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Insurance plans may cover some or all of the cost … Buy Astelin from Mail Order Meds, partnered with an online Canadian pharmacy that provides the best quality products at a discounted rate for Astelin Azelastine (Astelin, Astepro) is a moderately priced drug used to relieve itching, running, and stuffiness in the nose. It is slightly more popular than comparable drugs. It is available in multiple generic and brand versions. Generic azelastine is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. Yes, Astelin is the branded version of azelastine. Both treatments contain the same active ingredient, azelastine hydrochloride, and are available as a nasal spray. According to the FDA, the generic version is just as effective as the branded one, so there should be no significant difference. 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