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Medicine prices in South Africa

Tiotropium 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
R13.71

Cheapest 18 mcg capsule: Forvent Refill, R411 for 30 capsules. Official SEP list, Oct 2026.

≈ $0.83 per capsule
R411
cheapest pack (30 capsules)
R411
30 capsules (1 a day for a month)
8
listed products
SEP
price type
What you actually pay

What a patient pays for tiotropium in South Africa

R411
official SEP for Forvent Refill, 30 capsules
+ R205
maximum dispensing fee incl. VAT
Up to R617
you pay at the pharmacy

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

8 products

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

2.7× spread

For 18 mcg capsule, the priciest capsule (Spiriva Complete) costs 2.7 times the cheapest (Forvent Refill).

Interactive

How much will Tiotropium 18 mcg capsule cost you?

capsules per day: 1 a day
Supply
30 days90 days1 year

Your doctor decides how many capsules you need. This is a cost estimate only, using R13.71 per capsule.

Estimated cost
R411
For a full yearR5,004
Per capsule in USD$0.826
Every listed product

All 8 tiotropium products in South Africa

Tiotropium official prices in South Africa
ProductStrength and formPackPricePer unit
Forvent Refill original18 mcg capsule30 capsulesR411R13.71
Forvent Complete original18 mcg capsule30 capsulesR738R24.60
Spiriva Refill original18 mcg capsule30 capsulesR1,074R35.79
Spiriva Complete original18 mcg capsule30 capsulesR1,108R36.93
Tiores10 µg capsule30 capsulesR338R11.27
Neumotropio10 µg capsule30 capsulesR404R13.45
Tiotor 1016 µg capsule30 capsulesR274R9.12
Spiriva Respimat original5 mcg sln4R1,162—
Forvent RefillR13.71
Forvent CompleteR24.60
Spiriva RefillR35.79
Spiriva CompleteR36.93
Tiotropium 18 mcg capsule: price per capsule by product (ZAR)
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 tiotropium in South Africa

Strengths and forms
Strength and formProductsCheapest packCheapest per unit
18 mcg capsule4R411R13.71
10 mcg capsule2R338R11.27
16 mcg capsule1R274R9.12
5 mcg other1R1,162—

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

Brand names

Brands of tiotropium in South Africa

8 brand names of tiotropium 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

Tiotropium manufacturers in South Africa

The official list names 4 manufacturers for tiotropium in South Africa: Ingelheim Pharmaceuticals (Pty) Ltd, Forrester Pharma (Pty) Ltd, Cipla Medpro (Pty) Ltd and Adcock Ingram Limited.

A–Z

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Quick answers

Frequently asked questions

How much does tiotropium cost in South Africa?
Official SEPs for tiotropium in South Africa range from R411 to R1,162 per pack across 8 listed products. The cheapest 18 mcg capsule works out at R13.71 each (about $0.83).
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 tiotropium at a pharmacy in South Africa?
Up to R617 for Forvent Refill (30 capsules). Single Exit Price plus the maximum pharmacist dispensing fee and VAT on the fee. Medical schemes may pay part.
What is the cheapest tiotropium 18 mcg capsule in South Africa?
Forvent Refill at R411 for 30 capsules, or R13.71 per capsule. 3 other products have the same strength.
What brands of tiotropium are sold in South Africa?
8 brand names are on the official list, including Tiotor (from R274), Tiores (from R338), Neumotropio (from R404), Forvent Refill (from R411) and Forvent Complete (from R738).
Who makes tiotropium sold in South Africa?
Manufacturers named on the official list include Ingelheim Pharmaceuticals (Pty) Ltd, Forrester Pharma (Pty) Ltd, Cipla Medpro (Pty) Ltd and Adcock Ingram Limited.
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