cystic fibrosis, combination treatment with ivacaftor, 2 to ≤ 5 years (homozygous for F508del mutation) (Orphan (turnover limit))
Ivacaftor / Tezacaftor / Elexacaftor (13, reassessment >€30m) Kaftrio® Vertex Pharmaceuticals (Germany) GmbH Metabolic diseases Cystic fibrosis, F508del mutation, heterozygous and gating mutation, ≥ 2 to ≤ 5 years, combination with ivacaftor (Orphan (turnover limit))
Ivacaftor / Tezacaftor / Elexacaftor (12) Kaftrio® Vertex Pharmaceuticals (Germany) GmbH Metabolic diseases Cystic fibrosis, F508del mutation, heterozygous and RF mutation, ≥ 2 to ≤ 5 years, combination with ivacaftor
Ivacaftor / Tezacaftor / Elexacaftor (11, reassessment >€30m) Kaftrio® Vertex Pharmaceuticals (Germany) GmbH Metabolic diseases Cystic fibrosis, F508del mutation, heterozygous and other or unknown mutation, ≥ 2 to ≤ 5 years, combination with ivacaftor (Orphan (turnover limit))
Cannabidiol (8, reassessment >€30m) Epidyolex® Jazz Pharmaceuticals Germany GmbH Nervous system diseases Dravet syndrome, ≥ 2 years, combination with clobazam (Orphan (turnover limit))
Cannabidiol (7, reassessment >€30m) Epidyolex® Jazz Pharmaceuticals Germany GmbH Nervous system diseases Lennox-Gastaut syndrome, ≥ 2 years, combination with clobazam (Orphan (turnover limit))
Cannabidiol (6, reassessment >€30m) Epidyolex® Jazz Pharmaceuticals Germany GmbH Other diseases Seizures associated with tuberous sclerosis, ≥ 2 years (Orphan (turnover limit))
Tebentafusp (2, reassessment >€30m) Kimmtrak® Immunocore Ireland Ltd. Oncological diseases Uveal melanoma, HLA-A*02:01-positive (Orphan (turnover limit))
Patisiran (2, reassessment >€30m) Onpattro® Alnylam Germany GmbH Metabolic diseases Hereditary transthyretin amyloidosis with polyneuropathy (stage 1 or 2) (Orphan (turnover limit))
Daratumumab (10, reassessment) Darzalex® Janssen-Cilag GmbH Oncological diseases Multiple myeloma, first-line, stem cell transplantation unsuitable, combination with bortezomib, melphalan and prednisone (Orphan)
Relugolix / Estradiol / Norethisteronacetat (2) Ryeqo® Gedeon Richter Pharma GmbH Genitourinary system diseases Endometriosis, after medical or surgical treatment
Vosoritid (3) Voxzogo® BioMarin International Limited Other diseases Achondroplasia, ≥ 4 months to < 2 years (Orphan)
Trastuzumab-Deruxtecan (5) Enhertu® Daiichi Sankyo Deutschland GmbH Oncological diseases Non-small cell lung cancer, HER2(ERBB2) mutation, pre-treated
Tirzepatid Mounjaro® Lilly Deutschland GmbH Metabolic diseases Diabetes mellitus type 2
Niraparib / Abirateronacetat Akeega® Janssen-Cilag GmbH Oncological diseases Prostatakarzinoma, metastastic, castration resistent, BRCA1/2-Mutation, Chemotherapy not indicated, combination with Prednis(ol)on)
Midostaurin (3, reassessment >€30m) Rydapt® Novartis Pharma AG Oncological diseases Systemic Mastocytosis (Orphan (turnover limit))
Midostaurin (2, reassessment >€30m) Rydapt® Novartis Pharma AG Oncological diseases Acute myeloic Leukemia, FLT3-Mutation (Orphan (turnover limit))
Baricitinib (6) Olumiant® Lilly Deutschland GmbH Musculoskeletal system diseases Polyarticular juvenile idiopathic Arthritis, RF+ or RF− polyarticular and expanded oligoarticular, ≥ 2 years
Baricitinib (5) Olumiant® Lilly Deutschland GmbH Skin diseases Juvenile Psoriatic Arthritis, ≥ 2 years
Baricitinib (4) Olumiant® Lilly Deutschland GmbH Musculoskeletal system diseases Enthesitis-associated arthritis, ≥ 2 years
Baricitinib (3) Olumiant® Lilly Deutschland GmbH Skin diseases Atopische dermatitis, ≥ 2 until < 17 years
Elacestrant Orserdu® Stemline Therapeutics B.V. Oncological diseases Breast carcinoma, ER+, HER2-, with ESR1 mutation, after min. 1 previous therapy
Somapacitan Sogroya® Novo Nordisk Pharma GmbH Metabolic diseases Growth disturbance due to growth hormone deficiency, ≥ 3 years (Orphan)
Brolucizumab (3, reassessment) Beovu® Novartis Pharma GmbH Eye diseases Neovascular age-related macular degeneration