Azelastine-Fluticasone

Generic: azelastine HCl/fluticasone propionate

137-50Mcg — Spray

Also known as: Dymista Azelastine-Fluticasone 137-50Mcg Nasal Spray

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 16 hours, 45 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Dymista	Tier 3 - Non-Preferred Brand	—	—	—	None

2 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 16 hours, 45 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Dymista	Preferred	—	✓	—	ST
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	✓	—	ST

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 16 hours, 45 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via azelastine HCl/fluticasone propionate	Tier 3 - Non-Formulary	✓	—	✓	PA \| QL