
Spiriva Respimat (Tiotropium Bromide) is a prescription inhalation spray used to treat chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It is also approved for the long-term, once-daily maintenance treatment of asthma in adults and children 6 years and older. Spiriva works by relaxing the muscles around the airways in the lungs, making it easier to breathe.
Spiriva Respimat (Tiotropium Bromide) is typically taken once daily using a hand-held inhaler that delivers a consistent dose over time. While clinically effective, Spiriva can be expensive without insurance. Fortunately, there are a number of ways to reduce your monthly cost—especially by using trusted online pharmacies.
Key Takeaways
CIPA-Certified Online Pharmacies Offer Major Discounts: Certified online pharmacies like DrugMart and Planet Drugs Direct offer Spiriva Respimat for as little as $304.88 for a 3-month (180-actuation) supply—translating to about $101 per month, which can represent savings of over 80% vs. U.S. retail chains. Purchase from DrugMart.
Retail Pharmacies Charge Over $530 Monthly Without Insurance: U.S. pharmacy chains such as Amazon Pharmacy and Blink Health (distributed through your local pharmacy) charge over $538 for a one-month supply of Spiriva Respimat.
Medicare Part D Plans Commonly Cover Spiriva Respimat: Out-of-pocket costs with Medicare can range from $35 to over $150 monthly depending on your plan and benefit phase.
Cheapest Online Pharmacies for Spiriva Respimat (Tiotropium Bromide)
Below are the lowest prices available from verified online pharmacies for a standard 180-actuation inhaler (typically lasting 90 days at one dose/day).
Pharmacy | Prescription Required | Price (Estimated) | Dosage | Website |
DrugMart | Yes | $304.88 | 180 ACTUATS | |
Planet Drugs Direct | Yes | $304.99 | 180 ACTUATS | |
Amazon Pharmacy | Yes | $538.44 | 1.25 MCG | |
Blink Health | Yes | $556.98 | 2.5 MCG |
Prices as of June 2nd, 2025. Prices are subject to change based on pharmacy, prescription specifics, and quantity.
U.S. Retail Prices for Spiriva Respimat (Tiotropium Bromide)
Retail prices for Spiriva Respimat remain high across major U.S. pharmacies as of June 2nd, 2025. Here's a snapshot of what you can expect to pay without insurance:
Pharmacy | Retail Price |
Aurora Pharmacy | $557.89 |
Mariano’s | $557.89 |
Capsule Pharmacy | $557.89 |
Walgreens | $704.56 |
Walgreens Specialty Pharmacy | $702.99 |
Walmart | $510.16 |
Walmart Neighborhood Market | $509.38 |
CVS Pharmacy | $389.98 |
Target (CVS) | $389.99 |
Costco | $411.21 |
Meijer Pharmacy | $583.28 |
Jewel-Osco | $532.77 |
Other Pharmacies | $382.33 |
Prices are based on a 30-day supply. Retail costs may vary by location and availability.
How to Save on Spiriva Respimat (Tiotropium Bromide)
Here are the most effective strategies for cutting your out-of-pocket cost:
1. Use a Medicare Part D Plan
Most Medicare Part D plans cover Spiriva Respimat (Tiotropium Bromide), though prices vary depending on your phase of coverage. Beneficiaries in the deductible or coverage gap phases may pay more, while those in catastrophic coverage may pay as little as $10–$20 per month. Use the Medicare Plan Finder to check your exact cost.
2. Ask About Manufacturer Savings Programs
Boehringer Ingelheim, the manufacturer of Spiriva, may offer savings cards or patient assistance for eligible patients with commercial insurance. These programs are not usually available to Medicare or Medicaid beneficiaries but are worth checking if you’re paying with private insurance.
To learn more about the Spiriva REspimat (Tiotropium Bromide) savings card, visit this website right here.
3. Try CIPA-Certified Online Pharmacies
For uninsured or underinsured patients, international online pharmacies such as Planet Drugs Direct and DrugMart offer steep discounts on brand-name Spiriva Respimat (Tiotropium Bromide). These pharmacies are certified by the Canadian International Pharmacy Association (CIPA) and ship directly to U.S. patients with a valid prescription.
Common Questions
Common questions and answers about Spiriva Respimat:
1. Is Spiriva Respimat covered by Medicare?
Yes. Spiriva Respimat is covered under most Medicare Part D plans, though the exact cost will depend on your coverage phase.
2. How much will I pay for Spiriva Respimat with Medicare?
Out-of-pocket costs typically range from $35 to $150+ per month. Check with your plan provider to confirm your exact costs and formulary tier.
3. Can I save by using online pharmacies if I don’t have insurance?
Yes. Patients without insurance can save over 80% by ordering through CIPA-certified sites like DrugMart and Planet Drugs Direct, reducing the cost from over $500/month to about $100/month.
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Sources
Aetna Better Health. Spiriva Respimat® Prior Authorization Criteria – Aetna Medicaid Formulary Policy. https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/pdfs/formulary/guidelines/Spiriva-Respimat-FE-Aetna-Medicaid-Policy-ua.pdf. Accessed June 2, 2025.
Boehringer Ingelheim Pharmaceuticals, Inc. Spiriva® Respimat® (tiotropium bromide inhalation spray) Prescribing Information. https://content.boehringer-ingelheim.com/DAM/68a8a6b5-4e9a-4508-85d3-af1e01205009/spiriva%20respimat-us-pi.pdf. Published 2023. Accessed June 2, 2025.
Boehringer Ingelheim Pharmaceuticals, Inc. Spiriva® COPD Savings and Support Program. https://patient.boehringer-ingelheim.com/us/products/spiriva/copd/savings-and-support/sign-up-for-savings. Accessed June 2, 2025.