Is Neffy in Shortage in 2026?

If you've been told your pharmacy doesn't have Neffy, you might be wondering: is there a Neffy shortage? The short answer is no — Neffy is not in an official drug shortage as tracked by the FDA. But the longer answer is more complicated.

Neffy (Epinephrine nasal spray) is a relatively new medication. It was FDA-approved in August 2024 and became commercially available in late 2024. Because it's still building out pharmacy distribution, many pharmacies simply don't stock it yet. This can feel like a shortage even when the manufacturer has adequate supply.

Let's break down exactly what's happening with Neffy availability in 2026 and what you can do about it.

Why Is Neffy Hard to Find?

There are several factors contributing to Neffy's limited availability at pharmacies:

Limited Pharmacy Distribution

As a new product from a smaller pharmaceutical company (ARS Pharmaceuticals), Neffy is still gaining shelf space at pharmacies nationwide. Large chain pharmacies use centralized ordering systems and may not automatically stock a medication until local demand reaches a certain threshold.

Insurance Formulary Gaps

Not all insurance plans have added Neffy to their formularies. Some require prior authorization or step therapy (trying an auto-injector first). When insurance coverage is inconsistent, patient demand at the pharmacy level stays lower, which reduces the incentive for pharmacies to stock it.

Growing Demand

In areas where allergists are actively prescribing Neffy — especially for pediatric patients and those with needle phobia — demand has grown quickly. Some pharmacies that do stock it may run out temporarily as they adjust their ordering patterns.

New Pediatric Formulation

The 1 mg dose for smaller children (33-65 lbs) became available in mid-2025. This newer formulation is even less widely stocked than the original 2 mg dose, adding another layer of availability challenges for parents.

How Much Does Neffy Cost in 2026?

Cost is another factor that affects availability. Here's what you can expect to pay:

• Cash price (no insurance): Approximately $685 to $800 for a 2-pack of Neffy nasal spray devices
• With commercial insurance: Copays vary by plan, but the manufacturer's Co-Pay Savings Program can reduce your cost to as little as $0
• With the Co-Pay Savings Program: Eligible commercially insured patients can pay as little as $0 for up to 4 devices (2 packs)
• Uninsured patients: May pay as little as $25 per prescription through manufacturer savings, or receive Neffy at no cost through the Patient Assistance Program

For a complete guide to saving money, see our post on how to save money on Neffy in 2026.

New Options and Developments

The landscape for epinephrine products is improving:

• Neffy 1 mg: The pediatric dose for children 33-65 lbs launched in May 2025, expanding access to younger patients.
• Expanding insurance coverage: More insurance plans are adding Neffy to their formularies as the medication becomes more established.
• Growing pharmacy distribution: ARS Pharmaceuticals continues to expand its distribution network, and more pharmacies are stocking Neffy as patient demand increases.
• International expansion: Neffy has been approved in China and is expanding to other markets, which signals continued investment in manufacturing and supply.

How to Find Neffy in Stock

Here's what you can do right now:

1. Use Medfinder to check real-time pharmacy inventory near you. This is the fastest way to find which pharmacies have Neffy on the shelf.
2. Try independent pharmacies — they're often more flexible about ordering new medications and can get Neffy within 1-3 business days.
3. Ask your pharmacist to special-order it if they don't carry it regularly.
4. Contact ARS Pharmaceuticals at 1-877-MY-NEFFY (877-696-3339) for help locating a pharmacy near you.
5. Consider mail-order pharmacy through your insurance plan for convenient home delivery.

For more detailed tips, see our full guide on how to find Neffy in stock near you.

What to Do If You Can't Find Neffy

If you need epinephrine now and can't find Neffy, don't go without protection. Talk to your doctor about alternatives like EpiPen, Auvi-Q, or generic epinephrine auto-injectors. These injectable options are widely available at nearly every pharmacy.

We cover all your options in our post on alternatives to Neffy.

Final Thoughts

Neffy is not in an official shortage, but limited pharmacy distribution makes it feel that way for many patients. The situation is improving month by month as more pharmacies stock it and more insurance plans cover it.

In the meantime, use tools like Medfinder to find Neffy near you, take advantage of savings programs to reduce your cost, and always make sure you have an epinephrine product on hand. For a complete overview of the medication, see What is Neffy?