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Medicines labeled for the same conditions

Alternatives to azelastine and fluticasone

6 other medicines are given the same way (nasal) and in the same FDA class as azelastine and fluticasone or labeled mainly for the same use (allergies); 6 are in its class, histamine-1 receptor antagonists: triamcinolone, mometasone, budesonide, olopatadine and 2 more (FDA labels read October 8, 2026). In the same class, the lowest pharmacy cost is $0.739 per mL (Triamcinolone 55 mcg nasal spr) (what pharmacies paid in the NADAC survey; strengths differ).

Which medicines are labeled for the same conditions as azelastine and fluticasone?

Allergies lists all 36 medicines labeled for it, by any route. Each row shows the conditions both labels name. They are listed as public records, not as substitutes: whether one can replace another depends on the person and is a prescriber's decision.

Medicine and FDA classShared indicationGeneric labelers (nasal)Pharmacy costBoxed warningShortage
Azelastine and fluticasonehistamine-1 receptor antagonistthis medicine4 labelers$2.02 per gram 137-50 mcg sprNoNo current entry
Triamcinolonecorticosteroid · same classAllergies24 labelers$0.739 per mL 55 mcg nasal sprNoListed; available
Mometasonecorticosteroid · same classAllergies5 labelers$1.59 per gram 50 mcg spryNoNo current entry
Budesonidecorticosteroid · same classAllergies5 labelers$1.41 per mL 32 mcg nasal sprayNoNo current entry
Olopatadinemast cell stabilizer · same classAllergies4 labelers$0.850 per gram 665 mcg nasal spryNoNo current entry
Beclomethasonecorticosteroid · same classAllergiesnone listed$30.23 per gram 80 mcg nasal sprayNoNo current entry
Mometasone and olopatadinemast cell stabilizer · same classAllergiesnone listed$7.67 per gram 665-25 mcg sprayNoNo current entry

Source: FDA drug labels (indications) via openFDA; FDA NDC Directory; CMS NADAC of October 7, 2026; FDA Drug Shortage Database (FDA files October 8, 2026)

What do pharmacies pay for each?

The headline NADAC price per unit of each medicine's most widely listed form; strengths differ, so compare like with like on each record.

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What next?

Azelastine and fluticasone: the full record
label, generics, price, shortages, recalls