Full price comparison · US & Canada

Spiriva Handihaler Prices — US Pharmacy Cost vs Canada — Save Up to 100% in Canada

Brand availableRx requiredAvailable US & CanadacapsuleHealth Canada DIN 02246793

Cheaper in Canada

0%

lower price for Tiotropium Bromide, based on the lowest comparable per-unit prices we found

US · discount card

$266.31

per fill

Lowest listed pharmacy price

Lowest

Canada

$0.320

per tablet

Lowest listed pharmacy price

Fetching live USD → CAD rate…

US pharmacy prices — 18mcg

PharmacyDiscount-card priceRegular cash priceAverage retail
CVS Pharmacy$266.31Lowest$269.31$28.69
Publix$331.81$334.81$28.69
Walgreens$359.92$362.92$28.69
Walmart Neighborhood Market$449.37$452.37$28.69
Walmart Pharmacy$449.37$452.37$28.69
Food Lion$450.39$450.39$28.69
Costco$452.39$452.39$28.69
Kroger Pharmacy$513.83$516.83$28.69
Harris Teeter Pharmacy$513.83$516.83$28.69

"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.

Canadian pharmacy prices

Initial · 18 mcgfrom $81.91
PharmacyPrice / tabletPack sizeShippingTotal
CanadaPharmacyPro.com$1.37$14.95$123.27Lowest
CanadaPharmacyPro.com$1.53$14.95$91.85
BuyLowDrugs.com$2.24$0.00$202.00
BuyLowDrugs.com$2.38$0.00$214.00
medsengage.com$2.73$14.95$81.91
BuyLowDrugs.com$3.77$0.00$113.00
Generic · Defaultfrom $20.17
PharmacyPrice / tabletPack sizeShippingTotal
CanadaPharmacyPro.com$0.320$14.95$28.66Lowest
LifeRxPharmacy.com$0.320$14.95$29.11
medsengage.com$0.330$14.95$29.28
CanadaPharmacyPro.com$0.340$14.95$20.17
LifeRxPharmacy.com$0.340$14.95$20.48
medsengage.com$0.340$14.95$20.60
OffShoreCheapMeds.com$0.340$14.95$30.36
OffShoreCheapMeds.com$0.360$14.95$21.36
CanadianPrescriptionDrugstore.com$0.370$14.95$33.50
CanadianPharmacyAdvantage.com$0.400Free$35.86
GoldStarMeds.com$0.400$0.00$35.87
1800RxOnline.com$0.440$0.00$39.85
CanadaPharmacies.com$0.520Free$46.99
InhalersOnline.com$0.610$0.00$54.99
GoldStarMeds.com$0.870$0.00$26.16
1800RxOnline.com$0.970$0.00$29.07
BuyLowDrugs.com$1.07$0.00$96.00
InhalersOnline.com$1.33$0.00$39.99
SPFPharmacy.com$1.67$9.95$150.00
InhalersOnline.com$1.78$0.00$159.99
BuyLowDrugs.com$1.8490$0.00$166.00
SPFPharmacy.com$2.50$9.95$75.00
InhalersOnline.com$2.83$0.00$84.99
Brand · Defaultfrom $20.17
PharmacyPrice / tabletPack sizeShippingTotal
CanadaPharmacyPro.com$0.320$14.95$28.66Lowest
LifeRxPharmacy.com$0.320$14.95$29.11
medsengage.com$0.330$14.95$29.28
CanadaPharmacyPro.com$0.340$14.95$20.17
LifeRxPharmacy.com$0.340$14.95$20.48
medsengage.com$0.340$14.95$20.60
OffShoreCheapMeds.com$0.340$14.95$30.36
OffShoreCheapMeds.com$0.360$14.95$21.36
CanadianPrescriptionDrugstore.com$0.370$14.95$33.50
CanadianPharmacyAdvantage.com$0.400Free$35.86
GoldStarMeds.com$0.400$0.00$35.87
1800RxOnline.com$0.440$0.00$39.85
CanadaPharmacies.com$0.520Free$46.99
InhalersOnline.com$0.610$0.00$54.99
GoldStarMeds.com$0.870$0.00$26.16
1800RxOnline.com$0.970$0.00$29.07
BuyLowDrugs.com$1.07$0.00$96.00
InhalersOnline.com$1.33$0.00$39.99
SPFPharmacy.com$1.67$9.95$150.00
InhalersOnline.com$1.78$0.00$159.99
BuyLowDrugs.com$1.8490$0.00$166.00
SPFPharmacy.com$2.50$9.95$75.00
InhalersOnline.com$2.83$0.00$84.99

Canadian prices are converted to USD at the time of listing and shown before any duties. Shipping and delivery times vary by pharmacy.

Interchangeable forms

Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Tiotropium Bromide.

Other brand names
Spiriva
Generic clinical forms
tiotropium 0.018 MG Inhalation Powder

Frequently asked questions

How much does Tiotropium Bromide (Spiriva Handihaler) cost without insurance?

Our most recent US pharmacy data shows a low of roughly $266.31 for Tiotropium Bromide with a standard discount card. That figure moves with dosage and quantity — check the comparison table for the exact combination you need.

What do Canadian pharmacies charge for Tiotropium Bromide (Spiriva Handihaler)?

We found Canadian pricing for Tiotropium Bromide starting near $0.320 per tablet in USD terms. That's before any shipping charge, which the table above breaks out separately.

Why is Tiotropium Bromide (Spiriva Handihaler) priced differently in the US and Canada?

Drug pricing is set separately in each country through different negotiation, regulatory, and distribution systems, so the same medication can legitimately carry different price tags on either side of the border. In this case, our data shows the Canadian price coming in lower — but that isn't true for every drug, so it's worth checking each medication individually rather than assuming.

Does Tiotropium Bromide have a generic equivalent?

Generic and brand-name pricing for Tiotropium Bromide is broken out in the tables above where both exist in our data. Generic versions are typically the lower-cost option, but availability depends on the specific formulation and dosage.

What is the cost of Spiriva Handihaler for Medicaid recipients?

Spiriva Handihaler is often covered by state Medicaid programs, but patient costs differ by state and are subject to specific program deductibles and copays. If your plan does not cover it, a prescription discount card may provide a lower price. It can be beneficial to ask your pharmacist to compare the cost under your Medicaid plan against the price available through a pharmacy savings program.

Is there a generic version of Spiriva Handihaler?

No, Spiriva Handihaler is currently available only as a brand-name medication. A generic equivalent, tiotropium bromide, is not approved for sale in the United States at this time.

What are some strategies to reduce the cost of Spiriva Handihaler?

Since Spiriva Handihaler is typically taken long-term, managing its cost is important. Options include using a free prescription discount card, which can offer significant savings. You can also inquire about patient assistance programs or manufacturer rebates directly from the drugmaker, though these often have eligibility criteria. Other financial strategies include applying for Medicare's Extra Help program or using funds from a Health Savings Account (HSA) or Flexible Spending Account (FSA).