Spiriva cost in 2026
Spiriva costs about $408 to $620 per inhaler without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for Spiriva Respimat 2.5 mcg, 1 inhaler (60 puffs, about 30 days).
- Your coverage. Commercial insurance, Medicare and cash pay all get very different prices.
- The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
- Whether a generic or biosimilar is on sale. Spiriva HandiHaler has an AB-rated generic (Lupin, marketed since August 16, 2023). Spiriva Respimat has no generic listed.
What is included
The prices on this page are what a pharmacy charges for Spiriva Respimat 2.5 mcg, 1 inhaler (60 puffs, about 30 days), before any insurance. Your own cost depends on your plan, your deductible and any savings card. Ask your pharmacist for the cash price and your insured price, and pay the lower one.
Ways to pay for Spiriva
| How you pay | What it costs |
|---|---|
| Cash price without insurance | $408 to $620 per inhaler (SingleCare blog (low is SingleCare coupon, high is cash price)) |
| With the maker's savings card | The Spiriva savings card lets commercially insured patients pay $35 for a 30-day fill, up to 12 fills per calendar year, expiring December 31, 2026. Boehringer Ingelheim also announced a $35 monthly cap at retail pharmacies in 2024. |
| Medicare | Spiriva is not on the Medicare negotiation lists for 2026, 2027 or 2028. |
| Free drug program | BI Cares Patient Assistance Program is for uninsured or underinsured US residents based on federal poverty level; some Medicare Part D patients who do not qualify for other help may be eligible. |
| Generic or biosimilar | Spiriva HandiHaler has an AB-rated generic (Lupin, marketed since August 16, 2023). Spiriva Respimat has no generic listed. |
Average prices in US dollars. Source: Drugs.com.
Ways to pay less
- The Spiriva savings card lets commercially insured patients pay $35 for a 30-day fill, up to 12 fills per calendar year, expiring December 31, 2026. Boehringer Ingelheim also announced a $35 monthly cap at retail pharmacies in 2024.
- BI Cares Patient Assistance Program is for uninsured or underinsured US residents based on federal poverty level; some Medicare Part D patients who do not qualify for other help may be eligible.
- Compare cash prices at several pharmacies with a free discount card before you pay.
- Ask your doctor if a generic or a lower cost drug would work for you.
What price guides say
We checked 6 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- Drugs.com: Spiriva Respimat price guide
- SingleCare: Spiriva Respimat without insurance
- SingleCare: Spiriva Respimat
- Drugs.com: Spiriva
- Drugs.com: Generic Spiriva availability
- NCPA: Additional WAC reductions on Atrovent and Spiriva
Common questions
How much does this cost in 2026?
Spiriva costs about $408 to $620 per inhaler without insurance in 2026, at retail cash prices. Most people pay about $514 per inhaler. The low end is $408 and the high end is $620.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for Spiriva Respimat 2.5 mcg, 1 inhaler (60 puffs, about 30 days); Your coverage. Commercial insurance, Medicare and cash pay all get very different prices; The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
How can I pay less?
The Spiriva savings card lets commercially insured patients pay $35 for a 30-day fill, up to 12 fills per calendar year, expiring December 31, 2026. Boehringer Ingelheim also announced a $35 monthly cap at retail pharmacies in 2024. BI Cares Patient Assistance Program is for uninsured or underinsured US residents based on federal poverty level; some Medicare Part D patients who do not qualify for other help may be eligible. Compare cash prices at several pharmacies with a free discount card before you pay.
Where do these numbers come from?
From 6 named price guides: Drugs.com, SingleCare, SingleCare, Drugs.com, Drugs.com, NCPA. Each one is linked on this page with the date we read it.
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