Tiotropium
Also known as: Spiriva, Spiriva Handihaler, Spiriva Respimat.
Wholesale (NADAC) cost for every strength and dosage form — the price pharmacies pay, published weekly by CMS. Not your out-of-pocket price.
Wholesale (NADAC) prices — every strength & form
| Strength | Form | NADAC / unit | Package | Class |
|---|---|---|---|---|
| 1.25 MCG | Inhaler | $126.07 / gram | $504.30 / 4 GM box | Brand |
| 2.5 MCG | Inhaler | $126.12 / gram | $504.48 / 4 GM box | Brand |
| 18 MCG | Inhaler | $11.71 / unit | $351.37 / 30 EA box | Generic |
Wholesale (NADAC) — the price pharmacies pay, 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 2026-09-02 · source CMS