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Medicine prices in South Africa

Rivastigmine 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 capsule
R5.85

Cheapest 3 mg capsule: Kyriz 3 MG, R351 for 60 capsules. Official SEP list, Oct 2026.

≈ $0.35 per capsule
R351
cheapest pack (60 capsules)
R175
30 capsules (1 a day for a month)
6
listed products
SEP
price type
What you actually pay

What a patient pays for rivastigmine in South Africa

R351
official SEP for Kyriz 3 MG, 60 capsules
+ R182
maximum dispensing fee incl. VAT
Up to R533
you pay at the pharmacy

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

6 products

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

5.1× for the original

The originator brand Exelon costs R29.76 per capsule; the cheapest generic, Kyriz 3 MG, costs R5.85.

United Kingdom

has the lowest listed price per capsule for the same strength: $0.10 vs $0.35 here (different price types; see below).

Interactive

How much will Rivastigmine 3 mg capsule cost you?

capsules per day: 1 a day

Your doctor decides how many capsules you need. This is a cost estimate only, using R5.85 per capsule.

Estimated cost
R175
For a full yearR2,134
Per capsule in USD$0.352
Every listed product

All 6 rivastigmine products in South Africa

Rivastigmine official prices in South Africa
ProductStrength and formPackPricePer unit
Kyriz 3 MG3 mg capsule60 capsulesR351R5.85
Exelon original3 mg capsule56 capsulesR1,666R29.76
Exelon originalcapsule56 capsulesR1,666R29.76
Kyriz 1,5 MG1.5 mg capsule60 capsulesR351R5.85
Kyriz 4,5 MG4.5 mg capsule60 capsulesR351R5.85
Kyriz 6 MG6 mg capsule60 capsulesR351R5.85
Kyriz 3 MGR5.85
ExelonR29.76
Rivastigmine 3 mg capsule: price per capsule by product (ZAR)
Same medicine, other countries

Rivastigmine 3 mg capsule: South Africa vs 3 other countries

United Kingdom$0.10
United States$0.16
South Africa (this page)$0.35
Australia$0.81
Lowest listed price per capsule (USD)
By country
CountryPrice typePer capsule (local)Per unit (USD)
United KingdomNHS Drug Tariff price£0.077$0.10
United StatesNADAC pharmacy acquisition cost$0.16$0.16
AustraliaPBS approved ex-manufacturer priceA$1.15$0.81

Countries publish different kinds of price (manufacturer, reimbursement or retail), so differences are partly due to what is measured. Converted at 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 rivastigmine in South Africa

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
3 mg capsule2R351R5.85
capsule1R1,666R29.76
1.5 mg capsule1R351R5.85
4.5 mg capsule1R351R5.85
6 mg capsule1R351R5.85

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

Brand names

Brands of rivastigmine in South Africa

2 brand names of rivastigmine 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

Rivastigmine manufacturers in South Africa

The official list names 2 manufacturers for rivastigmine in South Africa: Macleods Pharmaceuticals SA (Pty) Ltd and Novartis South Africa (Pty) Ltd.

A–Z

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Quick answers

Frequently asked questions

How much does rivastigmine cost in South Africa?
Official SEPs for rivastigmine in South Africa range from R351 to R1,666 per pack across 6 listed products. The cheapest 3 mg capsule works out at R5.85 each (about $0.35).
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 rivastigmine at a pharmacy in South Africa?
Up to R533 for Kyriz 3 MG (60 capsules). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What is the cheapest rivastigmine 3 mg capsule in South Africa?
Kyriz 3 MG at R351 for 60 capsules, or R5.85 per capsule. 1 other product has the same strength.
What brands of rivastigmine are sold in South Africa?
2 brand names are on the official list, including Kyriz (from R351) and Exelon (from R1,666).
Who makes rivastigmine sold in South Africa?
Manufacturers named on the official list include Macleods Pharmaceuticals SA (Pty) Ltd and Novartis South Africa (Pty) Ltd.
Is rivastigmine cheaper in other countries?
For 3 mg capsule, the lowest listed price per capsule is $0.10 in the United Kingdom, $0.16 in the United States and $0.81 in Australia, compared with $0.35 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