If you are allergic to things such as peanuts, foods, or bee stings, you may have an EpiPen, a device with an injectable dose of Epinephrine that can prevent a life-threatening allergic reaction. The cost of the EpiPen has skyrocketed after the company that originally produced it was purchased by another company increasing the cost of two pens to more than 600 dollars. As with many needed healthcare supplies, the cost is exorbitant here. The company then decided to release a non-branded generic injector for half the price which was still exorbitant compared to the cost elsewhere in the world. The irony is that the injector and the $1 dose of epinephrine have a manufacturing cost estimated to be under $10. New York recently capped the maximum price for two devices at $100 beginning in 2026. There is good news; The FDA just approved a nasal injector EpiPen substitute called Neffy and will cost as low as $25 with insurance and $199 without. The epinephrine product comes in a single-dose nasal spray administering a 2-mg dose into one nostril; a second dose may be delivered to the same nostril if there is no improvement in symptoms. With the FDA’s blessing, the nasal spray is now positioned as an alternative to mainstream injectable epinephrine products that may provoke user fear due to their reliance on needles. For those who need to have an epipen or similar device, you now have affordable options.