AzelastinePrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Azelastine HCl
    Generic for Astelin
    30mL nasal sprays $8.47 USD
    Save $67.51
  3. Azelastine HCl
    Generic for Optivar
    6mL solutions $9.42 USD
    Save $86.22
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Do you need a prescription for azelastine?

Yes, azelastine is only available with a valid physician Rx.

How much is azelastine without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase azelastine, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for azelastine in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a azelastine savings card?

Yes. Save up to 90% on your azelastine with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a azelastine coupon provider in the US?

No. Now Patient does not provide azelastine coupons or FREE azelastine samples.

Do you accept commercial, Medicare or Medicaid coverage for azelastine in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much azelastine?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using azelastine. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much azelastine. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic azelastine?

Generic azelastine refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of azelastine

Azelastine is approved by the U.S. Food and Drug Administration (FDA) for the treatment of allergic rhinitis, including seasonal and perennial allergic rhinitis.

Active ingredient of azelastine

The active ingredient of azelastine is azelastine hydrochloride (HCL).

US brand name of azelastine and manufacturer

Azelastine is available in the US under various brand names, including Astelin and Astepro. It is manufactured by different pharmaceutical companies.

UK brand name of azelastine and manufacturer

In the UK, azelastine is available under various brand names, including Rhinolast and Allergodil. The manufacturer may vary depending on the brand name.

Prescription requirement for azelastine

A prescription (Rx) is required for azelastine in both the US and the UK.

Availability of azelastine in the UK with NHS prescription

Azelastine is available in the UK with an NHS prescription.

Conditions treated by azelastine

Azelastine is primarily used for the treatment of allergic rhinitis, which is an inflammation of the nasal passages caused by an allergic reaction to substances such as pollen, dust mites, or pet dander.

How does azelastine work?

Azelastine is an antihistamine that works by blocking the action of histamine, a substance released by the body during an allergic reaction. Azelastine works by blocking the H1 receptors on cells, which are receptors that are normally activated by the chemical histamine. By blocking histamine, azelastine helps to relieve allergy symptoms such as nasal congestion, stuffy nose, sneezing, itching, and runny nose associated with allergic rhinitis.

Forms of azelastine available

Azelastine is available as nasal sprays and eye drop dosage forms.

Dosage of azelastine

The dosage of azelastine may vary depending on the individual’s condition, medical history, and response to the medication. It is important to follow the recommended dosage instructions the healthcare provider provides. If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

Directions for azelastine use

Azelastine nasal sprays should be used as directed by the healthcare provider. The medication is usually sprayed into each nostril, typically twice daily. Azelastine eye drops should also be used as directed, typically one or two drops in each affected eye, usually twice daily. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Store the bottle upright with the pump tightly closed. Keep out of the reach of children.

Warnings and precautions for azelastine

  • Azelastine nasal spray may cause certain side effects, including nasal irritation, nosebleeds, drowsiness and a bitter taste. Azelastine eye drops may cause temporary eye discomfort. If any adverse reactions occur, discontinue use and consult a healthcare provider
  • It is important to inform a healthcare professional about all prescription drugs including nonprescription medications such as over-the-counter(otc) drugs and supplements you are taking to avoid potential drug interactions

Use of azelastine during pregnancy and breastfeeding

The use of azelastine during pregnancy and breastfeeding should be carefully considered, and the potential risks and benefits should be discussed with a healthcare provider. Azelastine should only be used if the potential benefits outweigh the potential risks.

Possible side effects of azelastine

In clinical trials common side effects of azelastine may include nasal irritation, headache, dry mouth, sore throat, bitter taste, and eye irritation. Serious adverse effects are possible but less common. Promptly report any concerning symptoms to a healthcare provider.

Similar drugs to azelastine

Other antihistamine medications used for the treatment of allergic rhinitis include cetirizine, loratadine, and fexofenadine.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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