What's the price for 1 dose of Spiriva Respimat in the United States?
Executive summary
Spiriva Respimat pricing in the U.S. is highly variable depending on pack size, retailer, coupons, insurance coverage and whether the comparison is per actuation (single spray) or per prescribed daily dose; public price listings show a wide range from roughly $1.70 per actuation at some discounted sources up to more than $17–20 per prescribed daily dose at standard U.S. retail cash prices [1] [2] [3] [4]. There is no single universally published “price for 1 dose” because patient dosing conventions (one actuation vs. a daily regimen) and product pack sizes differ across the sources reviewed [2] [5].
1. Why “one dose” is ambiguous and how sources define units
Manufacturers and pharmacies publish prices by inhaler and by number of actuations, not consistently by a clinical “dose,” and sources commonly report costs per inhaler (number of actuations) or per month rather than per single spray; for example SingleCare reports an average cash price of $620 for a single Spiriva Respimat inhaler that it says contains 60 actuations and “enough medicine for 30 days,” implying the common prescribed regimen is counted as a monthly supply [2], while DrugMart lists prices for a 180‑actuation inhaler and converts that to monthly cost assumptions [1], and PharmacyChecker lists per-dose and per-actuation comparators from international pharmacies [4].
2. Per-actuation figures: the low end of cited prices
Some price-aggregator sites show very low per-actuation costs when comparing international or certified online pharmacies: PharmacyChecker’s aggregation lists a lowest international online price equivalent to $3.44 per dose (presented as “per dose” / per actuation) for tiotropium formulations on their Spiriva pages [4], and DrugMart advertises international discounted supplies that, when divided into 180 actuations, imply roughly $1.69 per actuation for a three‑month 180‑actuation inhaler priced at $304.88 [1].
3. U.S. retail and cash prices: the high end
U.S. retail cash prices are substantially higher in publicly posted comparisons: SingleCare’s report of an average cash price of $620 for a 60‑actuation inhaler — which the site treats as a 30‑day supply — equates to roughly $10.33 per actuation and the site frames the monthly cost as “around $20” per day based on that 30‑day logic [2]. Other U.S. price listings and coupon pages show retail listings such as $97 for a small 10‑actuation inhaler or coupon‑reduced prices of $61.72 for that 10‑actuation package, which translate to $9.70 and $6.17 per actuation respectively [3].
4. Insurance, coupons and manufacturer programs change the math
Several sources emphasize that Medicare Part D, private insurance, manufacturer copay cards and third‑party coupons dramatically change out‑of‑pocket numbers: DrugMart notes Medicare out‑of‑pocket ranges from about $35 to over $150 monthly depending on plan phase (which alters the per‑dose patient cost) and highlights coupon discounts that can reduce 3‑month supplies to roughly $304.88 in some online outlets [1]. Drugs.com and manufacturer pages also detail coupons, copay cards and assistance programs that can lower consumer costs, and PharmacyChecker highlights coupon comparisons against international pricing [6] [7] [8].
5. What authoritative sources do not provide and the practical takeaway
Clinical labeling and mainstream drug information (Healthline, Drugs.com) confirm Spiriva Respimat is sold as a brand‑only product in the U.S. and that price varies by formulation and supply size, but they do not supply a single standard “per‑dose” sticker price because dosing conventions differ and payers intervene [5] [6]. The practical takeaway from the reviewed reporting is that a single actuation can be priced as low as roughly $1.70–$3.50 via international/discount online listings or couponed multi‑month purchases, whereas typical U.S. cash retail scenarios without discounting commonly imply per‑actuation costs in the $6–$10 range or per‑day treated costs approaching $17–$20 depending on whether a “daily dose” is defined as one or more sprays [1] [2] [3] [4].