How do you pay?

How to pay the least

Lowest posted price

as little as $35 a month

Spiriva HandiHaler from Boehringer Ingelheim, without insurance.

  1. Sign up for SPIRIVA HANDIHALER Savings Card. Or call 1-877-264-2440.Sign up on patient.boehringer-ingelheim.com 

Ask for the generic’s price No pharmacy we check posts a cash price for generic tiotropium. Ask yours, to compare.

A regular generic has the same active ingredient as Spiriva HandiHaler, and the FDA requires it to work the same way.

Compare every option

Question
Brand nameSpiriva HandiHaler
Authorized generictiotropium
Regular generictiotropium
What you’d pay
As little as$35a month with the maker’s card
Not soldThere isn’t one
At least$350for 30 capsules; pharmacies pay this
Same as the brand?
The original
–
Same active ingredientFillers and dyes can differ

Brand nameThe maker’s card

SPIRIVA HANDIHALER Savings Card

Savings card from Boehringer Ingelheim

No insurance · as little as $35 a month
Insurance · as little as $35 a month

Sign up on patient.boehringer-ingelheim.com 

Or call 1-877-264-2440.

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 October 23, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s price above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Spiriva HandiHaler itself, from the same company, sold without the brand name, and usually for less. A regular generic is sold, with the same active ingredient: ask the pharmacy for its price.

See the regular generic →

Regular genericMakers and their savings cards

One company sells a generic of Spiriva HandiHaler that the FDA rates a substitute. A pharmacy fills whichever one it stocks. It has its own savings card, and it works only with its version. To get a certain maker, ask for it by name; most pharmacies can order it in a day or two.

  • Lupin Pharmaceuticals18 mcg

    Has lactose

    Lupin Co-pay Savings Card: Tiotropium Bromide Inhalation Powder Capsules (generic Spiriva HandiHaler)

    With commercial insurance as little as $25

    Sign up on lupin.com

    In the maker’s words

    “A commercially insured patient with plan coverage for Tiotropium bromide inhalation powder capsules may pay as little as $25.”

    How it looks, what’s in it, NDCs

    18 mcg Opaque, capsule, 16 mm, marked “LU / T18”

    PackageNDC
    Carton of 3068180-964-12

    Inactive ingredients: lactose monohydrate

    FDA label

Who sells it: FDA and Medicaid records, updated weekly. Each maker’s page, card and program is from its own site, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

What to say at the pharmacy

“Before you fill my Spiriva HandiHaler, can you tell me what I’d pay for the brand and for a generic?”

Paying cash? Ask for each one’s cash price. With insurance, ask what your plan charges for each.

What it’s used for

What the FDA label says

SPIRIVA HANDIHALER is an anticholinergic indicated for the long-term, once-daily, maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), and for reducing COPD exacerbations

Source: the FDA label for Spiriva HandiHaler (Boehringer Ingelheim Pharmaceuticals, Inc.), November 10, 2025. Full label on DailyMed 

Good to know