# G-BA Benefit Assessment Watch — German AMNOG Tracker (`azureblue/g-ba-benefit-assessment-watch`) Actor

Daily delta monitor of G-BA Nutzenbewertung (German AMNOG §35a SGB V) decisions. For German Market Access, pharma pricing strategy, and HEOR teams. Per-Beschluss webhook delivery.

- **URL**: https://apify.com/azureblue/g-ba-benefit-assessment-watch.md
- **Developed by:** [azureblue](https://apify.com/azureblue) (community)
- **Categories:** Developer tools, Business
- **Stats:** 2 total users, 1 monthly users, 0.0% runs succeeded, NaN bookmarks
- **User rating**: No ratings yet

## Pricing

Pay per event

This Actor is paid per event. You are not charged for the Apify platform usage, but only a fixed price for specific events.

Learn more: https://docs.apify.com/platform/actors/running/actors-in-store#pay-per-event

## What's an Apify Actor?

Actors are a software tools running on the Apify platform, for all kinds of web data extraction and automation use cases.
In Batch mode, an Actor accepts a well-defined JSON input, performs an action which can take anything from a few seconds to a few hours,
and optionally produces a well-defined JSON output, datasets with results, or files in key-value store.
In Standby mode, an Actor provides a web server which can be used as a website, API, or an MCP server.
Actors are written with capital "A".

## How to integrate an Actor?

If asked about integration, you help developers integrate Actors into their projects.
You adapt to their stack and deliver integrations that are safe, well-documented, and production-ready.
The best way to integrate Actors is as follows.

In JavaScript/TypeScript projects, use official [JavaScript/TypeScript client](https://docs.apify.com/api/client/js.md):

```bash
npm install apify-client
```

In Python projects, use official [Python client library](https://docs.apify.com/api/client/python.md):

```bash
pip install apify-client
```

In shell scripts, use [Apify CLI](https://docs.apify.com/cli/docs.md):

````bash
# MacOS / Linux
curl -fsSL https://apify.com/install-cli.sh | bash
# Windows
irm https://apify.com/install-cli.ps1 | iex
```bash

In AI frameworks, you might use the [Apify MCP server](https://docs.apify.com/platform/integrations/mcp.md).

If your project is in a different language, use the [REST API](https://docs.apify.com/api/v2.md).

For usage examples, see the [API](#api) section below.

For more details, see Apify documentation as [Markdown index](https://docs.apify.com/llms.txt) and [Markdown full-text](https://docs.apify.com/llms-full.txt).


# README

## G-BA Benefit Assessment Watch — German AMNOG Tracker

Daily delta monitor of every **G-BA Nutzenbewertung** decision (German AMNOG, §35a SGB V) — the regulatory gate that decides what every new drug is allowed to cost in Germany. Webhook delivery per Beschluss.

For **German Market Access, Pharma Pricing Strategy, HEOR, and Competitive Intelligence** teams.

---

### What this Actor does

Data source: [g-ba.de/bewertungsverfahren/nutzenbewertung/](https://www.g-ba.de/bewertungsverfahren/nutzenbewertung/) — the public Gemeinsamer Bundesausschuss Verfahren index. No login, no API key.

On each scheduled run:

1. Fetches the listing page → ~30 most-recent Verfahren-IDs.
2. Fetches each detail page → parses Wirkstoff, Indikation, Verfahrensnummer (D-XXX), all linked Beschluss PDFs (BAnz, Tragende Gründe, ZD).
3. Computes a stable identity per Verfahren (verfahrenId + most-recent Beschluss-date) and **diffs against the seen-set in its KV store**.
4. Pushes only **new or amended** Beschlüsse to the dataset — never duplicates.
5. Optionally fires a **HMAC-signed webhook** for every new Beschluss.

Output conforms to the unified `azureblue/medical-core` envelope so you can join G-BA Beschlüsse alongside EMA approvals and FDA recalls in one warehouse table.

---

### Use Cases

#### 1. Pharma launch-pricing strategy
A pharma pricing-strategy lead launching in Germany monitors every G-BA Beschluss that names a competitor in the same therapy area. Each Beschluss directly drives GKV-Spitzenverband negotiations and therefore the comparator price for THEIR launch. **A single Beschluss can shift the launch price by 15-40%** — having the alert within hours instead of finding it via a colleague's email digest is worth the entire annual subscription.

#### 2. HEOR evidence-pack updates
A HEOR team prepares dossiers for AMNOG submissions. Each new Beschluss publishes the Tragende Gründe — the formal G-BA reasoning. Auto-archiving these PDFs against an internal indication taxonomy means **the HEOR evidence library is current the day a Beschluss is published**, not when someone manually downloads the PDF weeks later.

#### 3. Market-access CI on competitor portfolios
A CI analyst tracks the AMNOG status of 8 competitor molecules in oncology. Filter the actor with `substanceFilter: "pembrolizumab"` (one run per competitor) — webhook into Slack. **Detects benefit-rating downgrades and indication amendments the same business day**, vs. ~3-6 weeks via trade-press monitoring.

---

### Output (sample item)

```json
{
  "scrapedAt": "2026-05-14T07:00:00.000Z",
  "sourceUrl": "https://www.g-ba.de/bewertungsverfahren/nutzenbewertung/1000/",
  "sourceDomain": "g-ba.de",
  "actorVersion": "1.0.0",
  "dataHash": "8a2f...d0",

  "regulator": "G_BA",
  "alertType": "benefit-assessment",
  "recordId": "1000",
  "changeKind": "new",

  "activeSubstance": "Nivolumab",
  "indication": "Neues Anwendungsgebiet: Melanom (Stadium IIB oder IIC), adjuvante Therapie, ≥ 12 Jahre, Monotherapie",
  "publishedAt": "2024-07-18",
  "effectiveAt": "2024-07-18",
  "summary": "G-BA Nutzenbewertung D-982: Nivolumab (Neues Anwendungsgebiet: Melanom ...). Beschluss 2024-07-18.",

  "documents": [
    { "kind": "BAnz-Beschluss", "url": "https://www.g-ba.de/downloads/.../2024-07-18_AM-RL-XII_Nivolumab_D-982_BAnz.pdf", "title": "Beschluss (Bundesanzeiger)" },
    { "kind": "TrG",            "url": "https://www.g-ba.de/downloads/.../2024-07-18_AM-RL-XII_Nivolumab_D-982_TrG.pdf",  "title": "Tragende Gründe" },
    { "kind": "gba-page",       "url": "https://www.g-ba.de/bewertungsverfahren/nutzenbewertung/1000/", "title": "G-BA Verfahren overview" }
  ],
  "extras": {
    "verfahrenId": "1000",
    "verfahrensnummer": "D-982",
    "benefitRating": null,
    "benefitRatingCode": null,
    "documentCount": 38
  }
}
````

#### Webhook payload

If you set `webhookUrl`:

```json
{
  "eventId": "8a2f...d0",
  "eventType": "gba.benefit-assessment",
  "actor": "g-ba-benefit-assessment-watch",
  "emittedAt": "2026-05-14T07:00:01.123Z",
  "schemaVersion": 1,
  "data": { /* the alert object above */ }
}
```

`X-Azureblue-Signature: sha256=<hex>` header included if `webhookSecret` is set.

***

### Pricing

| Event | Price | When it fires |
|---|---|---|
| **Monthly subscription** | **$79** | Once per calendar month, on first delta-mode run — covers unlimited monitoring within the month |
| **Per Beschluss** | **$0.02** | Per new or amended Verfahren pushed to the dataset |

**Trial mode** (`mode: "trial"`): 5 Verfahren, no charges, no state writes. Use to verify your filter scoping before subscribing.

**Typical Market Access buyer**: ~5-15 Beschlüsse/month on a competitive portfolio → **$79 + $0.30/mo ≈ $80 all-in**. Compare to: a single mis-anticipated AMNOG rating costing €15m–€100m on a launch price ceiling.

***

### v1 limitations / v1.1 roadmap

- **Benefit rating (erheblicher / beträchtlicher / geringer / nicht belegt) is null in v1** — the rating phrase lives in the BAnz/TrG PDF text, not in g-ba.de HTML. The PDF links are surfaced in `documents[]` so your team can click through, but the rating is not yet a queryable field.
- **v1.1**: PDF text parsing of the BAnz to populate `extras.benefitRating` and `extras.benefitRatingCode` automatically. ETA depends on PDF parsing performance — opt-in flag once available.
- **v1.2**: IQWiG report cross-link (the IQWiG benefit assessment that G-BA bases its Beschluss on) — the *evidence* behind the decision.

***

### Compliance

- **Public-data only** — sourced from g-ba.de, the German federal HTA authority's public Verfahren register. No login walls, no PHI, no paywalled content.
- **GDPR Art. 6(1)(f)** — Beschluss content is published in the Bundesanzeiger as German federal law; downstream use as legitimate pharma market-access intelligence is the buyer's responsibility under GDPR.
- **Rate-limited scraping** — 800ms between Verfahren detail requests. G-BA is a single-region public-sector site; we keep traffic gentle.

***

### Sister Actors — complementary coverage from `azureblue`

- [`ema-drug-approval-watch`](https://apify.com/azureblue/ema-drug-approval-watch) — upstream EU regulatory event that triggers most German AMNOG processes
- [`fda-drug-approval-watch`](https://apify.com/azureblue/fda-drug-approval-watch) — same alert schema, US drug-approval + recall side
- [`pubmed-kol-profile-builder`](https://apify.com/azureblue/pubmed-kol-profile-builder) — find the German KOLs publishing on the same indication the Beschluss covers
- [`cochrane-review-scraper`](https://apify.com/azureblue/cochrane-review-scraper) — the systematic-review evidence base feeding IQWiG / G-BA assessments
- [`clinical-trials-scraper`](https://apify.com/azureblue/clinical-trials-scraper) — the trial pipeline behind the substances heading into G-BA assessment

***

### Changelog

See `CHANGELOG.md` in this Actor.

# Actor input Schema

## `mode` (type: `string`):

Delta is the rental tier — first run per calendar month fires the $79 subscription charge, then only new/amended Beschlüsse fire per-item charges. Snapshot rebuilds the seen-set. Trial bypasses charges and state.

## `substanceFilter` (type: `string`):

Case-insensitive substring match against the parsed active substance (INN). Empty = monitor all Verfahren on the listing page. Use to scope monitoring to YOUR portfolio.

## `indicationFilter` (type: `string`):

Case-insensitive substring match on the indication parsed from the G-BA H1. Examples: 'Lungenkarzinom', 'Diabetes', 'Multiple Sklerose'. Combine with substanceFilter for tight scope.

## `maxVerfahren` (type: `integer`):

Cap on Verfahren this run processes. The listing page surfaces ~30 most-recent Verfahren — 50 is enough to catch all amendments + new entries between daily runs.

## `webhookUrl` (type: `string`):

POST endpoint receiving one JSON payload per new or amended Verfahren. Test with https://webhook.site. Failed deliveries persist in KV store under `webhook.dlq.*`.

## `webhookSecret` (type: `string`):

If set, every webhook request includes `X-Azureblue-Signature: sha256=<hex>` so your endpoint can verify.

## Actor input object example

```json
{
  "mode": "delta",
  "substanceFilter": "pembrolizumab",
  "indicationFilter": "Lungenkarzinom",
  "maxVerfahren": 50
}
```

# Actor output Schema

## `dataset` (type: `string`):

Default dataset — one item per new or amended Verfahren with substance, indication, Beschluss date, and links to BAnz + Tragende Gründe PDFs.

# API

You can run this Actor programmatically using our API. Below are code examples in JavaScript, Python, and CLI, as well as the OpenAPI specification and MCP server setup.

## JavaScript example

```javascript
import { ApifyClient } from 'apify-client';

// Initialize the ApifyClient with your Apify API token
// Replace the '<YOUR_API_TOKEN>' with your token
const client = new ApifyClient({
    token: '<YOUR_API_TOKEN>',
});

// Prepare Actor input
const input = {};

// Run the Actor and wait for it to finish
const run = await client.actor("azureblue/g-ba-benefit-assessment-watch").call(input);

// Fetch and print Actor results from the run's dataset (if any)
console.log('Results from dataset');
console.log(`💾 Check your data here: https://console.apify.com/storage/datasets/${run.defaultDatasetId}`);
const { items } = await client.dataset(run.defaultDatasetId).listItems();
items.forEach((item) => {
    console.dir(item);
});

// 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/js/docs

```

## Python example

```python
from apify_client import ApifyClient

# Initialize the ApifyClient with your Apify API token
# Replace '<YOUR_API_TOKEN>' with your token.
client = ApifyClient("<YOUR_API_TOKEN>")

# Prepare the Actor input
run_input = {}

# Run the Actor and wait for it to finish
run = client.actor("azureblue/g-ba-benefit-assessment-watch").call(run_input=run_input)

# Fetch and print Actor results from the run's dataset (if there are any)
print("💾 Check your data here: https://console.apify.com/storage/datasets/" + run["defaultDatasetId"])
for item in client.dataset(run["defaultDatasetId"]).iterate_items():
    print(item)

# 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/python/docs/quick-start

```

## CLI example

```bash
echo '{}' |
apify call azureblue/g-ba-benefit-assessment-watch --silent --output-dataset

```

## MCP server setup

```json
{
    "mcpServers": {
        "apify": {
            "command": "npx",
            "args": [
                "mcp-remote",
                "https://mcp.apify.com/?tools=azureblue/g-ba-benefit-assessment-watch",
                "--header",
                "Authorization: Bearer <YOUR_API_TOKEN>"
            ]
        }
    }
}

```

## OpenAPI specification

```json
{
    "openapi": "3.0.1",
    "info": {
        "title": "G-BA Benefit Assessment Watch — German AMNOG Tracker",
        "description": "Daily delta monitor of G-BA Nutzenbewertung (German AMNOG §35a SGB V) decisions. For German Market Access, pharma pricing strategy, and HEOR teams. Per-Beschluss webhook delivery.",
        "version": "1.0",
        "x-build-id": "S2D7TZbEqHFGNYidE"
    },
    "servers": [
        {
            "url": "https://api.apify.com/v2"
        }
    ],
    "paths": {
        "/acts/azureblue~g-ba-benefit-assessment-watch/run-sync-get-dataset-items": {
            "post": {
                "operationId": "run-sync-get-dataset-items-azureblue-g-ba-benefit-assessment-watch",
                "x-openai-isConsequential": false,
                "summary": "Executes an Actor, waits for its completion, and returns Actor's dataset items in response.",
                "tags": [
                    "Run Actor"
                ],
                "requestBody": {
                    "required": true,
                    "content": {
                        "application/json": {
                            "schema": {
                                "$ref": "#/components/schemas/inputSchema"
                            }
                        }
                    }
                },
                "parameters": [
                    {
                        "name": "token",
                        "in": "query",
                        "required": true,
                        "schema": {
                            "type": "string"
                        },
                        "description": "Enter your Apify token here"
                    }
                ],
                "responses": {
                    "200": {
                        "description": "OK"
                    }
                }
            }
        },
        "/acts/azureblue~g-ba-benefit-assessment-watch/runs": {
            "post": {
                "operationId": "runs-sync-azureblue-g-ba-benefit-assessment-watch",
                "x-openai-isConsequential": false,
                "summary": "Executes an Actor and returns information about the initiated run in response.",
                "tags": [
                    "Run Actor"
                ],
                "requestBody": {
                    "required": true,
                    "content": {
                        "application/json": {
                            "schema": {
                                "$ref": "#/components/schemas/inputSchema"
                            }
                        }
                    }
                },
                "parameters": [
                    {
                        "name": "token",
                        "in": "query",
                        "required": true,
                        "schema": {
                            "type": "string"
                        },
                        "description": "Enter your Apify token here"
                    }
                ],
                "responses": {
                    "200": {
                        "description": "OK",
                        "content": {
                            "application/json": {
                                "schema": {
                                    "$ref": "#/components/schemas/runsResponseSchema"
                                }
                            }
                        }
                    }
                }
            }
        },
        "/acts/azureblue~g-ba-benefit-assessment-watch/run-sync": {
            "post": {
                "operationId": "run-sync-azureblue-g-ba-benefit-assessment-watch",
                "x-openai-isConsequential": false,
                "summary": "Executes an Actor, waits for completion, and returns the OUTPUT from Key-value store in response.",
                "tags": [
                    "Run Actor"
                ],
                "requestBody": {
                    "required": true,
                    "content": {
                        "application/json": {
                            "schema": {
                                "$ref": "#/components/schemas/inputSchema"
                            }
                        }
                    }
                },
                "parameters": [
                    {
                        "name": "token",
                        "in": "query",
                        "required": true,
                        "schema": {
                            "type": "string"
                        },
                        "description": "Enter your Apify token here"
                    }
                ],
                "responses": {
                    "200": {
                        "description": "OK"
                    }
                }
            }
        }
    },
    "components": {
        "schemas": {
            "inputSchema": {
                "type": "object",
                "properties": {
                    "mode": {
                        "title": "Run mode",
                        "enum": [
                            "delta",
                            "snapshot",
                            "trial"
                        ],
                        "type": "string",
                        "description": "Delta is the rental tier — first run per calendar month fires the $79 subscription charge, then only new/amended Beschlüsse fire per-item charges. Snapshot rebuilds the seen-set. Trial bypasses charges and state.",
                        "default": "delta"
                    },
                    "substanceFilter": {
                        "title": "Active substance filter (optional)",
                        "type": "string",
                        "description": "Case-insensitive substring match against the parsed active substance (INN). Empty = monitor all Verfahren on the listing page. Use to scope monitoring to YOUR portfolio."
                    },
                    "indicationFilter": {
                        "title": "Indication filter (optional)",
                        "type": "string",
                        "description": "Case-insensitive substring match on the indication parsed from the G-BA H1. Examples: 'Lungenkarzinom', 'Diabetes', 'Multiple Sklerose'. Combine with substanceFilter for tight scope."
                    },
                    "maxVerfahren": {
                        "title": "Max Verfahren per run",
                        "minimum": 1,
                        "maximum": 200,
                        "type": "integer",
                        "description": "Cap on Verfahren this run processes. The listing page surfaces ~30 most-recent Verfahren — 50 is enough to catch all amendments + new entries between daily runs.",
                        "default": 50
                    },
                    "webhookUrl": {
                        "title": "Webhook URL (optional)",
                        "type": "string",
                        "description": "POST endpoint receiving one JSON payload per new or amended Verfahren. Test with https://webhook.site. Failed deliveries persist in KV store under `webhook.dlq.*`."
                    },
                    "webhookSecret": {
                        "title": "Webhook HMAC secret (optional)",
                        "type": "string",
                        "description": "If set, every webhook request includes `X-Azureblue-Signature: sha256=<hex>` so your endpoint can verify."
                    }
                }
            },
            "runsResponseSchema": {
                "type": "object",
                "properties": {
                    "data": {
                        "type": "object",
                        "properties": {
                            "id": {
                                "type": "string"
                            },
                            "actId": {
                                "type": "string"
                            },
                            "userId": {
                                "type": "string"
                            },
                            "startedAt": {
                                "type": "string",
                                "format": "date-time",
                                "example": "2025-01-08T00:00:00.000Z"
                            },
                            "finishedAt": {
                                "type": "string",
                                "format": "date-time",
                                "example": "2025-01-08T00:00:00.000Z"
                            },
                            "status": {
                                "type": "string",
                                "example": "READY"
                            },
                            "meta": {
                                "type": "object",
                                "properties": {
                                    "origin": {
                                        "type": "string",
                                        "example": "API"
                                    },
                                    "userAgent": {
                                        "type": "string"
                                    }
                                }
                            },
                            "stats": {
                                "type": "object",
                                "properties": {
                                    "inputBodyLen": {
                                        "type": "integer",
                                        "example": 2000
                                    },
                                    "rebootCount": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "restartCount": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "resurrectCount": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "computeUnits": {
                                        "type": "integer",
                                        "example": 0
                                    }
                                }
                            },
                            "options": {
                                "type": "object",
                                "properties": {
                                    "build": {
                                        "type": "string",
                                        "example": "latest"
                                    },
                                    "timeoutSecs": {
                                        "type": "integer",
                                        "example": 300
                                    },
                                    "memoryMbytes": {
                                        "type": "integer",
                                        "example": 1024
                                    },
                                    "diskMbytes": {
                                        "type": "integer",
                                        "example": 2048
                                    }
                                }
                            },
                            "buildId": {
                                "type": "string"
                            },
                            "defaultKeyValueStoreId": {
                                "type": "string"
                            },
                            "defaultDatasetId": {
                                "type": "string"
                            },
                            "defaultRequestQueueId": {
                                "type": "string"
                            },
                            "buildNumber": {
                                "type": "string",
                                "example": "1.0.0"
                            },
                            "containerUrl": {
                                "type": "string"
                            },
                            "usage": {
                                "type": "object",
                                "properties": {
                                    "ACTOR_COMPUTE_UNITS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_WRITES": {
                                        "type": "integer",
                                        "example": 1
                                    },
                                    "KEY_VALUE_STORE_LISTS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_INTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_EXTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_RESIDENTIAL_TRANSFER_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_SERPS": {
                                        "type": "integer",
                                        "example": 0
                                    }
                                }
                            },
                            "usageTotalUsd": {
                                "type": "number",
                                "example": 0.00005
                            },
                            "usageUsd": {
                                "type": "object",
                                "properties": {
                                    "ACTOR_COMPUTE_UNITS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATASET_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "KEY_VALUE_STORE_WRITES": {
                                        "type": "number",
                                        "example": 0.00005
                                    },
                                    "KEY_VALUE_STORE_LISTS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_READS": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "REQUEST_QUEUE_WRITES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_INTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "DATA_TRANSFER_EXTERNAL_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_RESIDENTIAL_TRANSFER_GBYTES": {
                                        "type": "integer",
                                        "example": 0
                                    },
                                    "PROXY_SERPS": {
                                        "type": "integer",
                                        "example": 0
                                    }
                                }
                            }
                        }
                    }
                }
            }
        }
    }
}
```
