The short version
Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has fallen 31% in a year, to $2.19 per gram — and generics that get this cheap tend to get abandoned rather than defended.
Market view
azelastine hydrochloride, fluticasone propionate · Spray, Metered
3 marketed package NDCs · 2 active manufacturers
Most dispensed: 137 ug; 50 ug · Spray, Metered · #1 bottle/carton / 120 spray, metered in 1 bottle
Price range and competition
RSS: changes for this drugEvery company selling this drug reports its own price. The line follows the middle of the pack; the shaded band holds the middle half of companies — the wider it is, the more they disagree.
Latest · Sep 2026 — typical price $2.19 · middle half $2.19–$2.19 · full range $2.19–$2.19 · 1 products · 2 companies
ⓘ How this was built
Data sources
- CMS NADAC weekly survey + monthly archives back to 2013 (data.medicaid.gov)
- CMS Federal Upper Limit files (weighted AMP)
- FDA NDC Directory (openFDA) — maker roster
Method
Each month's band spans the NADAC unit prices of every NDC of this drug (min, quartiles, median, max), split into brand and generic cohorts by FDA marketing category. Maker counts come from distinct labelers with the NDC actively listed.
Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.
What changed in the last 90 days
Every detected change for azelastine hydrochloride, fluticasone propionate, newest first — price moves, shortages, recalls, and manufacturers entering or leaving. Detected by comparing each day’s federal data against the day before.
- Price downNADAC $2.24581 → $2.18679 per unit (-2.63%)
- Price downNADAC $2.32481 → $2.24581 per unit (-3.4%)
Same drug class
Other molecules FDA puts in Corticosteroid, with whether each is in shortage right now. Same class is not the same drug — substitution is a clinical decision, and this is a supply picture, not a recommendation.
- triamcinolone hexacetonide· in shortage
- methylprednisolone acetate· in shortage
- methylprednisolone· in shortage
- dexamethasone sodium phosphate· in shortage
- dexamethasone· in shortage
- 1.85% hydrocortisone acetate - 1.15% pramoxine hci cream· 1 maker
- 1% hydrocortisone anti-itch· 1 maker
- acetaldehyde, aceticum ac, arg nit, caffeinum, calc sulph, citricum ac, cortisone aceticum, echinacea purp, folliculinum, fragaria, fumaricum ac, gallicum ac, glandula suprarenalis suis, hepar suis, histaminum hydrochloricum, hydrangea, lac vac, lecithin, limulus, lycopersicum, lycopodium, nat bicarb, nat mur, nux vom, paraffinum, phosphoricum ac, saccharum off, silicea, tartaricum ac, torula cerevisiae.· 1 maker
- acetaldehyde, dopamine hydrochloride, dhea (dehydroepiandrosterone), 7-oxo-dehydroepiandrosterone-3b-acetate, folliculinum, oophorinum (suis), cholesterinum, progesterone, testosterone, cortisone aceticum, aldosterone, androsterone, follicle stimulating hormone· 1 maker
- aceticum ac, acetylsal ac, adrenocorticotrophin, alumina, arsenicum alb, borago, ceanothus, chelidonium maj, chionanthus, chloramphenicolum, chlorpromazinum, cholesterinum, cortisone aceticum, damiana, folliculinum, fumaricum ac, kali iod, lycopodium, nat sulphuricum, nux vom, oleum morrhuae, petroleum, phenacetinum, phosphoricum ac, phosphorus, plumb met, saccharum off, silicea, taraxacum, thyroidinum.· 1 maker
- aceticum acidum, cacao, magnesia sulphurica, natrum sulphuricum, verbascum thapsus, glandula suprarenalis suis, pancreas suis, cortisone aceticum, thyroidinum (suis), iodium, lycopodium clavatum, phosphorus, ranunculus bulbosus, saccharum officinale, vanadium metallicum, zincum metallicum, chromium acidum, culex musca· 1 maker
- aconitum napellus, adrenalinum, ambra grisea, aurum muriaticum natronatum, calcarea sulphurica, cimicifuga racemosa, cinchona officinalis, cortisone aceticum, crocus sativus, dna, hyoscyamus niger, hypophysis suis, hypothalamus suis, ignatia amara, kali bromatum, lachesis mutus, pulsatilla (pratensis), thyroidinum (bovine), viola odorata· 1 maker
Common questions
- Is Azelastine hydrochloride, fluticasone propionate in shortage right now?
- No. FDA does not currently list Azelastine hydrochloride, fluticasone propionate in shortage. This page is rebuilt every morning from FDA's shortage database, so a new posting appears here the day it is published.
- Who makes Azelastine hydrochloride, fluticasone propionate?
- 2 companies have marketed Azelastine hydrochloride, fluticasone propionate in the last 30 days, according to the FDA NDC Directory. That is a thin market — if one stops making it, supply is at risk quickly. Every manufacturer and package is listed on this page.
- What does Azelastine hydrochloride, fluticasone propionate cost?
- The typical pharmacy pays about $2.19 per gram, based on the most recent CMS NADAC survey of actual acquisition costs. That is what the pharmacy pays for the drug itself — not the cash price, and not what an insurer is billed.
All marketed products
Expand a strength to see its dosage forms, then package sizes, then each manufacturer and NDC. Click an NDC for its full detail page.