Azelastine is a generic prescription nasal spray or eye drop that relieves the nasal or eye symptoms that result from an allergic reaction. Azelastine is an antihistamine, a type of drug that blocks the actions of histamines, chemicals released by the body that cause the swelling, itching, and discomfort of allergic reactions. On average, Azelastine costs $117.27 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray but you could pay $13.99 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray with a free SingleCare Azelastine coupon.
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Brand vs. Generic
Azelastine HclGeneric: Azelastine Hcl
Azelastine Hcl
(Generic)
Astepro
(Trademark Generic)
Astepro Allergy
(Trademark Generic)
Astepro Childrens
(Trademark Generic)
Azelastine Hcl
(Brand)
Form
bottle of nasal spraybottle of nasal spray
bottle of nasal spray
eye dropper
solution (quantity in ml)
Dosage
30ml of 0.1% (137mcg/spray)30ml of 0.1% (137mcg/spray)
30ml of 0.1% (137mcg/spray)
Quantity
30 count30 count
15
30
60
90
120
180
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15 bottle of nasal spray, 30ml of 0.1% (137mcg/spray)Edit
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$20.83
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$25.96
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$25.99
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$28.17
$ 25.17
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$ 26.90
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SingleCare’s prescription prices are based on multiple sources. The prices we publish are our best estimate, but we cannot guarantee that the price we display will exactly match the price you receive at the pharmacy. For an exact price, please contact your pharmacy and provide the BIN/GRP/PCN numbers shown on your SingleCare card.
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Prices updated: 12/21/2025
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About Azelastine
Azelastine is a generic prescription nasal spray or eye drop that relieves the nasal or eye symptoms that result from an allergic reaction. Azelastine is an antihistamine, a type of drug that blocks the actions of histamines, chemicals released by the body that cause the swelling, itching, and discomfort of allergic reactions. On average, Azelastine costs $117.27 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray but you could pay $13.99 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray with a free SingleCare Azelastine coupon.
Our price history metrics are calculated from aggregate prescription data that we receive from all participating pharmacies. This chart updates daily to show new price fluctuations. If a data point is missing from the chart, it is because we do not have enough data to produce a reliable figure.
Average 1-Month Prices for Azelastine Hcl
30 count, solution (quantity in ml), 0.1%
Pharmacy
Azelastine Hcl Retail Price
Azelastine Hcl SingleCare Price
CVS Pharmacy
$58.50
$58.04
Walmart
$26.70
$21.90
Walgreens
$46.35
$31.20
Kroger Pharmacy
$60.00
$17.10
Albertsons Pharmacy
$99.00
$19.50
These prices are based on the last month of SingleCare prescription fill data by major pharmacy. This table updates daily to show the most accurate typical prices by pharmacies. If a data point is missing from the table, it is because we do not have enough data to produce a reliable figure.
About Azelastine
Azelastine is a generic prescription nasal spray or eye drop that relieves the nasal or eye symptoms that result from an allergic reaction. Azelastine is an antihistamine, a type of drug that blocks the actions of histamines, chemicals released by the body that cause the swelling, itching, and discomfort of allergic reactions. On average, Azelastine costs $117.27 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray but you could pay $13.99 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray with a free SingleCare Azelastine coupon.
Generic Azelastine costs $13.99 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray with a free Azelastine coupon from SingleCare. But, you could reduce this cost more depending on your Rx information. Use the dropdown menu above to update your prescription information (i.e., generic/brand, quantity, dosage, form) to see the most accurate prices of Azelastine with SingleCare at your local pharmacies.
How much does Azelastine cost without insurance?
Patients can usually expect to pay $117.27 for 30, 30ml of 0.1% (137mcg/spray) bottles of nasal spray of Azelastine. Compare this price to a SingleCare Azelastine coupon: $13.99 for 30 bottles of nasal spray of 30ml of 0.1% (137mcg/spray). From generics to brand-name prescription drugs, you can save as much as 80% with a SingleCare savings card.
How much does Azelastine cost with insurance?
Many commercial insurance plans cover the generic form of Azelastine. A brand-name version may not be covered, or may require a higher copay or prior authorization. The amount of your Azelastine copay depends on your insurance plan. With SingleCare, Azelastine costs $13.99 for 30 bottles of nasal spray of 30ml of 0.1% (137mcg/spray), which may be lower than your insurance copay. Ask your pharmacist to do a price comparison. You may save more money with SingleCare than with insurance.
Does Medicare cover Azelastine and how much does it cost?
Azelastine is typically covered by Medicare Part D and Medicare Advantage prescription drug plans; however, its brand-name version, Astepro, is often not. Patients without Medicare can save with a SingleCare Azelastine coupon and pay only $13.99 for 30 bottles of nasal spray of 30ml of 0.1% (137mcg/spray).
Does Medicaid cover Azelastine?
As a generic drug, many state Medicaid plans cover Azelastine. Brand-name versions may not be covered or may require prior authorization. Prescription drug coverage does vary by state, so check your state’s formulary to see if Azelastine is included.
What is the brand name of Azelastine?
Azelastine is also the active ingredient in the brand-name nasal spray Astepro. Brand-name Astepro nasal spray is available over-the-counter (OTC) as well as by prescription.
Ways to save on Azelastine
Medications for allergy symptoms may be taken occasionally or on a regular basis. Over time, costs can add up. Ways to save on Azelastine include:
Use a SingleCare coupon to save on Azelastine as a nasal spray or eye drops
Azelastine as a nasal spray is available as Astepro and other brand names as an OTC medication. Compare prices with the OTC versions. The cost of Azelastine may be lower with a SingleCare coupon.
Compare prices at different pharmacies, as costs may vary.
Ask your healthcare provider about samples of Azelastine. While this isn’t a long-term strategy, a sample may be available while you find out if Azelastine works for you.
Consider using workplace FSA or HSA funds to cover the cost of medications like Azelastine.
Is there a cheaper alternative to Azelastine?
As a generic medication, Azelastine is less expensive than its brand-name counterpart. You may, on occasion, be able to find OTC versions of Azelastine on sale. There are other oral medications, nasal sprays, and eye drops that treat allergy symptoms, but they all work differently. Your healthcare provider can help you find the version that best treats your symptoms and is most cost-effective for you.
How to use SingleCare for Azelastine
SingleCare coupons are accepted at most national pharmacies and grocery stores, including Walgreens, Kroger, Walmart, CVS, Safeway, and more. Simply text, email, print, or save your free Azelastine coupon to your digital wallet and show your pharmacist at the counter.
Anne Jacobson, MD, MPH, is a board-certified family physician, writer, editor, teacher, and consultant. She is a graduate of University of Wisconsin School of Medicine and Public Health, and trained at West Suburban Family Medicine in Oak Park, Illinois. She later completed a fellowship in community medicine at PCC Community Wellness and a master's in Public Health at the University of Illinois-Chicago. She lives with her family near Chicago.
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Where are Azelastine coupons from SingleCare accepted?
SingleCare is accepted at most national pharmacies and grocers, including the following: