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Medicine prices in South Africa

Fulvestrant 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)
R2,603

Cheapest pack: Fulvedex 250mg/5ml, 250 mg/5ml pre-filled syringe, 10. Official SEP list, Oct 2026.

≈ $157
R2,603 – R8,402
per pack
1
strength
7
listed products
SEP
price type
What you actually pay

What a patient pays for fulvestrant in South Africa

R2,603
official SEP for Fulvedex 250mg/5ml, 10
+ R461
maximum dispensing fee incl. VAT
Up to R3,064
you pay at the pharmacy

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

7 products

7 different brand names across 1 strength are on the official list.

Every listed product

All 7 fulvestrant products in South Africa

Fulvestrant official prices in South Africa
ProductStrength and formPackPricePer unit
Fulvedex 250mg/5ml250 mg/5ml pre-filled syringe10R2,603—
Eranfu 250250 mg/5ml pre-filled syringe10R2,662—
Fuldexa250 mg/5ml pre-filled syringe10R2,662—
Fulvestrant Viatris250 mg/5ml pre-filled syringe10R2,941—
FASTELEV250 MG/5ML pre-filled syringe10R2,947—
Frexivo250 mg/5ml injection10R5,135—
Faslodex250 mg/5ml injection10R8,402—
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 fulvestrant in South Africa

6 brand names of fulvestrant 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

Fulvestrant manufacturers in South Africa

The official list names 6 manufacturers for fulvestrant in South Africa: Juno Pharma SA (Pty) Ltd, Dr Reddy's Laboratories (Pty) Ltd, Accord Healthcare (Pty) Ltd, Viatris South Africa (Pty) Ltd, Teva Pharmaceuticals (Pty) Ltd and Astrazeneca Pharmaceuticals (Pty) Ltd.

A–Z

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Quick answers

Frequently asked questions

How much does fulvestrant cost in South Africa?
Official SEPs for fulvestrant in South Africa range from R2,603 to R8,402 per pack across 7 listed products.
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 fulvestrant at a pharmacy in South Africa?
Up to R3,064 for Fulvedex 250mg/5ml (10). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What brands of fulvestrant are sold in South Africa?
6 brand names are on the official list, including Fulvedex (from R2,603), Eranfu (from R2,662), Fuldexa (from R2,662), Fastelev (from R2,947) and Frexivo (from R5,135).
Who makes fulvestrant sold in South Africa?
Manufacturers named on the official list include Juno Pharma SA (Pty) Ltd, Dr Reddy's Laboratories (Pty) Ltd, Accord Healthcare (Pty) Ltd and Viatris South Africa (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