With the German Health Insurance Contribution Rate Stability Act (BStabG) now in force, statutory health insurances can establish cross-molecule rebate contracts for clusters of innovative, patent-protected medicines under §130e SGB
For manufacturers, the implications are significant:
- Intensified price competition in form of tender business for patent-protected products in certain indications
- AMNOG benefit assessment and value-based pricing is augmented by potential exclusive agreements
- Prescription management will be organized based on rebate contracts
- A new strategic imperative: The new framework requires action for manufacturers who want to protect or gain market shares.
What should manufacturers do now?
- Understand market shares, competitors, price structures and prescribing patterns separately for each indication
- Systematically analyze therapeutic comparability in the indication
- Closely monitor the activities of the Statutory Health Insurance companies
- Prepare for potential tender strategies
Germany’s reimbursement landscape is changing rapidly, and early preparation will be critical.