Spiriva (tiotropium) — How to Pay Less

Respiratory (COPD) · Last verified 2026-03-22

Current Pricing

Retail Price
$450
per month (estimated)
Copay Card Price
$0
per month with commercial insurance
Patient Assistance (PAP)
FREE
if income-eligible

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Savings Options by Insurance

🏢Commercial Insurance

  • Spiriva Savings Card: Pay as little as $0/mo. (Max annual benefit: $100 per fill)

🏥Medicare

  • 2026 Part D out-of-pocket cap: $2,000/year. Ask about Extra Help/LIS for additional savings.

💵Uninsured / Cash Pay

  • BI Cares Foundation: FREE medication if income is below 400% FPL. Call 866-279-8990.
  • GoodRx, RxSaver, or Amazon Pharmacy discount cards may offer additional savings

How to Enroll

Spiriva Savings Card

  1. Check eligibility (commercial insurance required)
  2. Complete the enrollment form online (takes ~2 minutes)
  3. Download or print your savings card
  4. Present at pharmacy with your insurance card

BI Cares Foundation

  1. Confirm income eligibility (below 400% FPL / ~$undefined/yr for individuals)
  2. Have your prescriber complete and sign the application
  3. Submit by fax, mail, or online
  4. Processing typically takes 2-4 weeks

Key Facts

Category
Respiratory (COPD)
Generic Name
tiotropium
Dosages
1.25mcg Respimat, 2.5mcg Respimat, 18mcg HandiHaler
Generic Available
No (patent expires ~2027)
Typical Quantity
1 units/mo

Other Respiratory (COPD) Medications

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