tiotropium bromide
Used for Chronic Bronchitis and Asthma
Are you tired of high medication costs? Our service offers unbeatable savings on your tiotropium bromide prescription medication. We provide a range of solutions to help you save up to 100% on your medication costs*. Whether you are insured, uninsured, underinsured, or simply looking to reduce your out-of-pocket expenses, we've got you covered.
Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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tiotropium bromide key facts
What dosages is tiotropium bromide available in?
tiotropium bromide is available as
What is tiotropium bromide used for?
tiotropium bromide is a long-acting muscarinic antagonist (LAMA) that is used to treat:
- Chronic obstructive pulmonary disease (COPD)
- Asthma in people age 6 years and older – tiotropium bromide only
How does tiotropium bromide work?
tiotropium bromide is an anticholinergic medication. It’s also called a long-acting muscarinic antagonist (LAMA). It attaches to proteins called muscarinic receptors to block signals that cause the muscles in your airways to tighten. As a result, the medication relaxes the muscles in your airways to make it easier for you to breathe.
How do I take tiotropium bromide?
tiotropium bromide is dosed as follows:
- Spiriva HandiHaler and generic
- This medication comes as capsules for dry powder inhalation for use with the HandiHaler device. Each capsule contains 18 mcg of tiotropium. The medication is inhaled through the mouth using the HandiHaler device
- COPD: The typical dose is 2 inhalations of a single capsule (18 mcg total) once daily
- tiotropium bromide
- This medication is available as a 2.5 mcg/puff and 1.25 mcg/puff metered-dose inhaler. The medication is inhaled through the mouth using the Respimat device.
- COPD: The typical dose is 2 inhalations of the 2.5 mcg inhaler (5 mcg total) once daily
- Asthma in people age 6 years and older: The typical dose is 2 inhalations of the 1.25 mcg inhaler (2.5 mcg total) once daily
Is it safe for me to take tiotropium bromide?
tiotropium bromide is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if you have a hypersensitivity to tiotropium, ipratropium, or any components of SPIRIVA
capsules.
tiotropium bromide Common Side Effects
Common side effects of tiotropium bromide:
- Sore throat
- Cough
- Dry mouth
- Sinus inflammation
tiotropium bromide Serious Side Effects
Serious side effects are rare with tiotropium bromide. Contact your healthcare provider immediately if you experience any of the following.
- Allergic reaction: hives, itching, swelling of the face or throat, trouble breathing
- Worsening breathing symptoms
Effects of other drugs, drug classes and over-the-counter products on tiotropium bromide
The following medications may interact with tiotropium bromide:
- Anticholinergics: May interact additively with concomitantly used anticholinergic medications. Avoid administration of SPIRIVA
- HANDIHALER with other anticholinergic-containing drugs
Who makes tiotropium bromide?
Various FDA-approved generic manufacturers
Is tiotropium bromide safe in pregnancy?
It is not known if tiotropium bromide will harm your unborn baby. If you become pregnant while receiving tiotropium bromide, talk to your healthcare provider.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effectsDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my tiotropium bromide prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your tiotropium bromide prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient tiotropium bromide savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient tiotropium bromide savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for tiotropium bromide | Canadian Prescription Savings* for tiotropium bromide | tiotropium bromide Drug Coupon* | tiotropium bromide Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of tiotropium bromide?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for tiotropium bromide | Canadian Prescription Savings* for tiotropium bromide | tiotropium bromide Drug Coupon* | tiotropium bromide Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the tiotropium bromide savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the tiotropium bromide drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for tiotropium bromide, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the tiotropium bromide prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, tiotropium bromide is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed tiotropium bromide for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the tiotropium bromide prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the tiotropium bromide prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for tiotropium bromide
If you are having trouble paying for your tiotropium bromide medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for tiotropium bromide you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- tiotropium bromide is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers tiotropium bromide
- If tiotropium bromide is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for tiotropium bromide
If you are having trouble paying for your tiotropium bromide medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for tiotropium bromide you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers tiotropium bromide
- If tiotropium bromide is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for tiotropium bromide
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your tiotropium bromide treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for tiotropium bromide you will need to meet the following criteria:
- You must be currently insured and have coverage for tiotropium bromide
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
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