DYMISTA NASAL SPRAY

What it is

DYMISTA NASAL SPRAY is how the CMS NADAC file names this product. The FDA NDC Directory lists it as azelastine hydrochloride and fluticasone propionate, under the trade name “DYMISTA”.

FDA gives its dosage form as spray, metered and its route as nasal.

The labeler, the company named on the label, is Viatris Specialty LLC.

FDA lists it under 2 Established Pharmacologic Classes: Corticosteroid and Histamine-1 Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 00037-0245-23.

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $9.14 for 1 g (1 × $9.13987 per GM, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $2.021 per GM filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What NADAC measures · NADAC explanation codes

The NDC

• 00037-0245-23 · Viatris Specialty LLC · $9.13987 per GM · eff. 2026-09-23 filed

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name azelastine hydrochloride and fluticasone propionate with DYMISTA NASAL SPRAY.

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

Its NADAC price is $9.13987 per GM filed.

Of the 122 other products in FDA’s Corticosteroid class priced per GM, 35 have a higher middle NADAC price and 87 a lower one. The one in the middle is CALCIPOTRIENE-BETAMETHASONE DP 0.005%-0.064% OINTMENT, at $1.43306 per GM filed (eff. 2026-09-23).

Of the 9 other products in FDA’s Histamine-1 Receptor Antagonist class priced per GM, 0 have a higher middle NADAC price and 9 a lower one. The one in the middle is GS ITCH RELIEF 2%-0.1% CREAM, at $0.0575 per GM filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

Medicare Part D paid $8.63 for 1 g, at an average of $8.6287 per GM in 2024 (2024-01-01 to 2024-12-31) for “Dymista” and “Azelastine/Fluticasone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 2,117 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

• What is your cash price for 1 g? Is it lower than what I would pay through my insurance?
• Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: AZELASTIN-FLUTIC 137-50 MCG SPR. Ask your pharmacist or prescriber; do not switch on your own.
• How much is in the package I am getting? This page uses 1 g; your package may hold a different amount.
• If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.