Generic Spiriva HandiHaler (tiotropium bromide) Price

Tiotropium Bromide price by strength

Tiotropium Bromide names

- Brand name: Spiriva HandiHaler (Boehringer Ingelheim)
- Generic name: tiotropium bromide
- Names in Canada: Spiriva, plus generics such as Apo-Tiotropium and Lupin-Tiotropium (Health Canada Drug Product Database, marketed products, checked Oct 29, 2026)
- Other names: Spiriva (brand name in Canada and the U.K.)

Tiotropium bromide packs made for other countries are not FDA-approved.

Tiotropium Bromide 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.

See brand Spiriva HandiHaler prices

Tiotropium Bromide cost with Medicare in 2026

Each Part D plan has its own list of covered drugs and copays, so what you pay for tiotropium depends on your plan (Medicare Plan Finder). In 2026, Part D plans can have a yearly deductible of up to $615, and your out-of-pocket costs for covered drugs are capped at $2,100 a year ($2,400 in 2027) (Medicare.gov). The Spiriva HandiHaler Savings Card is for the brand and can't be used with Medicare.

Savings programs from the maker

eDrugSearch does not offer its own Tiotropium Bromide coupons. Boehringer Ingelheim's $35 savings card is for brand Spiriva HandiHaler only (see the brand page). These programs can lower what you pay for generic tiotropium:

• 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.

When people choose brand Spiriva HandiHaler

Some people get brand Spiriva HandiHaler instead of generic tiotropium bromide. Common reasons:

• A prescription marked “dispense as written” (or “brand medically necessary”) tells the pharmacy to fill brand Spiriva HandiHaler, not a generic. State laws set the rules for generic substitution.
• With the Spiriva HandiHaler Savings Card, eligible patients who have commercial insurance, or no insurance and pay cash, may pay as little as $35 for a 30-day fill of the brand (Boehringer Ingelheim). It can't be used with Medicare, Medicaid or other government programs. In our check, U.S. cash prices for brand Spiriva HandiHaler were lower than for generic tiotropium, so compare both.
• Some insurance and Medicare drug plans cover the brand and the generic at different copays, or cover only one of them. Your plan's drug list shows which.

Your prescriber decides which medicine is right for you.

Compare prices for your other medicines

• Spiriva HandiHaler prices from $64.59 for 90 days
• Spiriva Respimat prices from $208.99 for 90 days
• Umeclidinium and Vilanterol prices

Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength.

What is Tiotropium Bromide used for?

Tiotropium is a long-acting anticholinergic that relaxes the airways, the same medicine as in Spiriva HandiHaler. The FDA label for Spiriva HandiHaler (DailyMed), which the generic label follows, lists these uses:

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

It is not a rescue inhaler and is not used for sudden breathing problems. Each dose is the powder in one 18 mcg capsule, inhaled once a day with the inhaler device that comes with it. The capsules are not swallowed. Ask your pharmacist how to use the device you are given. Check the label that comes with your medicine. Your prescriber decides which medicine is right for you.