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Medicine prices in South Africa

Esketamine 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)
R5,509

Cheapest pack: SPRAVATO®, 28 mg nasal spray, 1. Official SEP list, Oct 2026.

≈ $332
R5,509
per pack
1
strength
1
listed product
SEP
price type
What you actually pay

What a patient pays for esketamine in South Africa

R5,509
official SEP for SPRAVATO®, 1
+ R628
maximum dispensing fee incl. VAT
Up to R6,137
you pay at the pharmacy

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

Every listed product

All 1 esketamine product in South Africa

Esketamine official prices in South Africa
ProductStrength and formPackPricePer unit
SPRAVATO® original28 mg nasal spray1R5,509—
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.

Brand names

Brands of esketamine in South Africa

1 brand name of esketamine is on the official list in South Africa. Each brand page shows every pack and the cheapest alternative with the same strength.

Who supplies it

Esketamine manufacturers in South Africa

The official list names 1 manufacturer for esketamine in South Africa: Janssen Pharmaceutica (Pty) Ltd.

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Quick answers

Frequently asked questions

How much does esketamine cost in South Africa?
Official SEPs for esketamine in South Africa range from R5,509 to R5,509 per pack across 1 listed product.
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 esketamine at a pharmacy in South Africa?
Up to R6,137 for SPRAVATO® (1). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What brands of esketamine are sold in South Africa?
1 brand name is on the official list, including Spravato (from R5,509).
Who makes esketamine sold in South Africa?
Manufacturers named on the official list include Janssen Pharmaceutica (Pty) Ltd.
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