Fentanyl Price in South Africa (2026)
Cheapest pack: Adco Tenyl 100µg/h, 100 µg/h patch, 5. Official SEP list, Oct 2026.
≈ $94.20What a patient pays for fentanyl in South Africa
Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
20 different brand names across 8 strengths are on the official list.
All 20 fentanyl products in South Africa
| Product | Strength and form | Pack | Price | Per unit |
|---|---|---|---|---|
| Adco Tenyl 100µg/h | 100 µg/h patch | 5 | R1,564 | — |
| Fendermal 100µg/h | 100 µg/h patch | 5 | R1,800 | — |
| EFFENTORA 100 original | 100 ug effervescent tablet | 28 | R1,985 | R70.88 |
| EFFENTORA 200 original | 200 ug effervescent tablet | 28 | R1,985 | R70.88 |
| EFFENTORA 400 original | 400 ug effervescent tablet | 28 | R1,985 | R70.88 |
| Sublimaze 2ml original | 50 mcg/ml injection | 10 | R445 | — |
| Sublimaze 10ml original | 50 mcg/ml injection | 50 | R2,226 | — |
| Pharma-Q Fentanyl 100mcg/2 ml Injection | 100 mcg/2ml injection | 10 | R119 | — |
| Pharma-Q Fentanyl 500mcg/10ml Injection | 500 mcg/10ml injection | 10 | R198 | — |
| Durogesic 12Mcg Per Hour original | 12 mcg pad | 5 | R394 | — |
| Durogesic 25Mcg Per Hour original | 25 mcg pad | 5 | R893 | — |
| Durogesic 50Mcg Per Hour original | 50 mcg pad | 5 | R1,478 | — |
| Durogesic 75Mcg Per Hour original | 75 mcg pad | 5 | R2,036 | — |
| Durogesic 100Mcg Per Hour original | 100 mcg pad | 5 | R2,606 | — |
| Adco Tenyl 25µg/h | 25 µg/h patch | 5 | R536 | — |
| Fendermal 25µg/h | 25 µg/h patch | 5 | R604 | — |
| Adco Tenyl 50µg/h | 50 µg/h patch | 5 | R887 | — |
| Fendermal 50µg/h | 50 µg/h patch | 5 | R1,010 | — |
| Adco Tenyl 75µg/h | 75 µg/h patch | 5 | R1,221 | — |
| Fendermal 75µg/h | 75 µg/h patch | 5 | R1,399 | — |
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.
Every strength and form of fentanyl in South Africa
| Strength and form | Products | Cheapest pack | Cheapest per unit |
|---|---|---|---|
| 100 mcg patch | 2 | R1,564 | — |
| 50 mcg injection | 2 | R445 | — |
| 25 mcg patch | 2 | R536 | — |
| 50 mcg patch | 2 | R887 | — |
| 75 mcg patch | 2 | R1,221 | — |
| 100 mcg effervescent tablet | 1 | R1,985 | R70.88 |
| 200 mcg effervescent tablet | 1 | R1,985 | R70.88 |
| 400 mcg effervescent tablet | 1 | R1,985 | R70.88 |
| 100 mcg injection | 1 | R119 | — |
| 500 mcg injection | 1 | R198 | — |
| 12 mcg other | 1 | R394 | — |
| 25 mcg other | 1 | R893 | — |
| 50 mcg other | 1 | R1,478 | — |
| 75 mcg other | 1 | R2,036 | — |
| 100 mcg other | 1 | R2,606 | — |
Different strengths and forms (for example slow-release or dissolving tablets) are not interchangeable without your doctor's advice.
Brands of fentanyl in South Africa
5 brand names of fentanyl are on the official list in South Africa. Each brand page shows every pack and the cheapest alternative with the same strength.
Fentanyl manufacturers in South Africa
The official list names 6 manufacturers for fentanyl in South Africa: Adcock Ingram Limited, Sandoz SA (Pty) Ltd, Teva Pharmaceuticals (Pty) Ltd, Piramal Critical Care South Africa (Pty) Ltd, Pharma-Q Holdings (Pty) Ltd and Janssen Pharmaceutica (Pty) Ltd.
Other medicine prices in South Africa
- Fenofibrate price3 productsfrom R391
- Fenofibrate and Pravastatin price1 productfrom R285
- Fenoterol price4 productsfrom R105
- Fenoterol and Ipratropium price3 productsfrom R340
- Fentanyl Base price2 productsfrom R350
- Fenticonazole price3 productsfrom R224
- Ferric Carboxylatose price1 productfrom R2,676
- Ferric Carboxymaltose price1 productfrom R2,253
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Frequently asked questions
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Sources
- 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.
- 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.
- 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