DrugDashboards

Dymista

Azelastine Hydrochloride and Fluticasone Propionate · AZELASTINE HYDROCHLORIDE 137 ug/1; FLUTICASONE PROPIONATE 50 ug/1 · Spray, Metered · Nasal · Viatris Specialty LLC

NDC 00037-0245-23 · 1 BOTTLE, SPRAY in 1 BOX / 120 SPRAY, METERED in 1 BOTTLE, SPRAY · NDA · View full market →

The short version

4 companies supply this market — a reasonable cushion if one runs into trouble. The brand price has held steady around $9.14 per gram over the past year. Generic versions run $2.19 per gram4.2× cheaper. Put together: this looks like a healthy supply — the boring kind, which is exactly what you want.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

One drug, every price

The same NDC has different prices depending on who is paying. Units differ between rungs — compare within a rung over time, not rung against rung, unless the units match.

ⓘ How this was built
Data sources
  • CMS NADAC (pharmacy acquisition, weekly)
  • CMS Part B ASP quarterly payment limits
  • CMS Maximum Fair Prices (IRA negotiated, NDC-level)
  • Medicare Part D Spending by Drug (data.cms.gov, name-matched)
  • VA FSS / Big4 federal contract prices (va.gov, twice monthly)
  • ACA Federal Upper Limits + weighted AMP (data.medicaid.gov, monthly)
  • California SB-17 WAC filings (list price, per package)
Method

Each rung is the newest figure for this NDC from one federal price system, shown with its own unit. Part D is matched by drug name because CMS publishes no NDCs there; it is gross spending, before confidential rebates.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

  • Pharmacies pay (NADAC)$9.14per GMinvoice-surveyed acquisition cost · Aug 19, 2026
  • Part D plans paid (avg)$8.63per dosage unitgross, before rebates — matched by drug name · 2024
  • Part D point of sale (median)$10.11per unitnegotiated price across 887 plans — before rebates · Jul 1, 2025
  • Federal ceiling (Big4)$158.94per package of 23GMMylan Specialty L.P. · Jan 1, 2026
  • Medicaid generic ceiling (FUL)$2.19per GMweighted avg manufacturer price $0.9258 · Aug 1, 202624% of what pharmacies pay — a deeper discount than 95% of drugs with this benchmark

Medicare Part D

All Part D pricing →
ⓘ How this was built
Data sources
  • CMS quarterly Prescription Drug Plan Formulary & Pricing files (SPUF)
Method

Negotiated 30-day point-of-sale unit prices and formulary terms aggregated across every unsuppressed Part D and MA-PD plan for the quarter shown. Point of sale means gross of confidential rebates. CMS publishes one representative NDC per drug concept (RxCUI) rather than every package, so these figures come from CMS's representative package for the same drug — matched on generic name, strength, and dosage form. Estimated from MedPAC's program-wide rebate aggregates (June 2023: DIR = 29% of gross Part D spending; brand rebates ≈ 25–40% of gross, generics minimal). Actual rebates are confidential and vary widely by drug — this is a range, not a fact about this drug.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

Plans pay at point of sale
$10.11per unit
middle half $10.07$10.19 · 887 plans · Jul 1, 2025
Est. net of rebates
$6.06–$7.58
brand drug — est. 25-40% rebate off the price at left
Coverage & restrictions
of plans cover it

*No drug-level rebate is public — the estimate applies MedPAC's program-wide brand rebate range to this drug's gross price. Tracked here for 7 quarters since 2024.

NADAC price per unit

$0$5.00$10.00Apr 2013Sep 2026$9.14
45 price points · per GM · dashed = manufacturer avg (WAMP)Source: CMS NADAC

Estimated fill cost

WAC per package, as filed
$220.09
Reported to Texas DSHS · 2026 annual filing · Viatris Specialty LLC

Manufacturer list price as filed — not what pharmacies actually pay after discounts.

Medicaid spend (2025)

$5.7M
26,705 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

5Low risk

Some pressure is visible, but not much — here’s everything the score found to count.

  • 4 active manufacturers+5

The score counts pressure that is already visible — fewer makers, shortages, recalls, falling prices. 0 means none of it; 100 means all of it at once. Recomputed daily · as of Sep 3, 2026

90-day shortage risk (model v2)

0.1%chance of a new FDA shortage posting for azelastine hydrochloride and fluticasone propionate (other) in the next 90 days

sole-source market

For scale: the typical drug’s chance is about 0.1% — this one is in ordinary territory.

Backtested statistical model over the whole market, not this package alone. Model details →

Regulatory

Application
NDA202236
TE code
AB
Approval date
May 1, 2012
Patents / exclusivity
2 patents, 0 exclusivities
TypeNumber / codeExpires
patent8168620*PEDAug 24, 2026
patent8168620Feb 24, 2026

Shortage history

  • Planned discontinuation Azelastine Hydrochloride; Fluticasone Propionate, Nasal Spray, 137 ug; 50 ug (NDC 0378-3458-23)Sep 4, 2025

Recalls (this NDC)

  • Class II · TerminatedFeb 1, 2019
    Mylan Pharmaceuticals Inc.Defective Container: Potential for broken glass in the neck area of the glass bottles.
  • Class II · TerminatedJul 25, 2018
    Mylan Pharmaceuticals Inc.Presence of foreign substance: Potential for glass in the neck area of the glass bottles.

Manufacturers of Azelastine Hydrochloride and Fluticasone Propionate (Spray, Metered)

LabelerStrengthFirst seenLast seen
Apotex Corp.AZELASTINE HYDROCHLORIDE 137 ug/1; FLUTICASONE PROPIONATE 50 ug/1Jul 15, 2026Sep 2, 2026
Mylan Pharmaceuticals Inc.AZELASTINE HYDROCHLORIDE 137 ug/1; FLUTICASONE PROPIONATE 50 ug/1Jul 15, 2026Sep 2, 2026
Teva Pharmaceuticals, Inc.AZELASTINE HYDROCHLORIDE 137 ug/1; FLUTICASONE PROPIONATE 50 ug/1Jul 15, 2026Sep 2, 2026
Viatris Specialty LLCAZELASTINE HYDROCHLORIDE 137 ug/1; FLUTICASONE PROPIONATE 50 ug/1Jul 15, 2026Sep 2, 2026

Roster from daily NDC Directory diffs — first/last seen dates start July 2026.

Cite this page

DrugDashboards, "Dymista — NDC 00037-0245-23," retrieved September 3, 2026, https://drugdashboards.com/drug/00037024523.

Free to cite with attribution — see how the data is put together.