All *NASAL AGENTS - SYSTEMIC AND TOPICAL*

Adrenalin Solution 0.1 % Nasal
Adrenalin Solution 0.1 % Nasal

EPINEPHrine HCl (Nasal)

Tier: 3
PA Type: No Prior Authorization
ST: N
Alzair Allergy Nasal Spray Powder Nasal
Alzair Allergy Nasal Spray Powder Nasal

Hypromellose

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Astepro Solution 0.15 % Nasal
Astepro Solution 0.15 % Nasal

Azelastine HCl

Tier: 3
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.1 % Nasal
Azelastine HCl Solution 0.1 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.15 % Nasal
Azelastine HCl Solution 0.15 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N
Azelastine HCl Solution 0.15 % Nasal
Azelastine HCl Solution 0.15 % Nasal

Tier: 1
PA Type: No Prior Authorization
ST: N