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Independent analysis of NHS open data
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Fluticasone propionate/azelastine hydrochloride (Nasal)

Ear, Nose and Oropharynx Drugs acting on the nose BNF 1202010Y0
Data updated April 2026 Download CSV

Fluticasone propionate/azelastine hydrochloride (Nasal) was ranked 188th of 1,792 medicines by items in April 2026, with 88,443 items, up 13.5% on a year earlier.

88,443items +13.5%

Dispensed in April 2026

844,328items

Rolling 12 months

£1,013,705

Net ingredient cost · April 2026

Figure 1. Fluticasone propionate/azelastine hydrochloride (Nasal): national items dispensed by month

0 44k 88k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 Apr 2026 88,443 Jan 2021: 29k Feb 2021: 28k Mar 2021: 34k Apr 2021: 36k May 2021: 33k Jun 2021: 44k Jul 2021: 39k Aug 2021: 33k Sep 2021: 35k Oct 2021: 33k Nov 2021: 34k Dec 2021: 36k Jan 2022: 35k Feb 2022: 33k Mar 2022: 41k Apr 2022: 40k May 2022: 44k Jun 2022: 50k Jul 2022: 44k Aug 2022: 41k Sep 2022: 38k Oct 2022: 39k Nov 2022: 41k Dec 2022: 40k Jan 2023: 40k Feb 2023: 39k Mar 2023: 46k Apr 2023: 41k May 2023: 55k Jun 2023: 64k Jul 2023: 52k Aug 2023: 49k Sep 2023: 48k Oct 2023: 49k Nov 2023: 50k Dec 2023: 50k Jan 2024: 55k Feb 2024: 53k Mar 2024: 57k Apr 2024: 62k May 2024: 67k Jun 2024: 74k Jul 2024: 72k Aug 2024: 63k Sep 2024: 61k Oct 2024: 65k Nov 2024: 62k Dec 2024: 63k Jan 2025: 67k Feb 2025: 61k Mar 2025: 70k Apr 2025: 78k May 2025: 82k Jun 2025: 86k Jul 2025: 81k Aug 2025: 69k Sep 2025: 73k Oct 2025: 74k Nov 2025: 69k Dec 2025: 74k Jan 2026: 75k Feb 2026: 70k Mar 2026: 85k Apr 2026: 88k

Source: NHSBSA Prescription Cost Analysis, to April 2026

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At a glance

  • Therapeutic class Drugs acting on the nose
  • Presentations 5 shown
  • Average cost / item £11.46
  • Year on year Up 13.5% on a year earlier
What this is
Net ingredient cost is the list price before discounts and dispensing fees, not what the NHS finally pays.

Top presentations, April 2026

The individual products dispensed under Fluticasone propionate/azelastine hydrochloride (Nasal) this month.

Presentations of Fluticasone propionate/azelastine hydrochloride (Nasal), April 2026
Presentation BNF code Items Net ingredient cost
Dymista 137micrograms/dose / 50micrograms/dose nasal spray 1202010Y0BBAAAA 44,009 £724,726
Fluticasone propionate 50microg/Azelastine 137microg/dose 1202010Y0AAAAAA 43,028 £272,042
Flomister 137micrograms/dose / 50micrograms/dose nasal spray 1202010Y0BCAAAA 1,361 £16,239
Dymista Control 137microg/dose / 50microg/dose nsl spy 1202010Y0BBABAA 44 £686
Lutonaze 137micrograms/dose / 50micrograms/dose nasal spray 1202010Y0BDAAAA 1 £11

Source: NHSBSA Prescription Cost Analysis · to April 2026 OGL v3.0

Where Fluticasone propionate/azelastine hydrochloride (Nasal) is dispensed

The regions and dispensing practices with the highest Fluticasone propionate/azelastine hydrochloride (Nasal) volumes.

Regional volumes from NHSBSA Prescription Cost Analysis; practice volumes from NHS dispensing data.

Compare Fluticasone propionate/azelastine hydrochloride (Nasal) with

Other medicines in the same BNF section, by prescribing volume.