The Pharmaceuticals Market Reorganisation Act (Arzneimittelmarkt- Neuordnungsgesetz – AMNOG) of 22 December aims to limit the cost. The early benefit assessment, the core of AMNOG, brought new challenges for . an analysis of the dossier assessments completed up to the end of June The Act on the Reform of the Market for Medicinal Products (AMNOG) and the Regulation on the Benefit Assessment of Drugs (AM-NutzenV) form the legal basis.

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Redefining a composite endpoint after the study was completed is problematic from a manufacturer’s perspective. These statutory stipulations are complied with by the Federal Joint Committee by submitting a separate dossier for medicinal products that are comparable with fixed-rate medicinal products in pharmacological and therapeutic terms Annex VI to the 5th Chapter anog the Rules of Procedure of the Federal Joint Committee.

There is no obligation for the pharmaceutical companies to reduce their price to the fixed rate. 201 a consequence, these three products received negative G-BA decisions due to the lack of data.

G-BA is now reassessing linagliptin. The Institute for Quality and Efficiency in Health Care IQWiG is an independent specialist scientific institution studying matters that are of fundamental significance for quality amog efficiency within statutory health insurance according to the standards of evidence-based medicine.

– Legal foundations of IQWiG

The actual comparative European prices form an aspect in the negotiations, but not the most important and not the only one, even if the pharmaceutical companies manog like to see it that way. For one thing, if margins are to be used, they should be chosen to reflect the indications and the patient populations. Therefore, these four products were not included in this analysis, resulting in inclusion of 27 EBAs.

Since the introduction of the German health care reform in Januaryan early benefit assessment EBA is required for all new medicines. If it is not possible among an amngo benefit to be proven as a therapeutic improvement for active ingredients which are eligible for the fixed rate, the active ingredients are directly assigned to the existing fixed-rate group.


AMNOG – evaluation of new pharmaceutical

This criterion applies to price negotiations only. When presented with the same data, IQWiG may conclude that additional benefit could not be proven. These questions must be answered by the pharmaceutical company in the form of a dossier.

For the evaluation of the additional benefit, the pharmaceutical companies must submit a dossier to the Federal Joint Committee at the time of the market launch of their medicinal product. Current Opinion in Oncology 20— Come see our posters tomorrow amnpg 8: In accordance with the framework agreement, the refund rate is agreed in the event of an additional benefit by a supplement on the annual therapy costs of the expedient comparative therapy.

When subgroup analysis is conducted to verify an anticipated difference in treatment effect, it should be part of the planned confirmatory analysis.

Those deemed to bring an incremental therapeutic benefit score ranging from 1 to 4 qualify for price negotiations, and may obtain a price premium over the appropriate amno comparator. If there is no expedient comparative therapy with medicinal products, non-drug therapies can also be considered if they are eligible as benefits under statutory health insurance.


Patient representatives take part in the decisions in an advisory capacity. Twenty-seven EBAs were amnkg. Involvement of patients As in all IQWiG reports, the patient perspective also plays a key role in early benefit assessments. Do the refund rate negotiations constitute negotiations on price? The enactment of the Act on the Reform of the Market for Medical Products AMNOG causes an early assessment of additional benefit to be carried out for each year from 1 January onwards for eligible new pharmaceuticals launched on the German market which have new active ingredients or new combinations of active ingredients.

Even after the AMNOG, the pharmaceutical companies amnoh to set their starting price, but now only for the first year where an active ingredient is placed on the market for the first time. Prophylaxis of venous thromboembolism after athroplasty hip or knee replacement. Assessment and weighting of adverse events The EBA dossier submissions have to include all relevant safety data.


This article has been cited by other articles in PMC. The Federal Joint Committee deals with the arguments that have been put forward and then adopts its resolution.

AMNOG One Year On: How Will German Health Reform Impact Pharma Market Access in 2012?

After evaluation of the new data G-BA concluded there was a marginal additional benefit. The ACT should be identified based on the standards of evidence-based medicine, the contents of 0212 marketing authorisation, recommendations in treatment guidelines, and other criteria [ 13 ]. The additional benefit of rilpivirine was based entirely on the reduction of neurological adverse events [ 7 ]. The Federal Joint Committee plays a major role through the early benefit evaluation.

Published online Jun As described in the EMA benefit-risk programme [ 19 ], regulatory bodies put enormous emphasis on the appropriate classification of adverse amnoog and on the balancing of risks and benefits.

Grading quality of evidence and strength of recommendations.

This can provide supplementary information and can consequently also lead to a modified result of the assessment. Balancing benefit and risk is a key feature of the EMA review process.

The Act on the Reform of the Market for Medical Products Arzneimittelmarkt-Neuordnungsgesetz — AMNOG of 22 December aims to limit the cost of pharmaceuticals, which has risen considerably in recent years particularly in the market segment which was previously exempt from reference prices.

Since the AMNOG provisions came into force, legislature has presumed that a new medicinal product has a fictive benefit as a result of its approval under the law on medicinal products.