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In short Tiotropium price by strength What Tiotropium is Who looks up Tiotropium Where to get Tiotropium How Pymander fits Common questions SourcesTiotropium costs from $411.28 for one fill at Cost Plus Drugs, depending on strength. It is the generic of Spiriva.
Tiotropium is a prescription medicine, so a licensed clinician has to decide it is right for you before a pharmacy can fill it. Prices as of October 11, 2026; no insurance needed.
Tiotropium price by strength
| Strength | Price per fill | Pack | Cost Plus Drugs |
|---|---|---|---|
| 0.018 mg/capsule | $411.28 | Capsule, 30 Capsules | View |
A 30 count is 30 units of the product (pills, capsules or the pack size Cost Plus lists), not a promise of 30 days. These are Cost Plus Drugs’ own cash prices, including their pharmacy fee. Shipping is added at their checkout. Pymander adds no fee or markup. Prices checked October 11, 2026 and can change.
Of the 23 medications in the Allergy & asthma group priced per fill in our catalog, Tiotropium has the highest price. The middle price for that group is $19.16.
What Tiotropium is
A long-acting inhaler that keeps the airways open for a full day by blocking the nerve signals that tighten them.
What it’s for
Daily treatment of COPD (emphysema and chronic bronchitis). The Respimat mist form is also used as an add-on for asthma.
How it’s taken
Once a day. The HandiHaler uses a capsule placed in the device; the Respimat is a soft mist spray. Capsules are never swallowed.
Good to know
It is not for sudden symptoms. Dry mouth is common. It can worsen narrow-angle glaucoma or trouble passing urine. Eye pain with blurred vision is an emergency: call 911.
The plain-language description on this page was written from public medical sources and has not been reviewed by a clinician. Use it to get oriented, then check with your own clinician or pharmacist.
Who looks up Tiotropium
People search for Tiotropium when they are dealing with COPD, emphysema, chronic bronchitis, asthma, shortness of breath. Tiotropium is a prescription medicine, so a licensed clinician has to decide it is right for you before a pharmacy can fill it.
For more on what it treats and how it is taken, see Tiotropium: what it treats, how to take it.
Where to get Tiotropium
| Where | Price we can show | Note | Link |
|---|---|---|---|
| Cost Plus Drugs Mail-order pharmacy | $411.28 and up | Price includes their pharmacy fee. Shipping is per order. | Open |
| GoodRx Discount coupon | See price on their site | Free coupon prices at local pharmacies. Prices vary by pharmacy and ZIP code. | Open |
| Amazon Pharmacy Mail-order pharmacy | See price on their site | Search for this medication to see Amazon’s price. Prime members can add RxPass, a flat monthly fee for a list of common generics. | Open |
Only Cost Plus Drugs publishes a machine-readable price list, so it is the only price we quote. For the others we link to their pages and do not guess a number.
How Pymander fits
Pymander is an AI-native, cash-pay healthcare system. This catalog lists prices from outside sources so you can compare before you pay, and Pymander does not sell Tiotropium or add a fee on top. You can text our free AI doctor with questions about a symptom or a medication, and bring the care note to the clinician who decides your treatment.
Common questions
How much does Tiotropium cost without insurance?
Tiotropium costs from $411.28 for one fill at Cost Plus Drugs, depending on strength (October 11, 2026). Insurance is not billed.
Do I need a prescription for Tiotropium?
Tiotropium is a prescription medicine, so a licensed clinician has to decide it is right for you before a pharmacy can fill it.
Is there a cheaper way to buy Tiotropium?
Compare Cost Plus Drugs with a discount coupon such as GoodRx at a local pharmacy, since prices differ by pharmacy and ZIP code. Ask the pharmacy for its cash price in writing before you pay.
Does Pymander charge extra for Tiotropium?
No. The prices on this page are the outside source’s own prices. Pymander adds no fee or markup.