Spiriva Respimat Price (tiotropium bromide)

Spiriva Respimat price by strength

Cheapest ways to get Spiriva Respimat 2.5 mcg

The cheapest ways we found to get brand Spiriva Respimat 2.5 mcg (prices checked Nov 5, 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 Respimat cost without insurance?

Without insurance, Spiriva Respimat costs $527.39 for a 30-day supply at the U.S. list price, or about $1,582.17 for 90 days. Licensed pharmacies abroad charged from $208.99 for 90 days of brand Spiriva Respimat 2.5 mcg in our latest check (Nov 5, 2026), shipping included.

Bi direct cash program: $35 for a 30-day fill of Spiriva Respimat 2.5 mcg, with free home delivery from HealthDyne pharmacy. Cash only: not for anyone with commercial or government drug coverage. The 1.25 mcg strength is not offered. It can't be used with Medicare or Medicaid, and a cash purchase won't count toward a Medicare plan or its $2,100 yearly cap (Boehringer Ingelheim).

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

Spiriva Respimat 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 Respimat 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 Respimat cost with insurance

With private or employer insurance, what you pay for Spiriva Respimat depends on your plan's drug list, deductible and copay. As little as $35 for a 30-day fill with the Spiriva Respimat 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 Respimat patient assistance program

Yes. Spiriva Respimat 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 Respimat FAQ

Savings programs from the maker

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

• Spiriva Respimat Savings Card: for people with commercial (private or employer) insurance. Eligible patients may pay as little as $35 for a 30-day fill. Terms apply. People in government-funded programs, such as Medicare, Medicaid, VA and TRICARE, aren't eligible. If a mail-order pharmacy won't take the card, you can ask for a rebate. Call 1-866-496-8714. (Spiriva savings)
• Boehringer Ingelheim DIRECT: a cash-only program: $35 for a 30-day fill of Spiriva Respimat 2.5 mcg, mailed free to your home, for eligible U.S. patients with no prescription drug coverage. Not for people with Medicare, Medicaid or any other insurance: BI's terms say anyone with commercial or government drug coverage isn't eligible, so it can't count toward a Medicare plan or the $2,100 Part D cap. (Boehringer Ingelheim DIRECT)
• 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)

Compare Spiriva Respimat with similar drugs

Other maintenance inhalers people often compare with Spiriva Respimat. 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 Respimat used for?

Spiriva Respimat 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), and to reduce COPD flare-ups (exacerbations).
• Long-term, once-daily maintenance treatment of asthma in people 6 years and older.

Spiriva Respimat is not a rescue inhaler and is not used for sudden breathing problems. It comes in two strengths: 2.5 mcg per puff is labeled for COPD, and 1.25 mcg per puff for asthma. Each dose is 2 puffs once a day, so a 60-puff inhaler lasts 30 days. The label has no boxed warning. Your prescriber decides which medicine is right for you.