Dymista (Azelastine-Fluticasone) Rx Price Comparison: US vs Canada — Save Up to 99% in Canada

At the US pharmacies in our data, the lowest listed discount-card price for Azelastine-Fluticasone is around $39.85. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.

Yes — Cost Plus Drugs lists Azelastine-Fluticasone at roughly $28.65 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.

Canadian pharmacy listings in our data show Azelastine-Fluticasone priced from about $0.330 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.

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.

Medicare Part D prescription drug plans generally do not cover the Azelastine-Fluticasone combination nasal spray. However, they often do cover its individual components—azelastine nasal spray and fluticasone nasal spray—as separate prescriptions. For patients seeking the combination product, using a prescription discount coupon may be a more affordable option than relying on Medicare coverage for this specific medication.

The brand-name product for this combination medication is Dymista.

Yes, there are potentially cheaper alternatives. The most cost-effective option is often to purchase prescription azelastine nasal spray and over-the-counter fluticasone propionate nasal spray separately, as OTC fluticasone is typically much less expensive. Another approach is to use separate prescription nasal sprays—one antihistamine (like azelastine or olopatadine) and one corticosteroid (like fluticasone, mometasone, or budesonide). For some patients, a single medication (either an antihistamine or a steroid alone) may be sufficient. Oral over-the-counter allergy medications like loratadine (Claritin) or cetirizine (Zyrtec) can also be considered in combination with a nasal spray. It is crucial to consult your doctor or pharmacist before making any changes to your allergy treatment regimen, as alternatives can differ in effectiveness and side effects.