azelastine/fluticasone
137-50 MCG — Spray
Also known as:
AZELASTINE-FLUTICASONE
DYMISTA
Azelastine-fluticasone
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
TRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 3 - Non-Formulary | — | ✓ | ✓ DYMISTA TO BE DISP AT A MAX QUANTITY OF 1 UNIT PER DISP AT RETAIL OR 3 UNITS AT MAIL | ST | QL Step therapy: SEL ANTIHISTAMINE/STEROIDS NS PT >4 W/O OR W/O ASTELIN,ATROVENT,FLONASE,FLUNISOLIDE NS IN 180D REQPA; Quantity limit |