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Medicine prices in South Africa

Metronidazole 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
R0.24

Cheapest 400 mg tablet: Amzole, R240 for 1000 tablets. Official SEP list, Oct 2026.

≈ $0.014 per tablet
R240
cheapest pack (1000 tablets)
R7.19
30 tablets (1 a day for a month)
41
listed products
SEP
price type
What you actually pay

What a patient pays for metronidazole in South Africa

R240
official SEP for Amzole, 1000 tablets
+ R140
maximum dispensing fee incl. VAT
Up to R380
you pay at the pharmacy

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

41 products

34 different brand names across 5 strengths are on the official list.

3.0× spread

For 400 mg tablet, the priciest tablet (Trichazole) costs 3.0 times the cheapest (Amzole).

India

has the lowest listed price per tablet for the same strength: $0.008 vs $0.014 here (different price types; see below).

Interactive

How much will Metronidazole 400 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 R0.240 per tablet.

Estimated cost
R7.19
For a full yearR87.45
Per tablet in USD$0.014
Every listed product

All 41 metronidazole products in South Africa

Metronidazole official prices in South Africa
ProductStrength and formPackPricePer unit
Amzole400 mg tablet1000 tabletsR240R0.24
Suprazole400 mg tablet1000 tabletsR259R0.26
Nidasall 400400 mg tablet500 tabletsR131R0.26
Anaerobyl 400400 MG tablet1000 tabletsR286R0.29
Bemetrazole400 mg tablet500 tabletsR149R0.30
Dynametron400 mg tablet500 tabletsR151R0.30
Metazol 400400 mg tablet1000 tabletsR303R0.30
Bio-Metronidazole 400400 mg tablet500 tabletsR156R0.31
Metagyl Forte Tablets400 mg film-coated tablet100 tabletsR32.59R0.33
Metagyl Forte Tablets400 mg film-coated tablet21 tabletsR6.85R0.33
METRONIDAZOLE 400 UNIMED400 MG tablet1000 tabletsR328R0.33
Metrazole400 mg tablet1000 tabletsR334R0.33
Acuzole 400mg400 mg tablet250 tabletsR88.08R0.35
Metrostat400 mg tablet500 tabletsR198R0.40
Sandoz Metronidazole400 mg tablet10 tabletsR5.11R0.51
Adco-Metronidazole 400 mg400 mg tablet100 tabletsR66.30R0.66
Trichazole400 mg tablet100 tabletsR70.92R0.71
Narobic200 mg capsule100 capsulesR79.24R0.79
Narobic200 mg capsule1000 capsulesR793R0.79
Narobic Caps 200 Mg200 mg capsule21 capsulesR16.69R0.79
Rozex original0.75 % gel1R331—
Metrogel V original37.5 mg/5g gel1R302—
Metris5 mg/ml infusion100R19.08—
Sabax Metronidazole 500Mg/100Ml original5 mg/100ml infusion100R23.03—
Sabax Metronidazole 500Mg/100Ml original5 mg/100ml infusion5000R1,154—
Trichazole500 mg/100ml infusion100R12.70—
Metronidazole B Braun 500 mg/100 ml500 mg/100ml infusion100R13.75—
Bio-Metronidazole IV500 mg/100ml infusion100R17.78—
Flagyl Suspension original200 mg/5ml suspension100R221—
Medamet200 mg tablet1000 tabletsR120R0.12
Anaerobyl 200200 mg tablet1000 tabletsR175R0.18
Metazol 200200 mg tablet1000 tabletsR177R0.18
Merck-Metronidazole 200200 mg tablet250 tabletsR50.85R0.20
Bemetrazole200 mg tablet500 tabletsR107R0.21
METRONIDAZOLE 200 UNIMED200 MG tablet1000 tabletsR219R0.22
Acuzole 200mg200 mg tablet500 tabletsR114R0.23
Ambral200 mg tablet500 tabletsR121R0.24
Sandoz Metronidazole200 mg tablet21 tabletsR5.74R0.27
Adco-Metronidazole 200 mg200 mg tablet250 tabletsR68.98R0.28
Metagyl Tablets200 mg film-coated tablet21 tabletsR5.87R0.28
Trichazole200 mg tablet250 tabletsR70.08R0.28
AmzoleR0.24
SuprazoleR0.26
Nidasall 400R0.26
Anaerobyl 400R0.29
BemetrazoleR0.30
DynametronR0.30
Metazol 400R0.30
Bio-Metronidazole 400R0.31
Metagyl Forte TabletsR0.33
METRONIDAZOLE 400 UNIMEDR0.33
Metronidazole 400 mg tablet: price per tablet by product (ZAR)
Same medicine, other countries

Metronidazole 400 mg tablet: South Africa vs 4 other countries

India$0.008
South Africa (this page)$0.014
United Kingdom$0.065
Australia$0.11
United Arab Emirates$0.35
Lowest listed price per tablet (USD)
By country
CountryPrice typePer tablet (local)Per unit (USD)
IndiaJan Aushadhi MRP₹0.72$0.008
United KingdomNHS Drug Tariff price£0.049$0.065
AustraliaPBS approved ex-manufacturer priceA$0.16$0.11
United Arab EmiratesAbu Dhabi DoH public priceAED 1.29$0.35

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 metronidazole in South Africa

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
400 mg tablet17R5.11R0.24
200 mg tablet12R5.74R0.12
200 mg capsule3R16.69R0.79
5 mg injection3R19.08—
500 mg injection3R12.70—
gel1R331—
37.5 mg gel1R302—
200 mg oral liquid1R221—

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

Brand names

Brands of metronidazole in South Africa

19 brand names of metronidazole 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

Metronidazole manufacturers in South Africa

The official list names 25 manufacturers for metronidazole in South Africa: Innovata Pharmaceuticals (Pty) Ltd, Medicine Developers International CC, Dezzo Trading 392 (Pty) Ltd, Ranbaxy Pharmaceuticals (Pty) Ltd, Akacia Health Care (Pty) Ltd, Alliance Pharma (Pty) Ltd, Biotech Laboratories (Pty) Ltd and Oethmaan Biosims (Pty) Ltd and 17 more.

A–Z

Other medicine prices in South Africa

Keep exploring

What people check next

Quick answers

Frequently asked questions

How much does metronidazole cost in South Africa?
Official SEPs for metronidazole in South Africa range from R5.11 to R1,154 per pack across 41 listed products. The cheapest 400 mg tablet works out at R0.24 each (about $0.014).
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 metronidazole at a pharmacy in South Africa?
Up to R380 for Amzole (1000 tablets). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What is the cheapest metronidazole 400 mg tablet in South Africa?
Amzole at R240 for 1000 tablets, or R0.24 per tablet. 16 other products have the same strength.
What brands of metronidazole are sold in South Africa?
19 brand names are on the official list, including Metagyl (from R5.87), Trichazole (from R12.70), Narobic (from R16.69), Metris (from R19.08) and Acuzole (from R88.08).
Who makes metronidazole sold in South Africa?
Manufacturers named on the official list include Innovata Pharmaceuticals (Pty) Ltd, Medicine Developers International CC, Dezzo Trading 392 (Pty) Ltd and Ranbaxy Pharmaceuticals (Pty) Ltd.
Is metronidazole cheaper in other countries?
For 400 mg tablet, the lowest listed price per tablet is $0.008 in India, $0.065 in the United Kingdom, $0.11 in Australia and $0.35 in the UAE, compared with $0.014 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