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 - the programs copay cards leave out.
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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
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.
Household income at or below 200% of the federal poverty level:
| Household size | Annual 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.
Spiriva offers more than one kind of program, and they have opposite rules:
We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide
This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.
Boehringer Ingelheim · Spiriva
Patient pays: no more than $35 per month
commercial insurance · uninsured
How to apply: online or at the pharmacy
Boehringer Ingelheim Cares Foundation · Spiriva
uninsured · Medicare Part D
How to apply: online, phone, or mail
Your prescriber signs part of the form.
Keep tabs on Spiriva assistance
We recheck every program’s rules on a regular schedule - income limits, eligibility, and whether a program is still open all change without much notice. Leave your email and we’ll send a short note if something changes for Spiriva.
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.
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.
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.
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.
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.
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.
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.