Brand-name prescription

Spiriva HandiHaler

tiotropium

Compare your options

Compare	Spiriva HandiHalerBrand name	Authorized genericWithout the Spiriva HandiHaler name	Regular generictiotropium
What pharmacies pay	Lowest$10.62per capsule	Not sold	$11.81per capsule
Same as Spiriva HandiHaler?	The original	–	Same active ingredientFillers and dyes can differ
Ways to save	Maker’s cardas little as $35 a monthwith commercial insurance	–	Ask for it by name
With insurance	Brand co-pay, usually the highest	–	Usually the lowest co-pay

No authorized generic: There isn’t one.

Prices are the average U.S. drugstores pay (source: Medicaid, September 23, 2026). What you pay depends on your plan or the pharmacy.

Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

The maker’s savings card

Rx Maker’s savings card Boehringer Ingelheim

SPIRIVA HANDIHALER Savings Card

With commercial insurance

as little as $35 a month

Paying cash, no insurance

as little as $35 a month

Get it on patient.boehringer-ingelheim.com

In the maker’s words

“Request the SPIRIVA HANDIHALER Savings Card to see if you are eligible to pay as little as $35 for a 30-day prescription fill.”

“Download your SPIRIVA HANDIHALER Savings Card to pay as little as $35 for a 30-day prescription fill.”

From the maker’s offer on patient.boehringer-ingelheim.com, checked September 24, 2026. What you pay depends on your plan. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Before you use a discount card

Discount cards like GoodRx take money off the pharmacy’s cash price. For a brand-name drug, that price is often still high. With commercial insurance, Spiriva HandiHaler’s own card may bring it to as little as $35 a month. Paying cash, the maker’s own price is as little as $35 a month.

Look up the discount-card price, then compare it with this estimate. You can use a maker’s card or a discount card, but usually not both on the same fill.

What pharmacies pay

The average U.S. drugstores pay for each strength (source: Medicaid, September 23, 2026). What you pay depends on your plan or the pharmacy.

Strength	Spiriva HandiHaler	Regular generic
18 mcg capsuleper capsule	$10.62	$11.81

Good to know

A regular generic has the same active ingredient, strength and form as Spiriva HandiHaler, and the FDA requires it to work the same way. Its fillers and dyes can differ, so it may look different.
There’s no authorized generic of Spiriva HandiHaler.
“Commercial insurance” means a plan from a job, from the marketplace, or one you buy yourself. A retiree plan that’s part of Medicare counts as Medicare. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.
Most cards need a sign-up on the maker’s site, and many work only if your plan covers the drug. Then give the card’s details to your pharmacy.
Don’t stop or change a medicine without talking to your pharmacist or prescriber.