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Medicine prices in South Africa

Codeine Price in South Africa (2026)

Compiled by the TrustClinix data team · Medical review pending3 official sourcesPrices last checked 25 October 2026How we get our data
Lowest Single Exit Price (SEP) per tablet
R3.93

Cheapest 20 mg tablet: Empacod, R78.54 for 20 tablets. Official SEP list, Oct 2026.

≈ $0.24 per tablet
R78.54
cheapest pack (20 tablets)
R118
30 tablets (1 a day for a month)
3
listed products
SEP
price type
What you actually pay

What a patient pays for codeine in South Africa

R78.54
official SEP for Empacod, 20 tablets
+ R68.15
maximum dispensing fee incl. VAT
Up to R147
you pay at the pharmacy

Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.

3 products

3 different brand names across 2 strengths are on the official list.

Interactive

How much will Codeine 20 mg tablet cost you?

tablets per day: 1 a day

Your doctor decides how many tablets you need. This is a cost estimate only, using R3.93 per tablet.

Estimated cost
R118
For a full yearR1,433
Per tablet in USD$0.237
Every listed product

All 3 codeine products in South Africa

Codeine official prices in South Africa
ProductStrength and formPackPricePer unit
Empacod original20 mg tablet20 tabletsR78.54R3.93
Omnopon Fresenius 20Mg/Ml originalinjection10R266—
Codeine30 mg tablet100 tabletsR788R7.88
What this price means

How SEPs work in South Africa

Prices on this page are the Single Exit Price: the one legal price at which the manufacturer may sell the pack in South Africa, including VAT and a logistics fee. Pharmacies and dispensing doctors add a regulated dispensing fee plus VAT on top. For cheap medicines this fee is a large share of what you pay, and can be more than the medicine itself, so the counter price can be much higher than the SEP. Medical schemes may pay all or part of it.

Read the full guide to medicine prices in South Africa.

Other medicines with codeine
Strengths and forms

Every strength and form of codeine in South Africa

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
20 mg tablet1R78.54R3.93
injection1R266—
30 mg tablet1R788R7.88

Different strengths and forms (for example slow-release or dissolving tablets) are not interchangeable without your doctor's advice.

Brand names

Brands of codeine in South Africa

2 brand names of codeine are on the official list in South Africa. Each brand page shows every pack and the cheapest alternative with the same strength.

Who supplies it

Codeine manufacturers in South Africa

The official list names 3 manufacturers for codeine in South Africa: Acino Pharma (Pty) Ltd, Bodene (Pty) Ltd and Pharmacare Limited, Woodmead.

A–Z

Other medicine prices in South Africa

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Quick answers

Frequently asked questions

How much does codeine cost in South Africa?
Official SEPs for codeine in South Africa range from R78.54 to R788 per pack across 3 listed products. The cheapest 20 mg tablet works out at R3.93 each (about $0.24).
What kind of price is this?
It is the Single Exit Price: the one legal price at which the manufacturer may sell the pack in South Africa, including VAT and a logistics fee. Pharmacies and dispensing doctors add a regulated dispensing fee plus VAT on top. For cheap medicines this fee is a large share of what you pay, and can be more than the medicine itself, so the counter price can be much higher than the SEP. Medical schemes may pay all or part of it.
How much will I pay for codeine at a pharmacy in South Africa?
Up to R147 for Empacod (20 tablets). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What is the cheapest codeine 20 mg tablet in South Africa?
Empacod at R78.54 for 20 tablets, or R3.93 per tablet.
What brands of codeine are sold in South Africa?
2 brand names are on the official list, including Empacod (from R78.54) and Omnopon Fresenius (from R266).
Who makes codeine sold in South Africa?
Manufacturers named on the official list include Acino Pharma (Pty) Ltd, Bodene (Pty) Ltd and Pharmacare Limited, Woodmead.
Evidence

Sources

  1. National Department of Health, South Africa. Database of Medicine Prices (Single Exit Price), effective 1 October 2026. www.health.gov.za/nhi-pee/. Retrieved 25 October 2026.
  2. National Department of Health, South Africa. Dispensing fee for pharmacists (Notice 5364, Government Gazette 51352, 4 October 2024): maximum fee by SEP band, excluding VAT. archive.gazettes.africa/archive/za/2024/za-government-gazette-dated-20. Retrieved 25 October 2026.
  3. European Central Bank. Euro foreign exchange reference rates (2026-10-23). www.ecb.europa.eu/stats/eurofxref/eurofxref-daily.xml. Retrieved 25 October 2026.

Important: These are published reference prices and estimates, not a quote, and not medical advice. Actual costs depend on the hospital, your health, the exact treatment and your insurance. Always confirm the price with the provider before treatment. Read our disclaimer · Report an error