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Eli Lilly Seals Germany’s First Secret Rebate Deal for Mounjaro

A discreet discount agreement under the Medizinforschungsgesetz has drawn criticism from statutory insurers for obscuring costs without proven patient benefit

Overview

  • Under the nine-month-old Medizinforschungsgesetz, Eli Lilly finalized an undisclosed net price for its Mounjaro injection with statutory insurers, marking the law’s first application.
  • The independent IQWiG assessment found only a minor added benefit in one of eight patient groups and no proven advantage in the rest.
  • Doctors and EU reference countries remain unaware of the actual rebate, hindering cost comparisons and prescription decisions.
  • The GKV-Spitzenverband warns that hidden rebates inflate costs for insurers without improving care and could saddle contributors with billions in extra expenses.
  • Obesity patients continue to pay the full €1,126 list price out of pocket because the Social Code bars statutory coverage for weight-loss medications.