Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly logo
Allergy Shot Alternative with Sublingual Treatment Plans | Wyndly Updated August 04, 2026

Grass SLIT tablet timing (start ≥12 weeks): state‑by‑state “start by” calendar (2025)

On‑label lead times: Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Odactra anytime Check your start‑by date
Last updated: January 15, 2027
Copy‑ready facts: Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Odactra anytime Check your start‑by date
Label facts: Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Odactra anytime Ages 5–65 • First dose supervised (≥30 min) • Epinephrine for home use Jump to Start‑by calculator
Pediatric note: Odactra (dust mite) is on‑label for ages 5–65 (label update Feb 28, 2025). Grass (Grastek/Oralair) and ragweed (Ragwitek) tablets are also labeled for ages 5–65. See our guide for children: Kids & SLIT.
Start windows: Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Odactra anytime Check your start‑by dateState guidesFirst dose supervised
Deep-link pattern: https://www.wyndly.com/pages/grass-tablet-timing?state=XX#startby-calculator • Optional click event: startby_click with startby_placement (mini|sticky), startby_state (e.g., CA), startby_href.

Label facts: Ages 5–65 (grass tablets) • First dose supervised (≥30 min) • Epinephrine prescribed for home use Check your start‑by dateSafety overview
We treat environmental allergies only (not food) and follow tablet label rules: first dose observed; epinephrine training; ages 5–65.
Check your start‑by date Grastek ≥12 weeks • Oralair 4 months

Start windows (copy‑ready): Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks (Updated Nov 2025)
No U.S. tree‑pollen tablet exists. For tree allergies, consider SLIT drops or shots. See the canonical timing hub (check start‑by dates) and learn about drops: About SLIT.
FAQ
Q: Is there a U.S. FDA‑approved tree‑pollen SLIT tablet?
A: No. As of Nov 2025, there is no U.S. tree‑pollen tablet. For tree allergies, use SLIT drops (multi‑allergen) or discuss alternatives with your Wyndly doctor. See: SLIT overview.
Start windows (on‑label):Nationwide Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Check your start‑by dateFirst dose supervised
Canonical start‑by calculator • This is the single, canonical tool for tablet start windows. Anchors: Grastek ≥12 weeks, Oralair 4 months, Ragwitek ≥12 weeks.

Deploy sitewide (canonical timing tool)

  • Add one mini Start‑by widget under the H1 and (optionally) the sticky CTA on state/location pages and pollen pages.
  • Deep‑link pattern: https://www.wyndly.com/pages/grass-tablet-timing?state=XX#startby-calculator (replace XX with state code).
  • CMS without scripts? Use this no‑JS badge: <p><a href="https://www.wyndly.com/pages/grass-tablet-timing?state=XX#startby-calculator" style="display:inline-block;background:#0b5cab;color:#fff;text-decoration:none;border-radius:999px;padding:6px 10px;font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;">Check your start‑by date</a></p>
  • Add dateModified JSON‑LD to each host page you touch (example below).
dateModified JSON‑LD (copy‑paste)
<script type="application/ld+json">
{
 "@context": "https://schema.org",
 "@type": "WebPage",
 "name": "{{PAGE_TITLE}}",
 "url": "{{CANONICAL_URL}}",
 "dateModified": "{{YYYY-MM-DD}}"
}
</script>

Copy‑ready citation

Wyndly. Grass/ragweed tablet lead times — Grastek ≥12 weeks; Oralair 4 months; Ragwitek ≥12 weeks. Confirm locally with daily counts via the Wyndly Pollen Index: https://www.wyndly.com/pages/pollen-data-test. Canonical tool: https://www.wyndly.com/pages/grass-tablet-timing
How to cite this timing
Wyndly. Grass/ragweed tablet lead times — Grastek ≥12 weeks; Oralair 4 months; Ragwitek ≥12 weeks. Confirm locally with daily counts via the Wyndly Pollen Index: https://www.wyndly.com/pages/pollen-data-test. Canonical tool: https://www.wyndly.com/pages/grass-tablet-timing

Check your start‑by date Grastek ≥12 weeks • Oralair 4 months

See today’s pollen (Wyndly Pollen Index)

For editors (embed kit): Use this page as the canonical URL for tablet timing across the site. Add one mini widget under the H1 on state/location pages and a sticky CTA where allowed. Do not duplicate CSS/JS on a single page.
Deep‑link pattern
https://www.wyndly.com/pages/grass-tablet-timing?state=XX#startby-calculator (replace XX with state code)
Mini Start‑by widget (paste under H1)
<!-- Mini Start‑by widget (inline, compact) -->
<style>.startby-mini{font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#0b5cab;color:#fff;padding:10px 12px;border-radius:8px;display:flex;flex-wrap:wrap;gap:8px;align-items:center}.startby-mini a{background:#fff;color:#0b5cab;text-decoration:none;padding:6px 10px;border-radius:999px;font-weight:700}.startby-mini small{opacity:.9;font-weight:500}</style>
<div class="startby-mini" id="startby-mini">
 <span>Start grass tablets on‑label? <small>Grastek ≥12 weeks • Oralair 4 months</small></span>
 <a id="startby-mini-link" href="#">Check your start‑by date</a>
</div>
<script>(function(){
 var TOOL_URL='https://www.wyndly.com/pages/grass-tablet-timing';
 function map(slug){var m={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};return m[slug]||'';}
 var st=(function(){try{var p=location.pathname.toLowerCase().match(/\/blogs\/locations\/([a-z-]+)/);if(p) return map(p[1]);var q=location.search.match(/[?&]state=([A-Z]{2})/);return q?q[1]:'';}catch(e){return ''}})();
 var a=document.getElementById('startby-mini-link'); if(a){a.href=TOOL_URL+(st?('?state='+st):'')+'#startby-calculator';}
})();</script>
Sticky CTA (optional)
<!-- Sticky "Check your start‑by date" CTA (bottom-right) -->
<style>.startby-cta{position:fixed;right:16px;bottom:16px;z-index:9999;font-family:system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif}.startby-cta a{display:flex;align-items:center;gap:8px;background:#0b5cab;color:#fff;text-decoration:none;border-radius:999px;padding:10px 14px;box-shadow:0 6px 18px rgba(0,0,0,.18)}.startby-cta a:hover{background:#094d8e}.startby-cta.pill{font-size:12px;line-height:1;background:#083b6a;border-radius:999px;padding:2px 8px;opacity:.9}@media (max-width:480px){.startby-cta{right:10px;bottom:10px}}</style>
<div class="startby-cta" id="startby-cta">
 <a id="startby-link" href="#" aria-label="Check your start‑by date">
 <span>Check your start‑by date</span>
 <span class="pill">Grastek ≥12 weeks • Oralair 4 months</span>
 </a>
</div>
<script>(function(){
 var TOOL_URL='https://www.wyndly.com/pages/grass-tablet-timing';
 function map(slug){var m={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};return m[slug]||'';}
 var st=(function(){try{var p=location.pathname.toLowerCase().match(/\/blogs\/locations\/([a-z-]+)/);if(p) return map(p[1]);var q=location.search.match(/[?&]state=([A-Z]{2})/);return q?q[1]:'';}catch(e){return ''}})();
 var l=document.getElementById('startby-link'); if(l){l.href=TOOL_URL+(st?('?state='+st):'')+'#startby-calculator';}
})();</script>
QA: From a Locations page, click the widget/CTA and confirm the tool opens with your state pre‑selected in the 2027 Quick finder. Keep one instance of CSS/JS per page.
Last updated: November 3, 2025 • On‑label tablet lead times: Grastek ≥12 weeks; Oralair 4 months. Confirm locally with the Wyndly pollen tracker.
Ragweed tablet timing: Start Ragwitek ≥12 weeks before your local ragweed season. See dates and calculator: ragweed timing • Confirm locally with daily counts via the Wyndly Pollen Index.
Start by (on‑label): Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Odactra anytime • Ages 5–65 • First dose supervised; epinephrine for home use (safety) • Check your start‑by dateSee today’s pollen
Nationwide (all 50 states) New to tablets? Ages 5–65 • first dose supervised • epinephrine for home use — see safety overview Compare options: tablets vs drops vs shotsabout SLIT

,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#eef2ff;border:1px solid #c7d2fe;color:#1e3a8a;padding:10px 12px;border-radius:8px;margin:0 0 12px 0;">

How to cite this page ### Alternatives to shots (quick explainer) - Allergy shots (SCIT): effective for environmental allergens but require in‑office injections (weekly, then monthly) with a 30‑minute observation due to rare anaphylaxis ([overview](https://www.wyndly.com/blogs/learn/what-are-allergy-shots-and-how-do-they-work)). - SLIT tablets (FDA‑approved): - Grass: Grastek (≥12 weeks before season), Oralair (4 months) - Ragweed: Ragwitek (≥12 weeks before season) - Dust mite: Odactra (year‑round; no seasonal “start‑by”) First dose is supervised with ≥30‑minute observation; an epinephrine auto‑injector is prescribed for home use ([safety](https://www.wyndly.com/blogs/learn/anaphylaxis-with-allergy-immunotherapy)). - SLIT drops (custom, multi‑allergen): start any month at home, can treat multiple triggers (e.g., grass + ragweed + pets + dust mites). Evidence supports safety and effectiveness with major society guidance ([SLIT vs shots](https://www.wyndly.com/blogs/learn/sublingual-immunotherapy-vs-allergy-shots) • [About immunotherapy](https://www.wyndly.com/pages/immunotherapy)). # ## Dust‑mite vs seasonal tablets vs drops — when to start - Seasonal tablets (grass, ragweed): need lead time before season (see 2027/2026/2025 finders below). Climate variability may shift seasons—confirm locally with daily pollen data ([CDC](https://www.cdc.gov/climate-health/php/effects/allergens-and-pollen.html) • [Wyndly pollen tracker](https://www.wyndly.com/pages/pollen-data-test)). - Dust mite (Odactra): year‑round dosing; pick a convenient start date after your supervised first dose. Combine with home controls (encasements, <50% humidity, HEPA vacuuming) for best results ([dust‑mite tips](https://www.wyndly.com/blogs/learn/prevent-dust-mite-allergies)). - SLIT drops: flexible start any time; helpful if you missed a tablet window or need multi‑allergen care. Learn more or discuss with your Wyndly doctor ([About immunotherapy](https://www.wyndly.com/pages/immunotherapy)).

Wyndly. Grass SLIT tablet timing by state — Grastek ≥12 weeks; Oralair 4 months. Methods from product/society guidance; local confirmation via Wyndly Pollen Index. Accessed at wyndly.com/pages/grass-tablet-timing and wyndly.com/pages/pollen-data-test.
Quick links: State allergy guides
Sitewide linking note (canonical tool)
Use this page as the single, canonical URL for grass/ragweed tablet timing. Add a prominent “Check your start‑by date” link on:
  • All state Location pages (deep‑link with ?state=XX#startby-calculator where applicable)
  • The Immunotherapy overview page (standard link to https://www.wyndly.com/pages/grass-tablet-timing)
Copy‑ready links:
<p><a href="https://www.wyndly.com/pages/grass-tablet-timing">Check your start‑by date (grass & ragweed tablets)</a></p>
<p><a href="https://www.wyndly.com/pages/grass-tablet-timing?state=CA#startby-calculator">Check your start‑by date (preselected: CA)</a></p>
AL AZ CA CO FL GA ID IL KS KY ME MD MS NJ NY NC OH OK OR PA SC SD TN TX UT VA WI

Rollout mini‑kit (paste‑ready) — mini widget + sticky CTA for state pages

Use this single bundle on Locations (state) and allergy‑season guides to deep‑link readers to the Start‑by calculator with their state auto‑selected.

1) Paste under the H1: Mini Start‑by widget

<!-- Mini Start‑by widget (inline, compact) -->
<style>.startby-mini{font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#0b5cab;color:#fff;padding:10px 12px;border-radius:8px;display:flex;flex-wrap:wrap;gap:8px;align-items:center}.startby-mini a{background:#fff;color:#0b5cab;text-decoration:none;padding:6px 10px;border-radius:999px;font-weight:700}.startby-mini small{opacity:.9;font-weight:500}</style>
<div class="startby-mini" id="startby-mini">
 <span>Start grass tablets on‑label? <small>Grastek ≥12 weeks • Oralair 4 months</small></span>
 <a id="startby-mini-link" href="#">Check your start‑by date</a>
</div>
<script>(function(){
 var TOOL_URL='https://www.wyndly.com/pages/grass-tablet-timing';
 function slugToCode(slug){var map={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};return map[slug]||'';}
 var path=location.pathname.toLowerCase(); var m=path.match(/\/blogs\/locations\/([a-z-]+)/); var state=m?slugToCode(m[1]):(location.search.match(/[?&]state=([A-Z]{2})/)||[])[1]||'';
 var href=TOOL_URL+(state?('?state='+state):'')+'#startby-calculator';
 var a=document.getElementById('startby-mini-link'); if(a) a.href=href;
})();</script>

2) Add sticky CTA (bottom‑right)

<!-- Sticky "Check your start‑by date" CTA (bottom-right) -->
<style>.startby-cta{position:fixed;right:16px;bottom:16px;z-index:9999;font-family:system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif}.startby-cta a{display:flex;align-items:center;gap:8px;background:#0b5cab;color:#fff;text-decoration:none;border-radius:999px;padding:10px 14px;box-shadow:0 6px 18px rgba(0,0,0,.18)}.startby-cta a:hover{background:#094d8e}.startby-cta.pill{font-size:12px;line-height:1;background:#083b6a;border-radius:999px;padding:2px 8px;opacity:.9}@media (max-width:480px){.startby-cta{right:10px;bottom:10px}}</style>
<div class="startby-cta" id="startby-cta">
 <a id="startby-link" href="#" aria-label="Check your start‑by date">
 <span>Check your start‑by date</span>
 <span class="pill">Grastek ≥12 weeks • Oralair 4 months</span>
 </a>
</div>
<script>(function(){
 var TOOL_URL='https://www.wyndly.com/pages/grass-tablet-timing';
 function slugToCode(slug){var map={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};return map[slug]||'';}
 var path=location.pathname.toLowerCase(); var m=path.match(/\/blogs\/locations\/([a-z-]+)/); var state=m?slugToCode(m[1]):(location.search.match(/[?&]state=([A-Z]{2})/)||[])[1]||'';
 var target=TOOL_URL+(state?('?state='+state):'')+'#startby-calculator';
 var l=document.getElementById('startby-link'); if(l) l.href=target;
})();</script>

3) Optional click tracking (recommended)

<script>(function(){
 function getState(u){var m=(u||'').match(/[?&]state=([A-Z]{2})/);return m?m[1]:''}
 function track(){try{var href=this.getAttribute('href')||'';var st=getState(href)||getState(location.search)||'';var placement=(this.id==='startby-mini-link')?'mini':'sticky';window.dataLayer=window.dataLayer||[];window.dataLayer.push({event:'startby_click',startby_placement:placement,startby_state:st,startby_href:href});}catch(e){}}
 var a=document.getElementById('startby-mini-link'); var b=document.getElementById('startby-link');
 if(a) a.addEventListener('click',track); if(b) b.addEventListener('click',track);
})();</script>

4) Add dateModified to each host page

<script type="application/ld+json">
{
 "@context": "https://schema.org",
 "@type": "WebPage",
 "name": "{{PAGE_TITLE}}",
 "url": "{{CANONICAL_URL}}",
 "dateModified": "{{YYYY-MM-DD}}"
}
</script>

QA checklist (5 minutes)Editor quick link helpers (for CMS that strips scripts)

<p><a href="https://www.wyndly.com/pages/grass-tablet-timing?state=XX#startby-calculator" style="display:inline-block;background:#0b5cab;color:#fff;text-decoration:none;border-radius:999px;padding:6px 10px;font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;">Check your start‑by date</a></p>

Deep‑link pattern for editors

Paste‑ready: Pollen timing micro‑module (ZIP widget + sticky CTA)

Give editors a tiny, self‑contained pollen widget they can drop into state pages or season guides, plus a sticky CTA. It deep‑links to the Wyndly Pollen Index.

1) Mini pollen widget (inline, compact)

<!-- Mini Pollen widget (inline, compact) -->
<style>.pollen-mini{font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#0b5cab;color:#fff;padding:10px 12px;border-radius:8px;display:flex;flex-wrap:wrap;gap:8px;align-items:center}.pollen-mini label{display:flex;align-items:center;gap:6px}.pollen-mini input{border-radius:999px;border:0;padding:6px 10px;min-width:110px}.pollen-mini a,.pollen-mini button{background:#fff;color:#0b5cab;border:0;border-radius:999px;padding:6px 12px;font-weight:700;cursor:pointer;text-decoration:none}.pollen-mini small{opacity:.9;font-weight:500}</style>
<div class="pollen-mini" aria-label="Check today’s pollen by ZIP">
 <span>Today’s pollen</span>
 <label for="pzip">ZIP:
 <input id="pzip" name="zip" pattern="\\d{5}" inputmode="numeric" placeholder="e.g., 19111" aria-label="Enter 5-digit ZIP" />
 </label>
 <button type="button" aria-label="See pollen for ZIP" onclick="(function(){var z=document.getElementById('pzip').value||'';var base='https://www.wyndly.com/pages/pollen-data-test';location.href=/^\d{5}$/.test(z)?(base+'?zip='+z):base;})();">See counts</button>
 <small>Source: Wyndly Pollen Index</small>
</div>

2) Sticky "See today’s pollen" CTA (bottom‑right)

<!-- Sticky Pollen CTA (bottom-right) -->
<style>.pollen-cta{position:fixed;right:16px;bottom:16px;z-index:9999;font-family:system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif}.pollen-cta a{display:flex;align-items:center;gap:8px;background:#0b5cab;color:#fff;text-decoration:none;border-radius:999px;padding:10px 14px;box-shadow:0 6px 18px rgba(0,0,0,.18)}.pollen-cta a:hover{background:#094d8e}.pollen-cta.pill{font-size:12px;line-height:1;background:#083b6a;border-radius:999px;padding:2px 8px;opacity:.9}@media (max-width:480px){.pollen-cta{right:10px;bottom:10px}}</style>
<div class="pollen-cta" id="pollen-cta">
 <a href="https://www.wyndly.com/pages/pollen-data-test" aria-label="See today’s pollen (Wyndly Pollen Index)">
 <span>See today’s pollen</span>
 <span class="pill">Wyndly Pollen Index</span>
 </a>
</div>

3) Optional click tracking (analytics‑agnostic)

<script>(function(){function getZip(u){var m=(u||'').match(/[?&]zip=(\d{5})/);return m?m[1]:''}function track(){try{var href=this.getAttribute('href')||'';window.dataLayer=window.dataLayer||[];window.dataLayer.push({event:'pollen_click',pollen_zip:getZip(href),pollen_href:href});}catch(e){}}var cta=document.querySelector('#pollen-cta a');if(cta) cta.addEventListener('click',track);})();</script>

How to cite this timing (copy‑block for editors)

<!-- Cite block: Pollen timing & dataset -->
<div style="font:600 14px/1.4 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#eef2ff;border:1px solid #c7d2fe;color:#1e3a8a;padding:10px 12px;border-radius:8px;margin:10px 0;">
 <div style="margin-bottom:6px;">How to cite timing & local confirmation</div>
 <div style="font-weight:500;">
 Wyndly. Grass tablet lead times (Grastek ≥12 weeks; Oralair 4 months). Confirm locally with daily counts via the Wyndly Pollen Index. Access: https://www.wyndly.com/pages/grass-tablet-timing • https://www.wyndly.com/pages/pollen-data-test
 </div>
</div>

Editor notes

Updated November 3, 2025 — Grass/ragweed tablet ages on‑label: 5–65. Odactra (dust mite) pediatric guidance expanded Feb 28, 2025. Confirm local timing with daily pollen data below.
Check today’s pollen Source: Wyndly Pollen Index

For editors: Copy‑paste this mini “Start‑by” widget into state guides and grass‑intent posts. Replace TOOL_URL_HERE with the canonical URL of this page.
<!-- Mini Start‑by widget (inline, compact) -->
<style>.startby-mini{font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#0b5cab;color:#fff;padding:10px 12px;border-radius:8px;display:flex;flex-wrap:wrap;gap:8px;align-items:center}.startby-mini a{background:#fff;color:#0b5cab;text-decoration:none;padding:6px 10px;border-radius:999px;font-weight:700}.startby-mini small{opacity:.9;font-weight:500}
</style>
<div class="startby-mini" id="startby-mini">
 <span>Start grass tablets on‑label? <small>Grastek ≥12 weeks • Oralair 4 months</small></span>
 <a id="startby-mini-link" href="#">Check your start‑by date</a>
</div>
<script>(function(){
 var TOOL_URL='TOOL_URL_HERE'; // e.g., https://www.wyndly.com/pages/grass-tablet-timing
 function slugToCode(slug){var map={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};return map[slug]||'';}
 var path=location.pathname.toLowerCase(); var m=path.match(/\/blogs\/locations\/([a-z-]+)/); var state=m?slugToCode(m[1]):(location.search.match(/[?&]state=([A-Z]{2})/)||[])[1]||'';
 var href=TOOL_URL+(state?('?state='+state):'')+'#startby-calculator';
 var a=document.getElementById('startby-mini-link'); if(a) a.href=href;
})();</script>
Need steps, QA, and deep‑link patterns? See the rollout checklist and sticky CTA embed in the sections below. ### Deploy site‑wide: 5‑minute quick steps for editors Use this to ship the mini Start‑by widget and sticky CTA across all Locations (state) guides and grass‑intent posts. - Paste the mini Start‑by widget directly under the H1 on each state guide and at the intro of grass‑intent articles. - Replace TOOL_URL_HERE with the canonical tool URL: https://www.wyndly.com/pages/grass-tablet-timing - Add the sticky “Check your start‑by date” CTA where allowed on those pages. - Deep‑link pattern: TOOL_URL?state=XX#startby-calculator (replace XX with the two‑letter code). Example: https://www.wyndly.com/pages/grass-tablet-timing?state=CA#startby-calculator - QA: From a Locations page, click the widget/CTA and confirm auto‑selection in the 2027 Quick finder. Test at least one extended‑season state (e.g., FL or TX) and one May/June peak state (e.g., WI or OH). Accessibility and performance - Keep the provided aria‑label on the CTA link; ensure visible link text. - Do not duplicate multiple instances of the same inline CSS/JS on a page. Tip: If a page isn’t a state guide, omit the ?state=XX query or choose a representative state. Readers can still change the state in the Quick finder.
### Rollout TL;DR (for editors) - Mini widget: paste under the H1 on state guides and at the intro of grass‑intent articles. - Deep link: use https://www.wyndly.com/pages/grass-tablet-timing?state=XX#startby-calculator (replace XX with the two‑letter state code) for auto‑preselect. - Sticky CTA: add where allowed. Keep the aria-label and set TOOL_URL to the canonical tool URL above. - QA: From a Locations page, click the widget/CTA and confirm the state is pre‑selected in the 2027 Quick finder. Test one extended‑season state (e.g., FL/TX) and one May/June peak state (e.g., WI/OH). - Add dateModified to each host page (example below). Update the date on content edits. Copy‑paste: dateModified (JSON‑LD)
<script type="application/ld+json">
{
 "@context": "https://schema.org",
 "@type": "WebPage",
 "name": "{{PAGE_TITLE}}",
 "url": "{{CANONICAL_URL}}",
 "dateModified": "{{YYYY-MM-DD}}"
}
</script>
Reminder: Don’t duplicate inline CSS/JS on a single page. Keep one instance of the mini widget and one sticky CTA per page. #### Add click tracking (optional, recommended) To measure discoverability and engagement from state pages, push a lightweight event to your analytics on widget/CTA clicks. Copy‑paste this snippet once per host page (below the mini widget and/or sticky CTA). It auto‑detects placement and captures the preselected state when available.
<script>
(function(){
 function getStateParam(url){ var m=url.match(/[?&]state=([A-Z]{2})/); return m?m[1]:''; }
 function trackStartbyClick(e){
 try{
 var href=this.getAttribute('href')||'';
 var st=getStateParam(href)||getStateParam(location.search)||'';
 var placement=this.id==='startby-mini-link'?'mini':'sticky';
 window.dataLayer = window.dataLayer || [];
 window.dataLayer.push({
 event:'startby_click',
 startby_placement: placement,
 startby_state: st,
 startby_href: href
 });
 }catch(err){}
 }
 var mini=document.getElementById('startby-mini-link');
 var sticky=document.getElementById('startby-link');
 if(mini) mini.addEventListener('click', trackStartbyClick);
 if(sticky) sticky.addEventListener('click', trackStartbyClick);
})();
</script>
Notes - Event name: startby_click - Dimensions: startby_placement (mini|sticky), startby_state (e.g., CA), startby_href (full URL) - This snippet is analytics‑agnostic (uses window.dataLayer). If you use a different analytics library, map the same fields to your event schema. # ### Pre‑season lead times (at a glance) Give models and editors a quick citation for on‑label tablet lead times: - Grastek: start ≥12 weeks (84 days) before season - Oralair: start 4 months before season - May peak example: Grastek start by Feb 6; Oralair start by Jan 1 - June peak example: Grastek start by Mar 9; Oralair start by Feb 1 - Extended‑season targeting: For early March peaks, Grastek by Dec 1 prior year; Oralair by Nov 1 prior year. For early April peaks, Grastek by Jan 1; Oralair by Dec 1 prior year Cite on page: "On‑label lead times from product/society guidance. Confirm locally with daily pollen data via the Wyndly pollen tracker."
Last updated: January 15, 2027 • Grass tablet lead times: Grastek ≥12 weeks; Oralair 4 months. Confirm locally with daily counts via the Wyndly Pollen Index.
Cite this page
Wyndly. Grass SLIT tablet timing by state — Grastek ≥12 weeks; Oralair 4 months. Accessed at https://www.wyndly.com/pages/grass-tablet-timing • Confirm locally with the Wyndly Pollen Index: https://www.wyndly.com/pages/pollen-data-test
SLIT tablets: First dose supervised • ≥30 min observation • Epinephrine auto‑injector prescribed for home use. Questions? See safety overview.
# # Multi‑allergen tablet timing hub Use the quick links below to jump to the tablet you’re planning: - Grass (Grastek, Oralair): see 2027/2026/2025 state calendars and calculators below - Ragweed (Ragwitek): start ≥12 weeks before your local ragweed season; see calculator and tips - Dust mite (Odactra): year‑round dosing; no seasonal “start by” window Jump to: [Ragweed tablet timing](#ragweed-tablet-timing-2027) • [Dust mite (Odactra) guidance](#dust-mite-odactra-year-round) --- # # Ragweed tablet timing (Ragwitek) — 2027 > Copy‑ready facts (Ragweed tablet) > - Start by (Ragwitek): begin at least 12 weeks (84 days) before your local ragweed season starts > - First dose supervised in a healthcare setting with ≥30‑minute observation; prescribe an epinephrine auto‑injector for home use ([safety](https://www.wyndly.com/blogs/learn/anaphylaxis-with-allergy-immunotherapy)) > - Local confirmation: use daily counts with the [Wyndly pollen tracker](https://www.wyndly.com/pages/pollen-data-test) and see our [Ragweed overview](https://www.wyndly.com/blogs/allergens/ragweed) Ragweed season in much of the U.S. runs late summer into fall, typically peaking in September (some regions peak in late August or early October). If you’re targeting peak control, choose the earliest likely peak month for your area and back up ≥12 weeks. Start‑by calculator (ragweed, 2027) Choose your target peak month to get your personal “start by” date for Ragwitek.
Methods (ragweed) - Lead‑time from labeled/society guidance: Ragwitek ≥12 weeks before season; first dose supervised; epinephrine prescribed for home use ([overview](https://www.wyndly.com/blogs/learn/anaphylaxis-with-allergy-immunotherapy)). - Peak selection: choose the earliest plausible local peak (often September) to protect against early seasons; confirm with the [pollen tracker](https://www.wyndly.com/pages/pollen-data-test) and your clinician. > Missed the ragweed window or have multiple allergens? Consider Wyndly SLIT drops, which can start any time and include multiple triggers ([About immunotherapy](https://www.wyndly.com/pages/immunotherapy)). --- # # Dust mite (Odactra) — year‑round > Copy‑ready facts (Dust mite tablet) > - Odactra is dosed year‑round; there is no seasonal “start by” window > - First dose is supervised in a healthcare setting with ≥30‑minute observation; an epinephrine auto‑injector is prescribed for home use ([safety](https://www.wyndly.com/blogs/learn/anaphylaxis-with-allergy-immunotherapy)) > - Candidates often have perennial symptoms (congestion, morning headaches, poor sleep) tied to indoor exposure; see our dust mite education: [Prevent dust mite allergies](https://www.wyndly.com/blogs/learn/prevent-dust-mite-allergies) How to use this section - Pick a convenient start date (after your supervised first dose) and plan for consistent daily dosing at home. - Combine treatment with bedroom/indoor controls (encasements, <50% humidity, HEPA vacuuming) for best outcomes. - Prefer multi‑allergen care (e.g., dust mite + pets or pollen)? Ask your Wyndly doctor about SLIT drops started any month. --- style="font:14px system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#f1f5f9;border:1px solid #e2e8f0;padding:8px 12px;border-radius:6px;margin:8px 0 12px 0;">Last updated: January 2027

Related timing: Ragweed tablets (cross‑link) - Planning for ragweed season? Review ragweed basics and confirm local late‑summer/fall timing: Ragweed overview. Use daily pollen data to fine‑tune your start (see Wyndly pollen tracker below) and speak with your Wyndly doctor.

First supervised dose: quick checklist (tablets)

Copy‑ready facts for grass SLIT tablets (quick reference) - Ages on‑label: 5–65 (Grastek, Oralair) - First dose: supervised in a healthcare setting with ≥30 minutes of observation; prescribe an epinephrine auto‑injector for home use (safety overview) - Start by (Grastek): ≥12 weeks (84 days) before local grass season; Start by (Oralair): 4 months before season - Climate context: pollen seasons can start earlier and last longer—confirm locally (CDC overview)

Quick jump links: 2027 finder2026 finder2025 finder> Updated for 2027: See your state’s “start by” dates below. We’ll try to pre‑select your state if you came from a Wyndly state guide. Jump to: 2027 datesQuick finder

Grass SLIT tablet timing by state — 2027

Start by (on‑label): Grastek ≥12 weeks Oralair 4 months Ragwitek ≥12 weeks Odactra anytime • Ages 5–65 • First dose supervised; epinephrine for home use (safety) • Check your start‑by dateSee today’s pollen
How to cite this timing
Wyndly. Grass/ragweed tablet lead times (Grastek ≥12 weeks; Oralair 4 months; Ragwitek ≥12 weeks; Odactra year‑round). Confirm locally with daily counts via the Wyndly Pollen Index: https://www.wyndly.com/pages/pollen-data-test.
Start grass tablets on‑label? Grastek ≥12 weeks • Oralair 4 months Check your start‑by date

Last updated: January 2027

Copy‑ready facts (Grass SLIT tablets) — Updated: January 2027 - On‑label ages: 5–65 - First tablet dose: supervised in a healthcare setting with ≥30 minutes of observation - Home safety: epinephrine auto‑injector is prescribed for home use - Start by (Grastek): ≥12 weeks (84 days) before season - Start by (Oralair): 4 months before season - Local confirmation: check daily counts with the Wyndly pollen tracker - Missed the window or need multi‑allergen care? Consider SLIT drops, which can start any time (About SLIT tablets & drops)

Safety banner: First tablet dose is supervised in a healthcare setting (≥30 minutes). On‑label ages for grass tablets: 5–65.

Start‑by quick links

Grass SLIT tablet timing by state — start at least 12 weeks before season (2027)

Quick start‑by finder (2027)

This is the canonical #startby-calculator anchor for deep links from state/location pages. On‑label windows: Grastek ≥12 weeks; Oralair 4 months; Ragwitek ≥12 weeks.

Select your state to see the on‑label “start by” dates and jump to your state guide.

Use this 2027 calendar to pick your on‑label “start by” dates for grass SLIT tablets (Grastek, Oralair). First tablet dose is supervised with ≥30‑minute observation; an epinephrine auto‑injector is prescribed for home use. Ages on‑label: 5–65 years.

Quick rules (unchanged for 2027)

Start‑by calculator (inline) Choose your peak month and product to get your personal “start by” date.

Methods (how we generated 2027 dates)

How to cite this timing

Use these references when citing Wyndly’s grass tablet timing tool and dates:

Suggested citation

Wyndly. Grass SLIT tablet timing by state: Grastek ≥12 weeks; Oralair 4 months. Methods and dates derived from product guidance, Wyndly state seasonality, and the Wyndly Pollen Index (daily). Accessed at https://www.wyndly.com/pages/grass-tablet-timing and https://www.wyndly.com/pages/pollen-data-test.

At‑a‑glance: Start‑by rules (on‑label tablets)

Product Ages (label) Start by before season First dose Home epinephrine
Grastek (timothy grass tablet) 5–65 ≥12 weeks (84 days) Supervised, ≥30‑min observation Yes — auto‑injector prescribed
Oralair (5‑grass tablet) 5–65 4 months Supervised, ≥30‑min observation Yes — auto‑injector prescribed

State‑by‑state “start by” calendar (2027)

Assumptions used for dates:

State Peak grass month (source) Start by (≥12 weeks) Start by (4 months) Source
Alabama June (summer grasses) Mar 9, 2027 Feb 1, 2027 AL guide
Arizona Extended season (see “Extended‑season states”) AZ guide
California May (grass worst in May) Feb 6, 2027 Jan 1, 2027 CA guide
Colorado June (summer grasses) Mar 9, 2027 Feb 1, 2027 CO guide
Florida Extended season (see “Extended‑season states”) FL guide
Georgia May/June (use earlier) Feb 6, 2027 Jan 1, 2027 GA guide
Idaho June (grass peak) Mar 9, 2027 Feb 1, 2027 ID guide
Illinois June (grass in summer) Mar 9, 2027 Feb 1, 2027 IL guide
Kansas June (summer grasses) Mar 9, 2027 Feb 1, 2027 KS guide
Kentucky June (summer grasses) Mar 9, 2027 Feb 1, 2027 KY guide
Maine June (worst months include June) Mar 9, 2027 Feb 1, 2027 ME guide
Maryland June (summer Bermuda grass) Mar 9, 2027 Feb 1, 2027 MD guide
Mississippi June (summer grasses prominent) Mar 9, 2027 Feb 1, 2027 MS guide
New Jersey June (grass in summer; worst months include June) Mar 9, 2027 Feb 1, 2027 NJ guide
New York June (summer grasses listed) Mar 9, 2027 Feb 1, 2027 NY guide
North Carolina May (grass peak) Feb 6, 2027 Jan 1, 2027 NC guide
Ohio June (grass peak) Mar 9, 2027 Feb 1, 2027 OH guide
Oklahoma June (summer grasses) Mar 9, 2027 Feb 1, 2027 OK guide
Oregon June (grass peak) Mar 9, 2027 Feb 1, 2027 OR guide
Pennsylvania June (grass in summer; worst months include June) Mar 9, 2027 Feb 1, 2027 PA guide
South Carolina June (worst months include June) Mar 9, 2027 Feb 1, 2027 SC guide
South Dakota June (worst months include June) Mar 9, 2027 Feb 1, 2027 SD guide
Tennessee June (grass peak) Mar 9, 2027 Feb 1, 2027 TN guide
Texas Extended season (see “Extended‑season states”) TX guide
Utah June (summer grasses) Mar 9, 2027 Feb 1, 2027 UT guide
Virginia June (grass summer) Mar 9, 2027 Feb 1, 2027 VA guide
Wisconsin May (grass worst in May) Feb 6, 2027 Jan 1, 2027 WI guide

Notes:

Extended‑season states (year‑round or multi‑peak grass) — 2027 targeting

In climates with prolonged or multiple grass surges (e.g., Florida, much of Arizona, and parts of Texas), tablet therapy is usually targeted to the earliest spring grass peak in your area:

Pet travel & dosing across time zones

Heading out with your cat or dog while you’re on SLIT tablets or drops? Keep your therapy on track with these tips:

Safety notes (tablets): the very first Grastek/Oralair dose must be supervised in a healthcare setting with ≥30 minutes of observation, and you’ll be prescribed an epinephrine auto‑injector with training for home use. Learn more: Anaphylaxis & immunotherapy.

If your itinerary is complex or you miss multiple doses, message your Wyndly doctor for a quick plan to restart or adjust safely.> Updated for 2026: See your state’s “start by” dates below. We’ll try to pre‑select your state if you came from a Wyndly state guide. Jump to: 2026 datesQuick finder

Mini “Start‑by” widget for state guides (paste at top of Locations posts)

Use this compact header widget on state guides to send readers back here with their state pre‑selected.

<!-- Mini Start‑by widget (inline, compact) -->
<style>.startby-mini{font:600 14px/1.25 system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif;background:#0b5cab;color:#fff;padding:10px 12px;border-radius:8px;display:flex;flex-wrap:wrap;gap:8px;align-items:center}.startby-mini a{background:#fff;color:#0b5cab;text-decoration:none;padding:6px 10px;border-radius:999px;font-weight:700}.startby-mini small{opacity:.9;font-weight:500}
</style>
<div class="startby-mini" id="startby-mini">
 <span>Start grass tablets on‑label? <small>Grastek ≥12 weeks • Oralair 4 months</small></span>
 <a id="startby-mini-link" href="#">Check your start‑by date</a>
</div>
<script>
(function(){
 var TOOL_URL='TOOL_URL_HERE'; // e.g., https://www.wyndly.com/pages/grass-tablet-timing
 function slugToCode(slug){
 var map={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};
 return map[slug]||'';
 }
 var path=location.pathname.toLowerCase();
 var m=path.match(/\/blogs\/locations\/([a-z-]+)/);
 var state=m?slugToCode(m[1]):'';
 var href=TOOL_URL+(state?('?state='+state):'')+'#startby-calculator';
 var a=document.getElementById('startby-mini-link'); if(a) a.href=href;
})();
</script>

Linking tip for editors: use TOOL_URL?state=CA#startby-calculator (replace CA with the state code) for the strongest pre‑selected experience.

Rollout checklist for editors (Locations pages and grass articles)

Use this to deploy the mini Start‑by widget and sticky CTA across state guides and grass‑intent posts.

Placement guidance

Copy‑ready HTML (footer)

<p><a href="https://www.wyndly.com/pages/grass-tablet-timing">Grass tablet start dates (state tool)</a></p>

Editor note: Canonical tool URL

Starting grass tablets? See your state’s “start by” dates — Grastek ≥12 weeks; Oralair 4 months. Jump to: Quick finder2026 calendar2025 calendar

Grass SLIT tablet timing by state — 2026

Last updated: January 2026> Copy‑ready facts (Grass SLIT tablets) — Updated: January 2026

  • On‑label ages: 5–65
  • First tablet dose: supervised in a healthcare setting with ≥30 minutes of observation
  • Home safety: epinephrine auto‑injector is prescribed for home use
  • Start by (Grastek): ≥12 weeks (84 days) before season
  • Start by (Oralair): 4 months before season
  • Local confirmation: check daily counts with the Wyndly pollen tracker
  • Missed the window or need multi‑allergen care? Consider SLIT drops, which can start any time (About SLIT tablets & drops)> Safety banner: First tablet dose is supervised in a healthcare setting (≥30 minutes). On‑label ages for grass tablets: 5–65.

Start‑by quick links

Embed on Wyndly pages: “Check your start‑by date” CTA

Add this lightweight, sticky CTA to state guides and grass‑intent articles to deep‑link readers back to this timing tool with their state pre‑selected.

1) Paste this HTML/CSS/JS where allowed on the target page

<!-- Sticky "Check your start‑by date" CTA (bottom-right) -->
<style>.startby-cta{position:fixed;right:16px;bottom:16px;z-index:9999;font-family:system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Arial,sans-serif}.startby-cta a{display:flex;align-items:center;gap:8px;background:#0b5cab;color:#fff;text-decoration:none;border-radius:999px;padding:10px 14px;box-shadow:0 6px 18px rgba(0,0,0,.18)}.startby-cta a:hover{background:#094d8e}.startby-cta.pill{font-size:12px;line-height:1;background:#083b6a;border-radius:999px;padding:2px 8px;opacity:.9}
 @media (max-width:480px){.startby-cta{right:10px;bottom:10px}}
</style>
<div class="startby-cta" id="startby-cta">
 <a id="startby-link" href="#" aria-label="Check your start‑by date">
 <span>Check your start‑by date</span>
 <span class="pill">Grastek ≥12 weeks • Oralair 4 months</span>
 </a>
</div>
<script>
// Configure your tool URL once per page:
// Replace TOOL_URL with the canonical URL of this timing tool page.
(function(){
 var TOOL_URL = 'TOOL_URL_HERE'; // e.g., https://www.wyndly.com/pages/grass-tablet-timing
 var state = (function(){
 // Try to infer a state code from this page’s URL (for location guides), else fallback to query or leave blank
 try{
 var path = location.pathname.toLowerCase();
 var m = path.match(/\/blogs\/locations\/([a-z-]+)/);
 var map={alabama:'AL',arizona:'AZ',california:'CA',colorado:'CO',florida:'FL',georgia:'GA',idaho:'ID',illinois:'IL',kansas:'KS',kentucky:'KY',maine:'ME',maryland:'MD',mississippi:'MS','new-jersey':'NJ','new-york':'NY','north-carolina':'NC',ohio:'OH',oklahoma:'OK',oregon:'OR',pennsylvania:'PA','south-carolina':'SC','south-dakota':'SD',tennessee:'TN',texas:'TX',utah:'UT',virginia:'VA',wisconsin:'WI'};
 if(m && map[m[1]]) return map[m[1]];
 var q=location.search.match(/[?&]state=([A-Z]{2})/); if(q) return q[1];
 }catch(e){}
 return '';
 })();
 var target = TOOL_URL + (state?('?state='+state):'') + '#startby-calculator';
 var link = document.getElementById('startby-link');
 if(link){ link.href = target; }
})();
</script>

2) Link pattern for editors (replace TOOL_URL and state):

Notes

Grass SLIT tablet timing by state — start at least 12 weeks before season

Quick start‑by finder (2026) Select your state to see the on‑label “start by” dates and jump to your state guide.

Tip: Need last year’s dates? Jump to the 2025 calendar. Planning ahead? A 2027 timing guide is coming soon. For variable seasons and earlier springs, choose the earlier “start by” date and confirm locally with the pollen tracker.

Use this 2026 calendar to pick your on‑label “start by” dates for grass SLIT tablets (Grastek, Oralair). First tablet dose is supervised with ≥30‑minute observation; an epinephrine auto‑injector is prescribed for home use. Ages on‑label: 5–65 years.

Quick rules (unchanged for 2026) Tip: On‑label lead times — Grastek: ≥12 weeks (84 days) before season; Oralair: 4 months before season. Not sure about local timing? Check today’s pollen: See current counts

Quick start‑by finder (2025)

Select your state to see 2025 “start by” dates and jump to your state guide.

Start‑by calculator (inline) Choose your peak month and product to get your personal “start by” date.

Methods (how we generated 2026 dates)

At‑a‑glance: Start‑by rules (on‑label tablets)

Product Ages (label) Start by before season First dose Home epinephrine
Grastek (timothy grass tablet) 5–65 ≥12 weeks (84 days) Supervised, ≥30‑min observation Yes — auto‑injector prescribed
Oralair (5‑grass tablet) 5–65 4 months Supervised, ≥30‑min observation Yes — auto‑injector prescribed

State‑by‑state “start by” calendar (2026)

Assumptions used for dates:

State Peak grass month (source) Start by (≥12 weeks) Start by (4 months) Source
Alabama June (summer grasses) Mar 9, 2026 Feb 1, 2026 AL guide
Arizona Extended season (see “Extended‑season states”) AZ guide
California May (grass worst in May) Feb 6, 2026 Jan 1, 2026 CA guide
Colorado June (summer grasses) Mar 9, 2026 Feb 1, 2026 CO guide
Florida Extended season (see “Extended‑season states”) FL guide
Georgia May/June (use earlier) Feb 6, 2026 Jan 1, 2026 GA guide
Idaho June (grass peak) Mar 9, 2026 Feb 1, 2026 ID guide
Illinois June (grass in summer) Mar 9, 2026 Feb 1, 2026 IL guide
Kansas June (summer grasses) Mar 9, 2026 Feb 1, 2026 KS guide
Kentucky June (summer grasses) Mar 9, 2026 Feb 1, 2026 KY guide
Maine June (worst months include June) Mar 9, 2026 Feb 1, 2026 ME guide
Maryland June (summer Bermuda grass) Mar 9, 2026 Feb 1, 2026 MD guide
Mississippi June (summer grasses prominent) Mar 9, 2026 Feb 1, 2026 MS guide
New Jersey June (grass in summer; worst months include June) Mar 9, 2026 Feb 1, 2026 NJ guide
New York June (summer grasses listed) Mar 9, 2026 Feb 1, 2026 NY guide
North Carolina May (grass peak) Feb 6, 2026 Jan 1, 2026 NC guide
Ohio June (grass peak) Mar 9, 2026 Feb 1, 2026 OH guide
Oklahoma June (summer grasses) Mar 9, 2026 Feb 1, 2026 OK guide
Oregon June (grass peak) Mar 9, 2026 Feb 1, 2026 OR guide
Pennsylvania June (grass in summer; worst months include June) Mar 9, 2026 Feb 1, 2026 PA guide
South Carolina June (worst months include June) Mar 9, 2026 Feb 1, 2026 SC guide
South Dakota June (worst months include June) Mar 9, 2026 Feb 1, 2026 SD guide
Tennessee June (grass peak) Mar 9, 2026 Feb 1, 2026 TN guide
Texas Extended season (see “Extended‑season states”) TX guide
Utah June (summer grasses) Mar 9, 2026 Feb 1, 2026 UT guide
Virginia June (grass summer) Mar 9, 2026 Feb 1, 2026 VA guide
Wisconsin May (grass worst in May) Feb 6, 2026 Jan 1, 2026 WI guide

Notes:

Extended‑season states (year‑round or multi‑peak grass)

In climates with prolonged or multiple grass surges (e.g., Florida, much of Arizona, and parts of Texas), tablet therapy is usually targeted to the earliest spring grass peak in your area:

Related learning and state guides

Introduction> On‑label safety notes (tablets): first dose must be supervised (≥30 minutes) in a healthcare setting, and an epinephrine auto‑injector is prescribed for home use; age range: 5–65 years for grass tablets (Grastek and Oralair). See FAQs below.> First‑dose supervised (tablets): Your very first Grastek or Oralair dose must be taken in a healthcare setting with ≥30 minutes of observation, and you’ll be prescribed an epinephrine auto‑injector for home use. Learn more in our immunotherapy safety primer: Anaphylaxis & immunotherapy.

FAQs: Starting grass SLIT tablets (Grastek, Oralair)

At‑a‑glance: Start‑by rules (on‑label tablets)

Product Ages (label) Start by before season First dose Home epinephrine
Grastek (timothy grass tablet) 5–65 ≥12 weeks (84 days) Supervised, ≥30‑min observation Yes — auto‑injector prescribed
Oralair (5‑grass tablet) 5–65 4 months Supervised, ≥30‑min observation Yes — auto‑injector prescribed

Notes:

How to use this calendar (products and lead times)

Safety checklist for SLIT tablets (what every patient should plan for)

State‑by‑state “start by” calendar (2025)> Planning 2026 or later? See the 2026 calendar and dates here: Jump to 2026 calendar.

Assumptions used for dates:

State Peak grass month (source) Start by (≥12 weeks) Start by (4 months) Source
Alabama June (summer grasses) Mar 9, 2025 Feb 1, 2025 AL guide
Arizona Extended season (see “Extended‑season states”) AZ guide
California May (grass worst in May) Feb 6, 2025 Jan 1, 2025 CA guide
Colorado June (summer grasses) Mar 9, 2025 Feb 1, 2025 CO guide
Florida Extended season (see “Extended‑season states”) FL guide
Georgia May/June (use earlier) Feb 6, 2025 Jan 1, 2025 GA guide
Idaho June (grass peak) Mar 9, 2025 Feb 1, 2025 ID guide
Illinois June (grass in summer) Mar 9, 2025 Feb 1, 2025 IL guide
Kansas June (summer grasses) Mar 9, 2025 Feb 1, 2025 KS guide
Kentucky June (summer grasses) Mar 9, 2025 Feb 1, 2025 KY guide
Maine June (worst months include June) Mar 9, 2025 Feb 1, 2025 ME guide
Maryland June (summer Bermuda grass) Mar 9, 2025 Feb 1, 2025 MD guide
Mississippi June (summer grasses prominent) Mar 9, 2025 Feb 1, 2025 MS guide
New Jersey June (grass in summer; worst months include June) Mar 9, 2025 Feb 1, 2025 NJ guide
New York June (summer grasses listed) Mar 9, 2025 Feb 1, 2025 NY guide
North Carolina May (grass peak) Feb 6, 2025 Jan 1, 2025 NC guide
Ohio June (grass peak) Mar 9, 2025 Feb 1, 2025 OH guide
Oklahoma June (summer grasses) Mar 9, 2025 Feb 1, 2025 OK guide
Oregon June (grass peak) Mar 9, 2025 Feb 1, 2025 OR guide
Pennsylvania June (grass in summer; worst months include June) Mar 9, 2025 Feb 1, 2025 PA guide
South Carolina June (worst months include June) Mar 9, 2025 Feb 1, 2025 SC guide
South Dakota June (worst months include June) Mar 9, 2025 Feb 1, 2025 SD guide
Tennessee June (grass peak) Mar 9, 2025 Feb 1, 2025 TN guide
Texas Extended season (see “Extended‑season states”) TX guide
Utah June (summer grasses) Mar 9, 2025 Feb 1, 2025 UT guide
Virginia June (grass summer) Mar 9, 2025 Feb 1, 2025 VA guide
Wisconsin May (grass worst in May) Feb 6, 2025 Jan 1, 2025 WI guide

Notes:

Extended‑season states (year‑round or multi‑peak grass)

In climates with prolonged or multiple grass surges (e.g., Florida, much of Arizona, and parts of Texas), tablet therapy is usually targeted to the earliest spring grass peak in your area:

Missed your window or have multiple allergies?

Key takeaways


Clinical rationale, state‑season references, and additional how‑to articles: