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For any patient calling for these, I think we can say to them we will fill but also offer alternatives such as CostCo where can get:

  - Generic Zyrtec - 365 for $15
  - Generic Allegra - 180 for $35
  - Brand name Nasacort - 4 bottles for $30
  - Brand name Sensimist - 3 bottles for $45
  - Generic Flonase - 5 bottles for $23
  - Brand name Astepro - 3 bottles for $40
  - Brand name Pataday Extra Strength - 3 bottles for $30 

**Seasonal allergic rhinitis:**

Zyrtec or Allegra - once to twice daily (Zyrtec twice daily - monitor for sedation)
  * 6-11m: Zyrtec 2.5mL daily
  * 12-23m: Zyrtec 2.5mL daily; max 5mL daily
  * 2-5yo: Zyrtec 2.5 to 5mL daily; can do 5mL bid if needed
  * 6+: Zyrtec 10ml or 10mg daily; can do 10mg bid if need

Nasacort or Sensimist: 1 spray each side (2-5yo) or 2 sprays each side 6 and up

Astepro: 1 spray each side twice daily

Pataday: 1 drop each eye daily; can do twice daily if need