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Medicine prices in South Africa

Lacosamide 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
R5.65

Cheapest 100 mg tablet: VIMCOSA 100 mg, R339 for 60 tablets. Official SEP list, Oct 2026.

≈ $0.34 per tablet
R339
cheapest pack (60 tablets)
R170
30 tablets (1 a day for a month)
4
listed products
SEP
price type
What you actually pay

What a patient pays for lacosamide in South Africa

R339
official SEP for VIMCOSA 100 mg, 60 tablets
+ R178
maximum dispensing fee incl. VAT
Up to R517
you pay at the pharmacy

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

4 products

4 different brand names across 4 strengths are on the official list.

United Kingdom

has the lowest listed price per tablet for the same strength: $0.057 vs $0.34 here (different price types; see below).

Interactive

How much will Lacosamide 100 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 R5.65 per tablet.

Estimated cost
R170
For a full yearR2,064
Per tablet in USD$0.341
Every listed product

All 4 lacosamide products in South Africa

Lacosamide official prices in South Africa
ProductStrength and formPackPricePer unit
VIMCOSA 100 mg100 mg tablet60 tabletsR339R5.65
VIMCOSA 50 mg50 mg tablet60 tabletsR339R5.65
VIMCOSA 150 mg150 mg tablet60 tabletsR391R6.52
VIMCOSA 200 mg200 mg tablet60 tabletsR449R7.48
Same medicine, other countries

Lacosamide 100 mg tablet: South Africa vs 5 other countries

United Kingdom$0.057
India$0.061
United States$0.19
South Africa (this page)$0.34
Australia$0.57
United Arab Emirates$0.97
Lowest listed price per tablet (USD)
By country
CountryPrice typePer tablet (local)Per unit (USD)
United KingdomNHS Drug Tariff price£0.043$0.057
IndiaJan Aushadhi MRP₹5.78$0.061
United StatesNADAC pharmacy acquisition cost$0.19$0.19
AustraliaPBS approved ex-manufacturer priceA$0.82$0.57
United Arab EmiratesAbu Dhabi DoH public priceAED 3.56$0.97

Countries publish different kinds of price (manufacturer, reimbursement or retail), so differences are partly due to what is measured. Converted at official US dollar pegs (AED, SAR) and ECB reference rates of 23 October 2026.

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.

Strengths and forms

Every strength and form of lacosamide in South Africa

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
100 mg tablet1R339R5.65
50 mg tablet1R339R5.65
150 mg tablet1R391R6.52
200 mg tablet1R449R7.48

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

Brand names

Brands of lacosamide in South Africa

1 brand name of lacosamide 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

Lacosamide manufacturers in South Africa

The official list names 1 manufacturer for lacosamide in South Africa: Macleods Pharmaceuticals SA (Pty) Ltd.

A–Z

Other medicine prices in South Africa

Keep exploring

What people check next

Quick answers

Frequently asked questions

How much does lacosamide cost in South Africa?
Official SEPs for lacosamide in South Africa range from R339 to R449 per pack across 4 listed products. The cheapest 100 mg tablet works out at R5.65 each (about $0.34).
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 lacosamide at a pharmacy in South Africa?
Up to R517 for VIMCOSA 100 mg (60 tablets). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What is the cheapest lacosamide 100 mg tablet in South Africa?
VIMCOSA 100 mg at R339 for 60 tablets, or R5.65 per tablet.
What brands of lacosamide are sold in South Africa?
1 brand name is on the official list, including Vimcosa (from R339).
Who makes lacosamide sold in South Africa?
Manufacturers named on the official list include Macleods Pharmaceuticals SA (Pty) Ltd.
Is lacosamide cheaper in other countries?
For 100 mg tablet, the lowest listed price per tablet is $0.057 in the United Kingdom, $0.061 in India, $0.19 in the United States and $0.57 in Australia, compared with $0.34 in South Africa. Each country publishes a different type of price, so treat this as a rough guide.
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