How much does Spiriva HandiHaler cost without insurance?

Live cash prices for Spiriva HandiHaler 18 mcg are verified within the last 72 hours — see the table above for the current cheapest source.

What pharmacy has the cheapest Spiriva HandiHaler?

Cost Plus Drugs and Costco typically have the lowest cash price for generic Tiotropium. CVS and Walgreens are the most expensive. Exact rankings update live above.

Where can I find Spiriva HandiHaler near me?

Spiriva HandiHaler (Tiotropium) is stocked at every major US pharmacy chain — CVS, Walgreens, Walmart, Costco, Kroger, Publix. Mail-order from Cost Plus Drugs ships to all 50 states with no prescription transfer required from your prescriber.

Do pharmacy prices vary by ZIP code?

Most US chain pharmacies (CVS, Walgreens, Walmart, Costco) price prescriptions uniformly nationwide. Independent pharmacies and some grocery chains can vary by region.

Can I have Spiriva HandiHaler delivered?

Yes — Cost Plus Drugs, Amazon Pharmacy, and most chain pharmacies offer mail and same-day delivery for Tiotropium.

Asthma / COPD

Spiriva HandiHaler

Name: Spiriva HandiHaler 18 mcg (Tiotropium)
Brand: Spiriva HandiHaler
SKU: spiriva-handihaler
Availability: InStock

Tiotropium · 18 mcg · tablet · qty 1

Long-term asthma or COPD control.

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Common uses & information

Spiriva HandiHaler is a brand of Tiotropium, a asthma / copd medication supplied as tablet in a 18 mcg strength. It is commonly used for long-term asthma or COPD control.

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Price summary

Form	Class	Brand avg	Generic avg	Savings
tablet 18 mcg	Specialty	$784.95	see live prices above	—

Clinical information

Clinical content reviewed by the BetterBuyRx clinical team. Read the full wiki entry and sources →

Manufacturer & patient assistance programs

For patient assistance, check NeedyMeds and RxAssist.

Other brands of Tiotropium

Same active ingredient, different brand. Compare prices.

Spiriva HandiHaler
18 mcg · inhaler
from $498.00

FAQ

Is generic Tiotropium the same as Spiriva HandiHaler?

Yes. The FDA requires generics to contain the same active ingredient at the same strength as the brand. Inactive ingredients (binders, dyes) may differ.

How much can I save by choosing the generic?

Currently no FDA-approved generic equivalent exists for Spiriva HandiHaler, so the brand and generic prices are similar.

Do I need insurance to get this price?

No. The prices shown on BetterBuyRx are cash prices. Often these beat insurance copays for generics.

How often is this price updated?

At minimum every 72 hours. Many sources refresh every few hours.

Related medications

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Information for general comparison only. Not medical advice. Confirm with your pharmacist.