Tiotropium
Also known as: Spiriva, Spiriva Handihaler, Spiriva Respimat.
What pharmacies pay (NADAC) for every strength and dosage form, published weekly by CMS. Not your out-of-pocket price.
What pharmacies pay (NADAC) — every strength & form
| Strength | Form | NADAC / unit | Package | Class |
|---|---|---|---|---|
| 1.25 MCG | Inhaler | $126.08 / gram | $504.30 / 4 GM box | Brand |
| 2.5 MCG | Inhaler | $126.12 / gram | $504.48 / 4 GM box | Brand |
| 18 MCG | Inhaler | $11.81 / unit | $354.33 / 30 EA box | Generic |
What pharmacies pay (NADAC) — not your out-of-pocket price. Brand list prices fall after confidential rebates. Box prices are per full package where the size is known.
NADAC week of 2026-10-14 · source CMS