In this page's September 26, 2026 Reno RxGo discount-listing sample, 30 generic tiotropium 18 mcg capsules with a HandiHaler-style device cost $147.51 at one named pharmacy. Separately, one Spiriva Respimat 2.5 mcg inhaler was listed from $534.41 to $549.44. These are dated prices for different presentations, not one interchangeable price range; check the exact device and a current quote on the RxDiff Spiriva page.
Generic tiotropium (Spiriva HandiHaler), 30 x 18 mcg capsules with device (30-day supply), Reno, NV 89501, as of September 26, 2026: Walgreens Specialty $147.51. Source: RxGo pricing data. Prices are estimates and vary by pharmacy, ZIP code and day. See current prices on the Spiriva HandiHaler page.
Spiriva Respimat, 1 inhaler 2.5 mcg (30-day supply), Reno, NV 89501, as of September 26, 2026: Walgreens Specialty $534.41; Cancer Care Specialists $546.60; Raley's $549.44. Source: RxGo pricing data. Prices are estimates and vary by pharmacy, ZIP code and day. See current prices on the Spiriva page.
| Source | Lowest price shown | Pharmacy |
|---|---|---|
| RxDiff (RxGo pricing data) — Lowest named pharmacy | $147.51 | Walgreens Specialty |
| SingleCare — Lowest price shown | $266.31 | CVS |
Compared: tiotropium 18 mcg capsule with inhaler device x 30 (RxGo lists it as the generic of Spiriva HandiHaler).
We compared the same drug, strength, quantity and ZIP code on each source on September 26, 2026. We did not compare GoodRx. RxGo may list additional pharmacies without names. Prices are estimates, vary by pharmacy, ZIP and day, and either source can be lower on a given day. See current prices on the RxDiff drug page.
Spiriva contains tiotropium and has different inhaler presentations. What someone pays without insurance depends on the exact presentation, strength, quantity, pharmacy, and ZIP code. The snapshot above is a dated example, not a guaranteed quote.
Match HandiHaler capsules with device or Respimat inhaler details before comparing. Ask the pharmacist to confirm stock, instructions, and the final amount. Do not substitute devices or change use based on a price comparison.
An insurance copay can differ sharply from a pharmacy cash or discount-card price. Pharmacy benefit managers (PBMs) negotiate formulary placement and manufacturer rebates, but a rebate does not necessarily lower what a patient pays at pickup. Deductibles and network rules add another layer of variation.
Pharmacies also set different markups and may obtain inhalers at different costs. Local inventory and ZIP code affect the quote, as do the strength, number of capsules, and delivery device. A HandiHaler capsule price is not a Respimat inhaler price, even though both contain tiotropium.
Generic tiotropium inhalation powder is available for the HandiHaler-type presentation, which can provide a lower-priced choice when appropriate. That generic is not a direct replacement for the Respimat device. Confirm the prescribed form with the pharmacist and discuss any device change with the prescriber.
Prices vary by pharmacy and can change. Compare a current quote for your exact prescription on the RxDiff Spiriva page.
Ask your pharmacist which product and prescription details to use when comparing a current quote.
Ask your prescriber or pharmacist to explain the options and the directions for your prescription. Do not change devices or use instructions based on a comparison article.
Generic tiotropium 18 mcg inhalation powder capsules for a HandiHaler-style device are available; the snapshot above shows one such generic listing. The brand-name Spiriva Respimat spray uses a different device and dosing presentation, so its price cannot be compared directly with a capsule quote. A lower generic price may help if the prescribed form is the capsule product and the pharmacy can fill it. Ask the pharmacist and prescriber before changing devices or instructions; the quoted products are not automatically substitutable.
Ask about generic tiotropium. If your prescription is for HandiHaler capsules, ask the pharmacist to price the available generic in the same strength and quantity. Discuss any product or device change with the prescriber first.
Compare discount cards. Request a card quote for the exact capsule or Respimat product you need. Confirm acceptance and the final pharmacy price, and compare it with any insurance copay rather than assuming the offers combine.
Check manufacturer assistance. Ask the manufacturer's program operator about current copay support or patient assistance for the prescribed brand product. Eligibility, insurance requirements, and covered presentations can differ, so verify before applying.
Shop pharmacies for the same device. Compare current quotes at nearby pharmacies for the same strength, presentation, and quantity. Check stock, fees, and the final total before transferring a prescription; do not compare capsules with Respimat as if they were identical.
Program availability, eligibility, and terms can change. Check current program terms directly with the provider and ask your plan or pharmacist whether they apply.
Ask your prescriber whether any treatment option is appropriate for your individual circumstances. Compare current quotes for the exact prescriptions on the RxDiff drug pages and check your plan documents.
Prices vary by pharmacy. Compare a current quote on the RxDiff Spiriva page and ask your pharmacist about available payment options.
Ask the program provider about current assistance options and eligibility. Check your plan or program terms before relying on them.
Check a current price for your prescription.
Compare Spiriva prices on RxDiff →Program availability, eligibility, and terms can change. Check current terms with the program provider and ask your plan or pharmacist whether they apply to you.
Prices vary by pharmacy. Compare current quotes for the exact prescriptions on the RxDiff drug pages and ask your prescriber about treatment questions.
Compare a current quote on the RxDiff Spiriva page and ask your pharmacist about current payment options and terms.
Ask the program provider about current assistance options and eligibility. Check your plan or program terms before relying on them.
For approval records, search the FDA Drugs@FDA database for tiotropium and check the delivery form.
For product information, see the DailyMed Spiriva HandiHaler (tiotropium bromide) label and DailyMed Spiriva Respimat (tiotropium bromide) label. For general background on chronic obstructive pulmonary disease, see the Global Initiative for Chronic Obstructive Lung Disease website.
Medical Disclaimer: This content is for informational purposes only and does not constitute medical or financial advice. Prices vary by pharmacy; check a current quote for your prescription. Consult your healthcare provider or pharmacist about your medications and treatment plan.
Editorial disclosure: RxDiff Editorial Team guides are for prescription price and savings information. They are not medical advice. Verify current prices, eligibility, and health information with the pharmacy, prescriber, pharmacist, or official source.