| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| United States | FDA | 510(k): 90d; PMA: 180d | 510(k): 90d | PMA: 180d | — | MDSAP accepted. De Novo pathway for novel low-risk devices. |
| Canada | Health Canada | 30d | 75d | 300d | 300d | MDSAP mandatory for Class II–IV. Reliance on FDA/EU decisions available. |
| Brazil | ANVISA | 60d | 60d | 365d | 365d | MDSAP accepted, reduces GMP timeline to 180d. Foreign manufacturer GMP fee fixed at BRL 72,805. |
| Mexico | COFEPRIS | 30d | 35d | 60d | — | Registration of IVDs combined with MDs. Foreign GMP audit mandatory. |
| Argentina | ANMAT | 60d | 90d | 180d | — | MERCOSUR mutual recognition applicable. |
| Colombia | INVIMA | 1 month | 1 month | 4–6 months | 4–6 months | MD Classes I/IIa vs IIb/III. INVIMA e-submission platform. |
| Chile | ISP | 60d | 60d | 60d | — | ISP updates fees annually. Conformity verification: CLP 3,368,543. |
| Peru | DIGEMID | 7d | 30d | 90d | — | — |
| Ecuador | ARCSA | 30d | 60d | 90d | — | — |
| Venezuela | INHRR | 60d | 90d | 180d | — | Import license required per shipment. |
| Paraguay | DINAVISA | 30d | 60d | 90d | — | MERCOSUR member; mutual recognition pathway available. |
| Uruguay | MSP | 30d | 60d | 90d | — | MERCOSUR member. |
| Costa Rica | MINSA/MS | 30d | 60d | 90d | — | — |
| Panama | MINSA | 30d | 60d | 90d | — | — |
| El Salvador | MINSAL | 30d | 60d | 90d | — | — |
| Guatemala | MSPAS | 30d | 60d | 90d | — | — |
| Nicaragua | MINSA | 30d | 60d | 90d | — | — |
| Cuba | CECMED | 60d | 90d | 180d | — | Import restrictions; liaison agent required. |
| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| Jamaica | MOH Jamaica | Contact MOH | Contact MOH | Contact MOH | — | — |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| United States | FDA | 510(k): $19,870 / 510(k): $19,870 | PMA: $441,547 | Annual estab. reg. | MDSAP accepted. De Novo pathway for novel low-risk devices. |
| Canada | Health Canada | C$330 / C$4,905 | C$15,695 | 5 years | MDSAP mandatory for Class II–IV. Reliance on FDA/EU decisions available. |
| Brazil | ANVISA | BRL 1,952 (small) / BRL 1,952 (small) | BRL 8,500+ | 10 years | MDSAP accepted, reduces GMP timeline to 180d. Foreign manufacturer GMP fee fixed at BRL 72,805. |
| Mexico | COFEPRIS | MXN 15,896 / MXN 23,314 | MXN 29,673 | MXN 11,922–22,255 | Registration of IVDs combined with MDs. Foreign GMP audit mandatory. |
| Argentina | ANMAT | Contact ANMAT / Contact ANMAT | Contact ANMAT | 5 years | MERCOSUR mutual recognition applicable. |
| Colombia | INVIMA | COP 3,898,330 / COP 3,898,330 | COP 4,412,400 | 10 years | MD Classes I/IIa vs IIb/III. INVIMA e-submission platform. |
| Chile | ISP | CLP 190,432 / CLP 190,432 | CLP 190,432 | Per ISP schedule | ISP updates fees annually. Conformity verification: CLP 3,368,543. |
| Peru | DIGEMID | Contact DIGEMID / Contact DIGEMID | Contact DIGEMID | 5 years | — |
| Ecuador | ARCSA | Contact ARCSA / Contact ARCSA | Contact ARCSA | 5 years | — |
| Venezuela | INHRR | Contact INHRR / Contact INHRR | Contact INHRR | 5 years | Import license required per shipment. |
| Paraguay | DINAVISA | Contact DINAVISA / Contact DINAVISA | Contact DINAVISA | 5 years | MERCOSUR member; mutual recognition pathway available. |
| Uruguay | MSP | Contact MSP / Contact MSP | Contact MSP | 5 years | MERCOSUR member. |
| Costa Rica | MINSA/MS | Contact MINSA / Contact MINSA | Contact MINSA | 5 years | — |
| Panama | MINSA | Contact MINSA / Contact MINSA | Contact MINSA | 5 years | — |
| El Salvador | MINSAL | Contact MINSAL / Contact MINSAL | Contact MINSAL | 5 years | — |
| Guatemala | MSPAS | Contact MSPAS / Contact MSPAS | Contact MSPAS | 5 years | — |
| Nicaragua | MINSA | Contact MINSA / Contact MINSA | Contact MINSA | 5 years | — |
| Cuba | CECMED | Contact CECMED / Contact CECMED | Contact CECMED | 5 years | Import restrictions; liaison agent required. |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| Jamaica | MOH Jamaica | Contact MOH / Contact MOH | Contact MOH | Not published | — |
| Country | Authority | Establishment / GMP License Fee |
|---|---|---|
| United States | FDA | $9,280/yr |
| Canada | Health Canada | — |
| Brazil | ANVISA | AFE: BRL 1,952–19,524; GMP: BRL 2,659–72,805 |
| Mexico | COFEPRIS | Foreign GMP: MXN 126,070 |
| Argentina | ANMAT | Contact ANMAT |
| Colombia | INVIMA | GMP cert: COP 2,569,000+ |
| Chile | ISP | Warehouse: CLP 1,048,089 |
| Peru | DIGEMID | Contact authority |
| Ecuador | ARCSA | Contact authority |
| Venezuela | INHRR | Contact authority |
| Paraguay | DINAVISA | Contact authority |
| Uruguay | MSP | Contact authority |
| Costa Rica | MINSA/MS | Contact authority |
| Panama | MINSA | Contact authority |
| El Salvador | MINSAL | Contact authority |
| Guatemala | MSPAS | Contact authority |
| Nicaragua | MINSA | Contact authority |
| Cuba | CECMED | Contact authority |
| Jamaica | MOH Jamaica | Contact authority |
| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| United Kingdom | MHRA | No premarket review | Notified Body review (varies) | Notified Body review (varies) | — | Post-Brexit UKCA marking required. EU MDR CE no longer accepted from Jul 2025. |
| France | ANSM | Self-declaration | Notified Body review | Notified Body review | — | EU MDR 2017/745 applies. EUDAMED database registration mandatory. |
| Spain | AEMPS | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Spanish national registry required. |
| Sweden | MPA | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Clinical trial fee charged by MPA. |
| Switzerland | Swissmedic | CHRN registration | Notified Body review | Notified Body review | — | Swiss MedDO (TDG) aligned with EU MDR. Economic operators must register within 3 months. |
| Austria | BASG | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Small-company exemption if annual fee >1% of MD turnover. |
| Belgium | FAMHP | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Clinical trial (Class I–II): €12,847. |
| Finland | Fimea | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Inspection fee for authorized rep / importers. |
| Portugal | INFARMED | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Fee is 0.4% of monthly sales, paid via SRCT Portal. |
| Greece | EOF | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Class I registration fee tiered by product count. |
| Romania | ANMDMR | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Free-sale certificate: RON 1,446 (1–10 items). |
| Slovakia | ŠÚKL | Self-declaration (free) | Notified Body review | Notified Body review | — | EU MDR applies. Notification is cost-free; tech-doc assessment €845. |
| Estonia | SAM | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Paid services per SAM decree. |
| Latvia | ZVA | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Annual vigilance fee per manufacturer/AR/distributor. |
| Serbia | ALIMS | CE mark reliance | CE mark reliance | CE mark reliance | — | Fee tiered by product count (up to 25 / 26–100 / 100+). |
| Bosnia and Herzegovina | ALMBiH | CE mark reliance | CE mark reliance | CE mark reliance | — | CE marking accepted; national registration required. |
| Albania | AKBPM | CE mark required | CE mark required | CE mark required | — | CE marking accepted for market access. |
| Malta | MCCAA | Self-declaration | Notified Body review | Notified Body review | — | EU MDR applies. Notification fee €15 per device per year. |
| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| Russian Federation | Roszdravnadzor | 75d | 75d | 75d | — | State registration required. Foreign manufacturer must have authorized rep. |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| United Kingdom | MHRA | MHRA reg: £500 / Notified Body fee (varies) | Notified Body fee (varies) | Annual MHRA reg. | Post-Brexit UKCA marking required. EU MDR CE no longer accepted from Jul 2025. |
| France | ANSM | Not specified by ANSM / Notified Body fee | Notified Body fee | EUDAMED registration | EU MDR 2017/745 applies. EUDAMED database registration mandatory. |
| Spain | AEMPS | €99.71 (listing) / €491.92 (import lic) | Notified Body fee | EUDAMED + AEMPS | EU MDR applies. Spanish national registry required. |
| Sweden | MPA | Not specified / Notified Body fee | Notified Body fee | EUDAMED | EU MDR applies. Clinical trial fee charged by MPA. |
| Switzerland | Swissmedic | Swissmedic fee / Notified Body fee | Notified Body fee | Annual CHRN update | Swiss MedDO (TDG) aligned with EU MDR. Economic operators must register within 3 months. |
| Austria | BASG | Annual BASG fee / Notified Body fee | Notified Body fee | Annual fee (turnover-based) | EU MDR applies. Small-company exemption if annual fee >1% of MD turnover. |
| Belgium | FAMHP | Contact FAMHP / Notified Body fee | Notified Body fee | EUDAMED | EU MDR applies. Clinical trial (Class I–II): €12,847. |
| Finland | Fimea | Contact Fimea / Notified Body fee | Notified Body fee | EUDAMED | EU MDR applies. Inspection fee for authorized rep / importers. |
| Portugal | INFARMED | 0.4% of sales (monthly) / 0.4% of sales | 0.4% of sales | EUDAMED + INFARMED | EU MDR applies. Fee is 0.4% of monthly sales, paid via SRCT Portal. |
| Greece | EOF | €200–1,000 (1–50+ products) / Notified Body fee | Notified Body fee | EUDAMED + EOF | EU MDR applies. Class I registration fee tiered by product count. |
| Romania | ANMDMR | RON 139 (customs decl.) / Notified Body fee | Notified Body fee | EUDAMED + ANMDMR | EU MDR applies. Free-sale certificate: RON 1,446 (1–10 items). |
| Slovakia | ŠÚKL | Free / €845 (first notification) | €845 (first notification) | EUDAMED | EU MDR applies. Notification is cost-free; tech-doc assessment €845. |
| Estonia | SAM | Contact SAM / Notified Body fee | Notified Body fee | EUDAMED | EU MDR applies. Paid services per SAM decree. |
| Latvia | ZVA | Annual vigilance: €105 / Annual vigilance: €202 | Annual vigilance: €202 | EUDAMED | EU MDR applies. Annual vigilance fee per manufacturer/AR/distributor. |
| Serbia | ALIMS | RSD 8,100–13,450 / RSD 20,200–33,600 | RSD 26,600–40,400 | Per ALIMS schedule | Fee tiered by product count (up to 25 / 26–100 / 100+). |
| Bosnia and Herzegovina | ALMBiH | BAM 200 (≤25 products) / BAM 400 (≤25 products) | BAM 400+ | Per ALMBiH schedule | CE marking accepted; national registration required. |
| Albania | AKBPM | Contact AKBPM / Contact AKBPM | Contact AKBPM | Not published | CE marking accepted for market access. |
| Malta | MCCAA | €15/device (notif.) / Notified Body fee | Notified Body fee | Annual (€15/device) | EU MDR applies. Notification fee €15 per device per year. |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| Russian Federation | Roszdravnadzor | Contact Roszdravnadzor / Contact Roszdravnadzor | Contact Roszdravnadzor | Indefinite (GMP renewal periodic) | State registration required. Foreign manufacturer must have authorized rep. |
| Country | Authority | Establishment / GMP License Fee |
|---|---|---|
| United Kingdom | MHRA | Contact Notified Body |
| France | ANSM | Contact authority |
| Spain | AEMPS | Mfg license: €983.55 |
| Sweden | MPA | Contact MPA |
| Switzerland | Swissmedic | CHRN: Swiss representative required |
| Austria | BASG | Contact BASG |
| Belgium | FAMHP | Contact FAMHP |
| Finland | Fimea | Inspection: €2,750/day |
| Portugal | INFARMED | Contact INFARMED |
| Greece | EOF | Contact EOF |
| Romania | ANMDMR | Classification: RON 3,311 |
| Slovakia | ŠÚKL | Contact ŠÚKL |
| Estonia | SAM | Contact SAM |
| Latvia | ZVA | Contact ZVA |
| Serbia | ALIMS | Contact ALIMS |
| Bosnia and Herzegovina | ALMBiH | Contact ALMBiH |
| Albania | AKBPM | Contact authority |
| Malta | MCCAA | Distributor/importer: €500/yr |
| Russian Federation | Roszdravnadzor | Contact authority |
| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| Japan | PMDA/MHLW | Notification (self-declared) | RCB certification: 3–6 months | PMDA approval: 12–24 months | PMDA approval: 24–36 months | Foreign Manufacturer Registration (FMR) mandatory. MAH (Daihyo) license required. |
| China | NMPA | 1–2 months (filing) | 6–9 months | 12–18 months | — | Class III requires local clinical trials for novel devices. NMPA reliance pathway expanding. |
| India | CDSCO | 30d (import license) | 30–90d | 90–180d | — | Overseas site inspection fee: USD 3,000 per site. MD Notification required before import. |
| Korea, Republic of | MFDS | Notification: 30d | Approval: 180d | Approval: 180d | Approval: 180d | QMS audit by MFDS or notified body required. PMS plan mandatory. |
| Australia | TGA | ARTG listing: 1–5d | ARTG registration: 3–12 months | ARTG registration: 3–12 months | ARTG registration: 12–24 months | MDSAP accepted. TGA uses risk-based pathway; conformity assessment certificate required for Class III/IV. |
| New Zealand | Medsafe | WAND: 1–3d | WAND: 1–3d | WAND: 1–3d | — | Notification-based system (WAND database). No pre-market approval or govt fees. CE/TGA/FDA reference accepted. |
| Singapore | HSA | Exempt (Class A) | 30–90d | 90–270d | — | Class A devices exempt from registration. HSA accepts ASEAN CSDT dossier format. |
| Taiwan | TFDA | 80d | 80d | 120d | — | Local clinical study may be required for Class III. Local Taiwanese agent mandatory. |
| Thailand | FDA Thailand | 30d | 90d | 180d | — | Import license and sale license required separately. Sale license: THB 10,000. |
| Malaysia | MDA | Registration required | Registration required | Registration required | — | Medical Device Act 2012 applies. Local authorized representative required. |
| Pakistan | DRAP | 1d (Class A enlistment) | 30d (Class B enlistment) | 90d+ | — | Establishment license renewal: PKR 12,500. Change in particulars: 50% of license fee. |
| Sri Lanka | NMRA | Prelim eval: 12 months | Prelim eval: 12 months | Product reg: 1–5 years | — | Two-step process: Preliminary Evaluation then Product Registration. Local agent mandatory. |
| Cambodia | DDF | Not specified | Not specified | Not specified | — | Flat registration fee across all classes. |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| Japan | PMDA/MHLW | ~USD 100–200 / ~USD 3,000–6,000 | ~USD 10,000–30,000 | Every 5 years (~USD 3,000–10,000) | Foreign Manufacturer Registration (FMR) mandatory. MAH (Daihyo) license required. |
| China | NMPA | Contact NMPA / Contact NMPA | Contact NMPA | 5 years | Class III requires local clinical trials for novel devices. NMPA reliance pathway expanding. |
| India | CDSCO | USD 1,000 (import) / USD 2,000 | USD 3,000 | Annual retention: USD 500/device | Overseas site inspection fee: USD 3,000 per site. MD Notification required before import. |
| Korea, Republic of | MFDS | KRW 5,000 (import clearance) / Notified Body fee (variable) | Notified Body fee (variable) | 180d process; fee TBD | QMS audit by MFDS or notified body required. PMS plan mandatory. |
| Australia | TGA | AUD 180–910 (listing) / AUD 270–3,980 | AUD 270–3,980 | Annual ARTG charge | MDSAP accepted. TGA uses risk-based pathway; conformity assessment certificate required for Class III/IV. |
| New Zealand | Medsafe | No govt fee / No govt fee | No govt fee | No formal renewal | Notification-based system (WAND database). No pre-market approval or govt fees. CE/TGA/FDA reference accepted. |
| Singapore | HSA | Exempt / SGD 340–680 | SGD 1,140–2,280 | 5 years | Class A devices exempt from registration. HSA accepts ASEAN CSDT dossier format. |
| Taiwan | TFDA | TWD 15,000 / TWD 58,000 | TWD 100,000 | Per TFDA schedule | Local clinical study may be required for Class III. Local Taiwanese agent mandatory. |
| Thailand | FDA Thailand | THB 100,000 (mfg license) / THB 200,000 (import license) | THB 200,000+ | Per FDA Thailand schedule | Import license and sale license required separately. Sale license: THB 10,000. |
| Malaysia | MDA | Contact MDA / Contact MDA | Contact MDA | 5 years | Medical Device Act 2012 applies. Local authorized representative required. |
| Pakistan | DRAP | PKR 6,300 / PKR 6,300 | Contact DRAP | PKR 3,150/yr | Establishment license renewal: PKR 12,500. Change in particulars: 50% of license fee. |
| Sri Lanka | NMRA | Contact NMRA / Contact NMRA | Contact NMRA | 1, 2, or 5 years | Two-step process: Preliminary Evaluation then Product Registration. Local agent mandatory. |
| Cambodia | DDF | USD 98 / USD 98 | USD 98 | Contact DDF | Flat registration fee across all classes. |
| Country | Authority | Establishment / GMP License Fee |
|---|---|---|
| Japan | PMDA/MHLW | FMR: ~USD 1,000–1,500; QMS: ~USD 6,000–10,000 |
| China | NMPA | Local agent (SR) required; GMP inspection mandatory |
| India | CDSCO | Import license: USD 3,000 (one site) |
| Korea, Republic of | MFDS | MFDS manufacturing license |
| Australia | TGA | AUD 583 (non-compliance consent) |
| New Zealand | Medsafe | No govt fee |
| Singapore | HSA | HSA product registration only |
| Taiwan | TFDA | Contact TFDA |
| Thailand | FDA Thailand | Mfg establishment: THB 100,000; Import: THB 20,000 |
| Malaysia | MDA | MDA product listing |
| Pakistan | DRAP | Establishment license: PKR 26,100 |
| Sri Lanka | NMRA | Local agent required |
| Cambodia | DDF | Contact authority |
| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| Saudi Arabia | SFDA | 30d | 60d | 90d | — | SFDA accepts reliance from US FDA, EU MDR, Health Canada, TGA, PMDA. |
| United Arab Emirates | MOHAP | 10d (classification) | 45d | 45d | — | Pre-import permit: 3 WD; shipment clearance: 1% CIF. Certificate amendment: AED 1,000. |
| Egypt | EDA | Normal track | Normal track | Normal track | — | Fast track: EGP 20,000 registration + EGP 13,000 eval. E-services portal available. |
| Oman | MOH | Exempt (Class A/B) | Exempt (Class A/B) | 30d (Class C) | 30d (Class D) | Only Class C and D require registration. Class A/B: notification only. |
| Qatar | MOH Qatar | Contact MOH | Contact MOH | Contact MOH | — | Type approval for wireless-enabled devices: QAR 500–1,000. |
| Bahrain | NHRA | 10–20 WD | 10–20 WD | 10–20 WD | — | AR licensing required by device class (A–D). Warehouse registration: BHD 1,000. |
| Jordan | JFDA | 10 months (file review) | 10 months | 10 months | — | License issuance: 45 WD after file review. Import batch clearance: JOD 125. |
| Israel | AMAR | Contact AMAR | Contact AMAR | Contact AMAR | — | Israel aligns with EU MDR and US FDA recognition. |
| Lebanon | MOH | Contact MOH | Contact MOH | Contact MOH | — | — |
| Yemen | SBDMA | 60d (prelim approval) | 60d | 120d (with analysis) | — | Factory inspection: USD 6,000. Importer registration: USD 1,500. |
| Syrian Arab Republic | MOH Syria | Not published | Not published | Not published | — | Import permit: SP 1,500. Modification fees: 30% of registration fee. |
| Palestine, State of | MOH Palestine | Contact MOH | Contact MOH | Contact MOH | — | — |
| South Africa | SAHPRA | Contact SAHPRA | Contact SAHPRA | Contact SAHPRA | — | SAHPRA aligning with PIC/S GMP. MDSAP under consideration. |
| Nigeria | NAFDAC | 120 WD | 120 WD | 120 WD | — | All fees attract 5% VAT. Registration valid 5 years. Diapers/sanitary pads: USD 874. |
| Kenya | PPB | Class A: 22 months | Class B: 14–60 WD (reliance) / 22 months | Class C: 90d (reliance) / full eval | Class D: 90d (reliance) / full eval | Reliance pathways available (FDA, EU MDR, TGA, Health Canada, PMDA, etc.). Import permit: 0.75% FOB. |
| Ethiopia | EFDA | Contact EFDA | Contact EFDA | Contact EFDA | — | EFDA established 2021, replacing FMHACA. |
| Tanzania | TMDA | Contact TMDA | Contact TMDA | Contact TMDA | — | — |
| Botswana | BOMRA | 3 months (screening) | 4–8 months (abridged/full) | 6–10 months | 8–12 months | WHO CRP pathway: 3 months. Expedited route available at higher fee. Retention: BWP 1,000/group. |
| Country | Authority | Class I | Class II | Class III | Class IV | Special Considerations |
|---|---|---|---|---|---|---|
| Rwanda | Rwanda FDA | Contact Rwanda FDA | Contact Rwanda FDA | Contact Rwanda FDA | — | — |
| Sudan | NMPB | Contact NMPB | Contact NMPB | Contact NMPB | — | — |
| Algeria | ANPP | Contact ANPP | Contact ANPP | Contact ANPP | — | — |
| Azerbaijan | MHIA | Contact MHIA | Contact MHIA | Contact MHIA | — | — |
| Georgia | LEPL | Contact LEPL | Contact LEPL | Contact LEPL | — | — |
| Mauritius | MOH Mauritius | Contact MOH | Contact MOH | Contact MOH | — | — |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| Saudi Arabia | SFDA | SAR 1,000 / SAR 2,000 | SAR 5,000 | 5 years | SFDA accepts reliance from US FDA, EU MDR, Health Canada, TGA, PMDA. |
| United Arab Emirates | MOHAP | AED 5,100 (reg + application) / AED 5,100 | AED 5,100 | AED 2,600 (renewal) | Pre-import permit: 3 WD; shipment clearance: 1% CIF. Certificate amendment: AED 1,000. |
| Egypt | EDA | EGP 10,000 (normal) / EGP 10,000 (normal) | EGP 10,000 (normal) | Per EDA schedule | Fast track: EGP 20,000 registration + EGP 13,000 eval. E-services portal available. |
| Oman | MOH | Exempt / Exempt | OMR 20 (classification) | Contact MOH | Only Class C and D require registration. Class A/B: notification only. |
| Qatar | MOH Qatar | Contact MOH / Contact MOH | Contact MOH | Contact MOH | Type approval for wireless-enabled devices: QAR 500–1,000. |
| Bahrain | NHRA | BHD 150 (low risk) / BHD 300 (medium risk) | BHD 1,000 (high risk) | BHD 100–700 (risk-based) | AR licensing required by device class (A–D). Warehouse registration: BHD 1,000. |
| Jordan | JFDA | JOD 100 / JOD 100 | JOD 100 | JOD 100 | License issuance: 45 WD after file review. Import batch clearance: JOD 125. |
| Israel | AMAR | Contact AMAR / Contact AMAR | Contact AMAR | Contact AMAR | Israel aligns with EU MDR and US FDA recognition. |
| Lebanon | MOH | Contact MOH / Contact MOH | Contact MOH | Contact MOH | — |
| Yemen | SBDMA | USD 100 (prelim reg) / USD 100 | USD 200 (with analysis) | USD 50/device | Factory inspection: USD 6,000. Importer registration: USD 1,500. |
| Syrian Arab Republic | MOH Syria | USD 1,000 / USD 1,200 | USD 1,500 | USD 500–750 | Import permit: SP 1,500. Modification fees: 30% of registration fee. |
| Palestine, State of | MOH Palestine | Contact MOH / Contact MOH | Contact MOH | Contact MOH | — |
| South Africa | SAHPRA | Contact SAHPRA / Contact SAHPRA | Contact SAHPRA | Annual retention fee | SAHPRA aligning with PIC/S GMP. MDSAP under consideration. |
| Nigeria | NAFDAC | USD 750 / USD 750 | USD 750 | 80% of new registration cost | All fees attract 5% VAT. Registration valid 5 years. Diapers/sanitary pads: USD 874. |
| Kenya | PPB | USD 100 / USD 200 | USD 1,000 | USD 100–1,000 (class-based) | Reliance pathways available (FDA, EU MDR, TGA, Health Canada, PMDA, etc.). Import permit: 0.75% FOB. |
| Ethiopia | EFDA | Contact EFDA / Contact EFDA | Contact EFDA | Contact EFDA | EFDA established 2021, replacing FMHACA. |
| Tanzania | TMDA | Contact TMDA / Contact TMDA | Contact TMDA | Contact TMDA | — |
| Botswana | BOMRA | BWP 10,000 (listed) / BWP 12,500 | BWP 12,500 | BWP 5,000 | WHO CRP pathway: 3 months. Expedited route available at higher fee. Retention: BWP 1,000/group. |
| Country | Authority | Class I/II Fee | Class III/IV Fee | Renewal Fee | Special Considerations |
|---|---|---|---|---|---|
| Rwanda | Rwanda FDA | Contact Rwanda FDA / Contact Rwanda FDA | Contact Rwanda FDA | Contact authority | — |
| Sudan | NMPB | Contact NMPB / Contact NMPB | Contact NMPB | Contact NMPB | — |
| Algeria | ANPP | Contact ANPP / Contact ANPP | Contact ANPP | Contact ANPP | — |
| Azerbaijan | MHIA | Contact MHIA / Contact MHIA | Contact MHIA | Contact authority | — |
| Georgia | LEPL | Contact LEPL / Contact LEPL | Contact LEPL | Contact authority | — |
| Mauritius | MOH Mauritius | Contact MOH / Contact MOH | Contact MOH | Contact MOH | — |
| Country | Authority | Establishment / GMP License Fee |
|---|---|---|
| Saudi Arabia | SFDA | SFDA licensed local agent required |
| United Arab Emirates | MOHAP | Mfg site reg: AED 10,100 |
| Egypt | EDA | Contact EDA |
| Oman | MOH | No govt fee for establishment approval |
| Qatar | MOH Qatar | Contact authority |
| Bahrain | NHRA | AR license: BHD 300–1,000; Warehouse: BHD 1,000 |
| Jordan | JFDA | Contact JFDA |
| Israel | AMAR | Contact authority |
| Lebanon | MOH | Contact authority |
| Yemen | SBDMA | Foreign company: USD 1,000–6,000 |
| Syrian Arab Republic | MOH Syria | Contact MOH Syria |
| Palestine, State of | MOH Palestine | Contact authority |
| South Africa | SAHPRA | Establishment licence retention fee (annual) |
| Nigeria | NAFDAC | Import permit: USD 11,000 |
| Kenya | PPB | Estab. license: KES 45,000 (new); KES 50,000 (renewal) |
| Ethiopia | EFDA | Contact authority |
| Tanzania | TMDA | Contact authority |
| Botswana | BOMRA | Expedited application: BWP 40,000 |
| Rwanda | Rwanda FDA | Contact authority |
| Sudan | NMPB | Contact authority |
| Algeria | ANPP | Contact authority |
| Azerbaijan | MHIA | Contact authority |
| Georgia | LEPL | Contact authority |
| Mauritius | MOH Mauritius | Contact authority |