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ASTELIN vs ASTEPRO ALLERGY

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 15, 2026·How we rate

Rating

72/100
New

Pharmacy pays

$0.58 /mL
$0.58 /mL

Type

RX
OTC

Active ingredient

AZELASTINE HYDROCHLORIDE
AZELASTINE HYDROCHLORIDE

Dosage forms

Spray/Inhaler, metered
Spray/Inhaler, metered

Drug class

Histamine-1 Receptor Antagonist
Histamine-1 Receptor Antagonist

Boxed warning

None
None

Treats

Allergic Conjunctivitis, Perennial Allergic Rhinitis, Vasomotor Rhinitis
Allergic Conjunctivitis, Perennial Allergic Rhinitis, Vasomotor Rhinitis

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Frequently asked questions

Which is cheaper, Astelin or Astepro Allergy?

Pharmacies pay about the same to acquire either one — roughly $0.58 per ml, per the CMS NADAC survey. That is not what you will be charged: your price is set by your insurer and the pharmacy, not by what the drug cost them.

What is the difference between Astelin and Astepro Allergy?

Both Astelin and Astepro Allergy share the active ingredient Azelastine Hydrochloride, but Astelin is sold as RX and Astepro Allergy as OTC.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.