Can't find Neffy at your pharmacy? Learn why this epinephrine nasal spray is hard to find in 2026 and what you can do to get your prescription filled today.
You got the prescription. Your doctor told you about this new needle-free epinephrine nasal spray. You drove to the pharmacy, handed over the script — and they told you they don't carry it. Or worse, they've never heard of it.
If this sounds familiar, you're not imagining things. Neffy is genuinely harder to find than most medications right now, and there are real reasons for that. The good news? There are also real solutions.
In this post, we'll explain exactly what Neffy is, why pharmacies may not have it in stock, and what steps you can take to get it.
Neffy is the brand name for Epinephrine nasal spray, made by ARS Pharmaceuticals. It's the first and only needle-free epinephrine product approved by the FDA for treating severe allergic reactions, including anaphylaxis.
The FDA approved Neffy in August 2024 for adults and children weighing 66 pounds (30 kg) or more. In early 2025, a lower-dose version (1 mg) was approved for children aged 4 and older weighing 33 to 65 pounds.
Instead of an injection into the thigh like an EpiPen, Neffy is sprayed into one nostril. It's fast, it's needle-free, and it's a game-changer for people who are afraid of needles or who have struggled to use auto-injectors in an emergency.
For a deeper dive into how the drug works, check out our post on how Neffy works.
There are several reasons why you might be struggling to fill your Neffy prescription in 2026:
Neffy only became commercially available in late 2024. Many pharmacies — especially large chain pharmacies — are slow to stock new medications until demand becomes consistent. Your local Walgreens or CVS may simply not have ordered it yet.
New drugs often take 12 to 24 months to achieve widespread pharmacy distribution. We're still in that window for Neffy.
Pharmacies don't stock every medication that exists. They order based on what their patients regularly need. If your pharmacy hasn't had many Neffy prescriptions, they may not keep it on the shelf. This is especially common at chain pharmacies that use centralized inventory systems.
Some insurance plans haven't added Neffy to their formulary yet, or they require prior authorization before they'll cover it. When patients face insurance hurdles, fewer prescriptions get filled — which means less demand at the pharmacy level, which means pharmacies are less likely to stock it. It's a frustrating cycle.
On the flip side, in areas where allergists are actively prescribing Neffy, demand can outstrip the supply that pharmacies have on hand. The needle-free design has made it especially popular among parents of children with severe allergies, increasing demand faster than some pharmacies anticipated.
Don't give up. Here are practical steps you can take right now:
The fastest way to find Neffy in stock near you is to use Medfinder. Medfinder checks real-time pharmacy inventory so you can see which pharmacies near you actually have Neffy on the shelf — before you waste a trip.
Independent pharmacies often have more flexibility in what they order. They can sometimes get Neffy within 24 to 48 hours through their wholesaler, even if they don't regularly stock it. Call a few in your area and ask.
If your regular pharmacy doesn't carry Neffy, ask the pharmacist to place a special order. Most pharmacies can order it through their distributor and have it within a few business days.
Some allergists and pediatricians keep samples of Neffy or can help you navigate the process of finding a pharmacy that carries it. They may also be able to send the prescription electronically to a pharmacy that has it in stock.
ARS Pharmaceuticals offers resources at neffy.com/savings-and-support to help patients find and afford Neffy, including a pharmacy locator tool.
For more detailed tips, see our guide on how to find Neffy in stock near you.
If you've tried everything and still can't get Neffy, don't go without epinephrine. Talk to your doctor about alternatives like EpiPen, Auvi-Q, or generic epinephrine auto-injectors. These are injectable options, but they're widely available and can save your life in an emergency.
We cover all the options in detail in our post on alternatives to Neffy.
Neffy is a breakthrough medication that's making it easier for millions of people to carry and use epinephrine. But being new means it's not everywhere yet. The availability picture is improving every month as more pharmacies add it to their shelves and more insurance plans cover it.
In the meantime, tools like Medfinder can help you find Neffy in stock near you so you're never caught without your emergency medication. If you're having trouble with cost, check out our post on how to save money on Neffy.
You focus on staying healthy. We'll handle the rest.
Try Medfinder Concierge FreeMedfinder's mission is to ensure every patient gets access to the medications they need. We believe this begins with trustworthy information. Our core values guide everything we do, including the standards that shape the accuracy, transparency, and quality of our content. We’re committed to delivering information that’s evidence-based, regularly updated, and easy to understand. For more details on our editorial process, see here.
%2C%20Color%3DOriginal.png)
