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Medicine prices in South Africa

Sevelamer 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
R13.98

Cheapest 800 mg tablet: Renagel, R2,517 for 180 tablets. Official SEP list, Oct 2026.

≈ $0.84 per tablet
R2,517
cheapest pack (180 tablets)
R420
30 tablets (1 a day for a month)
1
listed product
SEP
price type
What you actually pay

What a patient pays for sevelamer in South Africa

R2,517
official SEP for Renagel, 180 tablets
+ R456
maximum dispensing fee incl. VAT
Up to R2,973
you pay at the pharmacy

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

India

has the lowest listed price per tablet for the same strength: $0.079 vs $0.84 here (different price types; see below).

Interactive

How much will Sevelamer 800 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 R13.98 per tablet.

Estimated cost
R420
For a full yearR5,104
Per tablet in USD$0.843
Every listed product

All 1 sevelamer product in South Africa

Sevelamer official prices in South Africa
ProductStrength and formPackPricePer unit
Renagel original800 mg tablet180 tabletsR2,517R13.98
Same medicine, other countries

Sevelamer 800 mg tablet: South Africa vs 5 other countries

India$0.079
United Kingdom$0.21
Australia$0.54
United States$0.68
South Africa (this page)$0.84
United Arab Emirates$1.35
Lowest listed price per tablet (USD)
By country
CountryPrice typePer tablet (local)Per unit (USD)
IndiaJan Aushadhi MRP₹7.50$0.079
United KingdomNHS Drug Tariff price£0.16$0.21
AustraliaPBS approved ex-manufacturer priceA$0.77$0.54
United StatesNADAC pharmacy acquisition cost$0.68$0.68
United Arab EmiratesAbu Dhabi DoH public priceAED 4.95$1.35

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.

Brand names

Brands of sevelamer in South Africa

1 brand name of sevelamer 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

Sevelamer manufacturers in South Africa

The official list names 1 manufacturer for sevelamer in South Africa: Genzyme Biopharmaceuticals SA (Pty) Ltd.

A–Z

Other medicine prices in South Africa

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Quick answers

Frequently asked questions

How much does sevelamer cost in South Africa?
Official SEPs for sevelamer in South Africa range from R2,517 to R2,517 per pack across 1 listed product. The cheapest 800 mg tablet works out at R13.98 each (about $0.84).
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 sevelamer at a pharmacy in South Africa?
Up to R2,973 for Renagel (180 tablets). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What is the cheapest sevelamer 800 mg tablet in South Africa?
Renagel at R2,517 for 180 tablets, or R13.98 per tablet.
What brands of sevelamer are sold in South Africa?
1 brand name is on the official list, including Renagel (from R2,517).
Who makes sevelamer sold in South Africa?
Manufacturers named on the official list include Genzyme Biopharmaceuticals SA (Pty) Ltd.
Is sevelamer cheaper in other countries?
For 800 mg tablet, the lowest listed price per tablet is $0.079 in India, $0.21 in the United Kingdom, $0.54 in Australia and $0.68 in the United States, compared with $0.84 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