Azelastine vs Azelastine and Fluticasone — Cost, Coverage & Plan Comparison

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Up to 4 drugsCross-class or same-class

Start with the molecules your plan spends the most on. Most useful comparisons live within the same therapeutic class — switching across classes requires deeper clinical review.

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Federal data onlyNo PBM pricing assumed

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11 dimensions

Histamine-1 Receptor Antagonist

Azelastine

Brand: Azelastine Hydrochloride

First FDA approval: 2009-12-01

Histamine-1 Receptor Antagonist

Azelastine and Fluticasone

Brand: DYMISTA

First FDA approval: 2016-10-01

Lowest NADACAcquisition cost floor across all NDCs

$0.286Per unit

$2.26Per unit

Average NADACAcross all dosage forms and strengths

$0.552Up to $0.883

$3.98Up to $9.15

Generic manufacturersActive ANDA holders — FDA Orange Book

1011 total ANDAs filed

00 total ANDAs filed

Annualized Part D spendCY2024 — CMS Part D Spending Dashboard

$131.8MFull year

—Full year

Part D claims (CY24)Total fills, all strengths

5.1M2.4M beneficiaries

—— beneficiaries

Avg cost per claimCalculated: total spend ÷ total claims

$26Per claim, all NDCs

—Per claim, all NDCs

Part D plans surveyed2026 plan year — CMS Formulary file

329Across CMS plan year

Prior-authorization frictionPlan-NDC pairs requiring PA

0Zero PA friction

Step therapy appliedPlan-NDC pairs requiring step therapy

0None

3Limited friction

FDA shortage statusLive cross-reference vs FDA Drug Shortage Database

NoneClear

DiscontinuedSee drug profile

Generic availableFDA Orange Book

Yes10 manufacturers

NoBrand-only