Spiriva HandiHaler Price (tiotropium bromide)

Spiriva HandiHaler price by strength

Cheapest ways to get Spiriva HandiHaler 18 mcg

The cheapest ways we found to get brand Spiriva HandiHaler 18 mcg (prices checked Nov 11, 2026). The lowest 90-day cost is shaded green.

Costs abroad and at U.S. pharmacies are for one order closest to 90 days, shipping included, from the price table above. Programs set their own rules, so check the terms before you count on one.

How much does Spiriva HandiHaler cost without insurance?

Without insurance, Spiriva HandiHaler costs $332.82 for a 30-day supply at the U.S. list price, or about $998.46 for 90 days. Licensed pharmacies abroad charged from $94.95 for 90 days of brand Spiriva HandiHaler 18 mcg in our latest check (Nov 11, 2026), shipping included. Copay program: As little as $35 for a 30-day fill with the Spiriva HandiHaler copay program, for eligible patients who have no insurance and pay cash. Terms apply. Not for anyone enrolled in Medicare, Medicaid, VA, TRICARE or another government-funded program (Boehringer Ingelheim).

Patient assistance: Free medicine for people who meet the BI Cares Foundation's eligibility rules. Call 1-800-556-8317 to ask whether your medicine is covered (Boehringer Ingelheim).

Spiriva HandiHaler cost with Medicare

In 2026, a Medicare drug plan (Part D) can charge a deductible of up to $615, and once you've spent $2,100 out of pocket on covered drugs, you pay nothing more for covered drugs that year ($2,400 in 2027) (Medicare.gov). What you pay for Spiriva HandiHaler depends on your plan's drug list and your coverage phase. If your income is limited, Extra Help lowers drug costs: in 2026 you pay no more than $5.10 for a generic and $12.65 for a brand-name drug, with income under $23,940 ($32,460 for a married couple) and resources under $18,090 ($36,100 for a couple) (CMS). The free Medicare Prescription Payment Plan spreads costs into monthly payments, but it doesn't lower the total.

Spiriva HandiHaler cost with insurance

With private or employer insurance, what you pay for Spiriva HandiHaler depends on your plan's drug list, deductible and copay. As little as $35 for a 30-day fill with the Spiriva HandiHaler copay program, if eligible. Terms apply (Boehringer Ingelheim).

Medicaid: Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office (Medicaid.gov).

Spiriva HandiHaler patient assistance program

Yes. Spiriva HandiHaler is offered through Boehringer Ingelheim Cares Foundation Patient Assistance Program, which can give the medicine at no cost to people who qualify. Who qualifies: U.S. residents with no health coverage or not enough coverage to get the medicine, with no other source of help, who meet BI Cares household income guidelines. It is free to apply. How to apply: Send the enrollment form (English or Spanish) by fax to 1-866-851-2827, or call 1-800-556-8317 (8:30 AM to 6 PM ET, Monday to Friday). (Checked 2026-10-29.)

Spiriva HandiHaler FAQ

Brand vs. generic: cost for 90 days

Lowest in this comparison: Brand Spiriva HandiHaler 18 mcg from licensed pharmacies abroad.

90 days = 90 capsules of 18 mcg. Generic sold abroad is not FDA-approved and is not in this box. Your price with insurance or Medicare depends on your plan.

Savings programs from the maker

eDrugSearch does not offer its own Spiriva HandiHaler coupons. These are the programs we could verify on Boehringer Ingelheim's and government sites:

• Spiriva HandiHaler Savings Card: for people 18 or older in the 50 states, DC, Guam, the Virgin Islands or Puerto Rico who have commercial (private or employer) insurance, or who have no insurance and pay cash. Eligible patients may pay as little as $35 for a 30-day fill. Terms apply. People enrolled in a government-funded program, such as Medicare, Medicaid, VA or TRICARE, can't use it, and a fill with the card won't count toward a Medicare plan or the $2,100 Part D cap. Call 1-877-264-2440. (Spiriva HandiHaler savings)
• Boehringer Ingelheim Cares Foundation Patient Assistance Program: free Boehringer Ingelheim medicine for eligible U.S. residents who have no health coverage or not enough coverage for their medicine, have no other source of coverage or funding, and meet household income guidelines. Call 1-800-556-8317 to ask whether your medicine is covered and whether you qualify. (BI Cares Foundation)
• Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
• Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
• Costco Pharmacy member prices: Costco publishes member prices for many prescriptions, for people with a Costco membership. Non-members can also use Costco pharmacies and pay the regular cash price. Member prices can't be used with insurance, Medicare or Medicaid claims. (Costco Pharmacy)
• Amazon Pharmacy Prime and RxPass: Amazon Pharmacy offers Prime members discounts on many prescriptions, and RxPass, for Prime members, covers a set list of generics for a flat monthly fee. Prime is not required to use Amazon Pharmacy. Prime savings have limits for people with Medicare, Medicaid or Tricare, and RxPass is not open to people with Medicaid or CHIP. (Amazon Pharmacy)
• Discount cards: Discount cards (for example GoodRx or SingleCare) may lower the price at local pharmacies; prices vary by pharmacy and ZIP code.

Compare Spiriva HandiHaler with similar drugs

Other COPD maintenance inhalers people often compare with Spiriva HandiHaler, including Spiriva Respimat (the same medicine in a spray). Prices are for each drug's lowest-priced strength.

Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.

What is Spiriva HandiHaler used for?

Spiriva HandiHaler contains tiotropium, a long-acting anticholinergic that relaxes the airways. According to its FDA label (DailyMed), it is used:

• For long-term, once-daily maintenance treatment of bronchospasm (narrowed airways) in chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.
• To reduce COPD flare-ups (exacerbations).

Spiriva HandiHaler is not a rescue inhaler and is not used for sudden breathing problems. Each dose is the powder in one 18 mcg capsule, inhaled with the HandiHaler device (two inhalations) once a day. The capsules are not swallowed and are used only with the HandiHaler device. The label has no boxed warning. Your prescriber decides which medicine is right for you.