Free help paying for Spiriva.

Every Spiriva assistance program you may qualify for - manufacturer and foundation programs, not a discount card. About a minute, no login.

Spiriva help that still works on Medicare or Medicaid - the programs copay cards leave out.

Tell us five things. We’ll do the rest.

Eligibility inputs

We only use this to figure out your state - programs vary by state.

Count yourself plus anyone you support.

Spiriva (tiotropium) is a long-acting muscarinic antagonist (lama) inhaler made by Boehringer Ingelheim. It is commonly prescribed for: COPD maintenance, Asthma maintenance (Respimat formulation). Without financial assistance, Spiriva typically costs around $500 per month.

Income limits

Spiriva income limits in dollars (2026)

1 of the 2 active Spiriva assistance programs we track caps household income. The lowest cutoff is $31,920 a year for a single person. Most programs publish their cutoff as a percent of the federal poverty level - here is what that means in dollars.

BI Cares Foundation - Spiriva PAP

Household income at or below 200% of the federal poverty level:

Household sizeAnnual income limit
1 person$31,920
2 people$43,280
3 people$54,640
4 people$66,000
Each additional person+ $11,360

Dollar amounts for percent-of-poverty caps are computed from the 2026 federal poverty guidelines for the 48 contiguous states and Washington, DC ($15,960 for one person, plus $5,680 for each additional household member). Alaska and Hawaii use higher figures. Each program makes the final eligibility decision - confirm on the official application linked above.

Not sure which kind of help you qualify for?

Spiriva offers more than one kind of program, and they have opposite rules:

  • Have private insurance? The copay card can cut your monthly cost - but it can’t be used with Medicare, Medicaid, the VA, or Tricare.
  • Uninsured or low-income? The patient assistance program may give you Spiriva free or nearly free, if your income is under its limit.
  • On Medicare? The copay card won’t work, but Spiriva’s patient assistance program still does - plus federal Extra Help.

We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide

All Spiriva programs we know about

This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.

Spiriva assistance, answered plainly

Is there a Spiriva patient assistance program?

Yes. Boehringer Ingelheim Cares Foundation runs the BI Cares Foundation - Spiriva PAP, which provides Spiriva free of charge to eligible patients. Household income generally needs to be at or below 200% of the federal poverty level. The full rules and the official application link are in the program list above.

Does Medicare cover Spiriva?

Medicare coverage for Spiriva depends on your own plan: depending on how it is given, a drug can fall under Part B (administered in a clinic) or Part D (filled at a pharmacy), and each plan decides what it covers. Your plan's documents or Medicare's plan finder are the only reliable check. Separate from coverage, BI Cares Foundation - Spiriva PAP is open to some Medicare patients when out-of-pocket costs stay high - details above.

Is there a Spiriva copay card or coupon, and who can use it?

Yes - the Boehringer Ingelheim $35 Inhaler Copay Program - Spiriva from Boehringer Ingelheim. Eligible patients pay no more than $35 per month. It works for patients with commercial (private) insurance and no insurance. Patients on Medicare or Medicaid cannot use the card itself, but other Spiriva programs above do work with government insurance. If you searched for a Spiriva coupon, this manufacturer card is the official version of it.

How much does Spiriva cost without insurance?

Without insurance or assistance, Spiriva typically costs around $500 per month in the US. The BI Cares Foundation - Spiriva PAP above can bring that down substantially for eligible patients - use the calculator to check your situation.

Where do I find the Spiriva patient assistance application form?

The official application form for the BI Cares Foundation - Spiriva PAP is on boehringer-ingelheim.com - the application links on this page go straight to the program's own form. Some programs call it an enrollment form; it is the same document. Applying is always free; never pay a third-party service to file a patient assistance form for you.

Does Spiriva assistance work if I am on Medicare or Medicaid?

Yes. BI Cares Foundation - Spiriva PAP is open to some patients on Medicare - each program's exact rules are listed above, and the calculator checks the income limits against your household.

Is the Spiriva patient support program the same thing as patient assistance?

Manufacturers like Boehringer Ingelheim use "patient support program" as an umbrella term for nurse lines, insurance navigation, and financial help. The financial help is what we track here - for Spiriva that is the BI Cares Foundation - Spiriva PAP. The support phone line is listed on the official program site linked above.