Full price comparison · US & Canada

Azelastine Hcl Prices — US Pharmacy Cost vs Canada — Save Up to 63% in Canada

Brand availableRx requiredAvailable US & Canadabottle of nasal sprayHealth Canada DIN 02432889

Cheaper in Canada

0%

lower price for Azelastine Hcl, based on the lowest comparable per-unit prices we found

US · discount card

$13.99

per fill

Lowest listed pharmacy price

US · Cost Plus Drugs

$3.14

per unit

Published price, no card needed

Lowest

Canada

$1.15

per tablet

Lowest listed pharmacy price

Fetching live USD → CAD rate…

US pharmacy prices — 30ml of 0.1% (137mcg/spray)

PharmacyDiscount-card priceRegular cash priceAverage retail
Kroger Pharmacy$13.99Lowest$16.99$9.99
Harris Teeter Pharmacy$13.99Lowest$16.99$9.99
Walgreens$17.63$20.63$14.20
Walmart Neighborhood Market$18.16$21.16$9.99
Walmart Pharmacy$18.16$21.16$9.99
Publix$22.99$25.99$9.99
Costco$23.99$23.99$9.99
CVS Pharmacy$25.48$28.48$9.99
Food Lion$26.07$26.07$9.99

"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.

Canadian pharmacy prices

Initial · 137 mcgfrom $34.47
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$1.15Free$76.22Lowest
CanadaPharmacies.com$1.32Free$86.99
CanadianPrescriptionDrugstore.com$1.52$14.95$100.00
CanadianPharmacyAdvantage.com$1.57Free$34.47
CanadaPharmacies.com$2.09Free$45.99
InhalersOnline.com$2.17$0.00$143.52
InhalersOnline.com$2.87$0.00$63.17
InhalersOnline.com$3.17$0.00$189.99
InhalersOnline.com$4.00$0.00$79.99
Initial · 140 mcgfrom $100.00
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPrescriptionDrugstore.com$1.52$14.95$100.00Lowest
InhalersOnline.com$2.17$0.00$143.52
InhalersOnline.com$3.17$0.00$189.99
Generic · 0.001from $23.49
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$1.50Free$89.78Lowest
InhalersOnline.com$1.54$0.00$92.64
CanadaPharmacies.com$1.68Free$100.99
CanadianPharmacyAdvantage.com$2.35Free$23.49
BuyLowDrugs.com$2.48$0.00$149.00
InhalersOnline.com$3.39$0.00$33.86
CanadaPharmacies.com$3.50Free$34.99
Generic · 0.001 wfrom $27.29
PharmacyPrice / tabletPack sizeShippingTotal
OffShoreCheapMeds.com$1.24$14.95$37.21Lowest
OffShoreCheapMeds.com$1.36$14.95$27.29
Generic · 0.01 %from $33.86
PharmacyPrice / tabletPack sizeShippingTotal
InhalersOnline.com$1.54$0.00$92.64Lowest
InhalersOnline.com$3.39$0.00$33.86
Brand · 0.001from $23.49
PharmacyPrice / tabletPack sizeShippingTotal
CanadianPharmacyAdvantage.com$1.50Free$89.78Lowest
InhalersOnline.com$1.54$0.00$92.64
CanadaPharmacies.com$1.68Free$100.99
CanadianPharmacyAdvantage.com$2.35Free$23.49
BuyLowDrugs.com$2.48$0.00$149.00
InhalersOnline.com$3.39$0.00$33.86
CanadaPharmacies.com$3.50Free$34.99
Brand · 0.001 wfrom $27.29
PharmacyPrice / tabletPack sizeShippingTotal
OffShoreCheapMeds.com$1.24$14.95$37.21Lowest
OffShoreCheapMeds.com$1.36$14.95$27.29
Brand · 0.01 %from $33.86
PharmacyPrice / tabletPack sizeShippingTotal
InhalersOnline.com$1.54$0.00$92.64Lowest
InhalersOnline.com$3.39$0.00$33.86

Canadian prices are converted to USD at the time of listing and shown before any duties. Shipping and delivery times vary by pharmacy.

Interchangeable forms

Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Azelastine Hcl.

Other brand names
Astepro
Generic clinical forms
azelastine hydrochloride 0.206 MG/ACTUAT Metered Dose Nasal Spray

Frequently asked questions

What's the cash price for Azelastine Hcl (Azelastine Hcl) in the US?

Our most recent US pharmacy data shows a low of roughly $13.99 for Azelastine Hcl with a standard discount card. That figure moves with dosage and quantity — check the comparison table for the exact combination you need.

Is Azelastine Hcl (Azelastine Hcl) available through Cost Plus Drugs?

Yes — Cost Plus Drugs lists Azelastine Hcl at roughly $3.14 per unit, a published price with no membership card or coupon involved. See the three-price comparison above for how that stacks up against discount-card pharmacies.

What do Canadian pharmacies charge for Azelastine Hcl (Azelastine Hcl)?

We found Canadian pricing for Azelastine Hcl starting near $1.15 per tablet in USD terms. That's before any shipping charge, which the table above breaks out separately.

Why is Azelastine Hcl (Azelastine Hcl) priced differently in the US and Canada?

Drug pricing is set separately in each country through different negotiation, regulatory, and distribution systems, so the same medication can legitimately carry different price tags on either side of the border. In this case, our data shows the Canadian price coming in lower — but that isn't true for every drug, so it's worth checking each medication individually rather than assuming.

How does insurance affect the cost of Azelastine?

Most commercial insurance plans cover the generic form of Azelastine. Coverage for brand-name versions may be more restricted and could require a higher copay or prior authorization. Your final copay amount depends entirely on your specific plan's formulary and benefits. It can be worthwhile to ask your pharmacist to compare your insurance copay against the price available with a pharmacy savings program, as the latter may sometimes offer a lower rate.

Is Azelastine covered by Medicare, and what is the cost?

Azelastine is generally covered under Medicare Part D and Medicare Advantage prescription drug plans. The brand-name version, Astepro, is often not covered or may have different restrictions. For those without Medicare coverage, exploring options like prescription discount cards can help manage the medication's cost.

Does Medicaid provide coverage for Azelastine?

As a generic drug, Azelastine is covered by many state Medicaid plans. Coverage for brand-name versions may be limited or require prior authorization. Since prescription drug formularies vary by state, you should check your specific state's Medicaid plan to confirm coverage details for Azelastine.