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 | $126.08 / gram | $504.33 / 4 GM box | Brand |
| 2.5 MCG | Inhaler | $126.16 / gram | $504.64 / 4 GM box | Brand |
| 18 MCG | Inhaler | $11.68 / unit | $350.44 / 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 2026-07-01 · updated weekly · source CMS
Medicaid & Medicare spending · 2024
In 2024, Medicaid paid $456,463,293 gross for Tiotropium across 826,043 prescriptions (measured, national).
Medicare Part D EST spent an estimated ~$97,041,110 gross (retail pharmacy only; excludes Part B).
Gross program spending, before rebates — not what patients pay out of pocket. Brand net cost is materially lower after confidential rebates; generics are close to net.
Source: Medicaid SDUD 2024 · Medicare Part D 2024 · CMS