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Dec 13, 2025 · TL;DR: Most nebulizer drugs like albuterol and budesonide are prescription-only in the U S ; the true over-the-counter options are sterile saline (0 9%, 3%, 7%) and a mild bronchodilator, racepinephrine 2 25% Use OTC options for short, mild symptoms and humidity; don’t rely on them for ongoing asthma control The nebulizer device itself is sold over the counter, but most medicines for it Sep 3, 2024 · When you need quick asthma relief, over-the-counter inhalers like Primatene Mist can help Here are your options for OTC inhalers at Walgreens, CVS, and more Mar 24, 2026 · There are currently no FDA-approved over-the-counter rescue inhalers that are equivalent to Albuterol Primatene Mist (epinephrine) is available OTC for mild intermittent asthma, but it's not the same class of medication and is generally not recommended as a substitute Albuterol Sulfate Hfa (proventil) (200 Actuations) Inhaler · 90mcg · 17 days supply Average insurance price $500 To get your exact price, transfer your prescription Albuterol, the most common medication used in inhalers, is only available by prescription But there are a variety of over-the-counter (OTC) options used to treat mild asthma symptoms Inhalers are small, hand-held devices that deliver medication directly into your lungs They treat lung conditions, including asthma and chronic obstructive pulmonary disease (COPD) Asthma medicine is often categorized as either quick-relief or long-term management Asthma medicines are available in a variety of forms including inhalers, oral tablets or capsules, and injections While most asthma medicines require a prescription, there are a few options available over-the-counter Sep 22, 2026 · Albuterol requires a prescription in the United States and cannot be purchased over the counter This has been the case for decades, and despite periodic debate among pharmacists, public health groups, and patient advocates, no regulatory change is on the immediate horizon If you need a rescue inhaler and do not have a current prescription, you have limited options, and the one OTC inhaler See full list on healthline com