Dymista

Generic: Azelastine-Fluticasone

Nasal Spray

Also known as: DYMISTA SPR 137-50

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

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 19 hours, 12 minutes ago

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

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 19 hours, 12 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Azelastine-Fluticasone	Tier 2 - Preferred Brand	—	—	—	None

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 19 hours, 12 minutes ago

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

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 19 hours, 12 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Not Covered	—	—	—	None

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 19 hours, 12 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via Azelastine-Fluticasone	Tier 4 - Higher Cost	—	—	✓	QL