← Back to Azelastine / fluticasone nasal spray (Dymista and others)
Medications
Azelastine / fluticasone nasal spray (Dymista and others) — plans on this site that list it on Tier 4
34 plans published on this site list this drug on Tier 4, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.
BayCare Health Plans
2 plans on this site
- BayCarePlus Complete (HMO) — Offered in FL: Hillsborough, Pasco, Pinellas, Polk
- BayCarePlus Rewards (HMO) — Offered in FL: Hillsborough, Pasco, Pinellas, Polk
Highmark Blue Cross Blue Shield
2 plans on this site
- Complete Blue PPO Distinct (PPO) — Offered in WV: 20 counties
- Complete Blue PPO Signature (PPO) — Offered in WV: 20 counties
Highmark Blue Cross Blue Shield or Highmark Blue Shield
20 plans on this site
- Community Blue Medicare HMO 651 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua
- Community Blue Medicare HMO Distinct (HMO) — Offered in PA: Adams, Bradford, Carbon, Centre, Clinton, Juniata, Montour, Northampton, Wayne
- Community Blue Medicare HMO Signature (HMO) — Offered in PA: Adams, Bradford, Carbon, Centre, Clinton, Juniata, Montour, Northampton, Wayne
- Community Blue Medicare HMO Standard (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Community Blue Medicare PPO Signature (PPO) — Offered in PA: Adams, Bradford, Carbon, Centre, Juniata, Montour, Northampton, Northumberland, Pike, Wayne
- Community Blue Medicare Plus PPO Signature (PPO) — Offered in PA: Lycoming, Sullivan
- Complete Blue HMO Distinct (HMO) — Offered in PA: Cameron, Clearfield, Crawford, Elk, Forest, Huntingdon, McKean, Potter, Venango
- Complete Blue PPO Merit (PPO) — Offered in PA: 15 counties
- Complete Blue Plus PPO Distinct (PPO) — Offered in PA: Lycoming, Sullivan
- Complete Blue Plus PPO Merit (PPO) — Offered in PA: Clinton, Lycoming, Sullivan
- Freedom Blue PPO Classic (PPO) — Offered in PA: 17 counties
- Freedom Blue PPO Deluxe (PPO) — Offered in PA: 34 counties
- Freedom Blue PPO Select (PPO) — Offered in PA: 17 counties
- Freedom Blue PPO Standard (PPO) — Offered in PA: 34 counties
- Freedom Blue PPO ValueRx (PPO) — Offered in PA: 34 counties
- Security Blue HMO-POS Deluxe (HMO-POS) — Offered in PA: 17 counties
- Security Blue HMO-POS Standard (HMO-POS) — Offered in PA: 17 counties
- Security Blue HMO-POS ValueRx (HMO-POS) — Offered in PA: 11 counties
- Senior Blue 652 (HMO) — Offered in NY: Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Warren, Washington
- Together Blue Medicare HMO with AHN Signature (HMO) — Offered in PA: Allegheny, Beaver, Butler, Erie, Washington, Westmoreland
Independence Blue Cross
3 plans on this site
- Keystone 65 Preferred Rx (HMO) — Offered in PA: Chester, Delaware, Montgomery
- Keystone 65 Select Rx (HMO) — Offered in PA: Chester, Delaware, Montgomery
- Personal Choice 65 Rx (PPO) — Offered in PA: Chester, Delaware, Montgomery
Independent Health
3 plans on this site
- Independent Health's Assure Advantage (HMO C-SNP) — Offered in NY: Erie
- Independent Health's Encompass 65 RED 045 (HMO) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
- Independent Health's Medicare Family Choice (HMO I-SNP) — Offered in NY: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming
Select Health
4 plans on this site
- Select Health Medicare Dual (HMO D-SNP) — Offered in UT: Davis, Iron, Salt Lake, Utah, Washington, Weber
- Select Health Medicare Essential (HMO) — Offered in CO: Adams, Arapahoe, Denver, Douglas, El Paso, Elbert, Jefferson, Pueblo, Teller
- Select Health Medicare Value Giveback (HMO) — Offered in NV: Clark, Nye
- Select Health Medicare Wellness (HMO) — Offered in NV: Clark, Nye
A tier is not a price; what you pay depends on your plan, pharmacy, and benefit stage.
Source: CMS Prescription Drug Plan Formulary data + this site's published plan records · List built 2026-11-08
