Pillstats
Rx only · Capsule · Oral

Tiotropium Bromide

Brands: Spiriva Handihaler · Tiotropium Bromide Monohydrate

3 ACTIVE SUPPLIERS — US
openFDA · updated weekly
US4 NDCs
3 active makers
UKComing
soon
CAComing
soon
AUComing
soon
EUComing
soon
ATC
RxCUI (US)69120
US makers3 labelers
Packages6
DEA / ScheduleNone

US acquisition costNADAC · per unit

Average across 4 priced NDCs. A benchmark of pharmacy acquisition cost — not a retail quote.

$3.22$6.45$9.67$12.89Dec 2025Apr 2026Jul 2026
$11.102
Latest avg · Jul 22, 2026
-1%
Since Dec 17, 2025
3
Active US suppliers
83%
Top-2 supplier share*

Medicaid dispensing volumeSDUD · per quarter

Prescriptions dispensed under Medicaid (fee-for-service + managed care), summed nationally. The closest free proxy to sales volume — Medicaid only, not all-payer.

46K93K139K186K2025 Q12025 Q22025 Q32025 Q42026 Q1
126K
Rx · 2026 Q1
4.5M
Units dispensed
-22%
Rx vs. year ago
5
Quarters · since 2025 Q1

Who makes it3 active · 0 exited

US labelers as registered with FDA. Repackagers relabel another company's product; share* is of listed packages, not sales.

LabelerTypePackagesStatus
Boehringer Ingelheim Pharmaceuticals, Inc.unknown3SUPPLYING
A-S Medication Solutionsunknown2SUPPLYING
Lupin Pharmaceuticals,Inc.unknown1SUPPLYING

Regulatory & supply eventsFDA · US

Shortages, recalls, and registration changes attached to this drug concept.

  • Jan 26, 2022
    RECALLRecall (Class II): SPIRIVA HANDIHALER (tiotropium bromide inhalation powder) 18 mcg/Capsule, 30 capsules, 3 blister cards, each card conta…

    CGMP Deviations: Products were exposed to temperatures outside of the products labeled storage conditions. — Recalling firm: CARDINAL HEALTHCARE — Nationwide USA

  • Mar 15, 2021
    RECALLRecall (Class II): Spiriva HandiHaler (tiotropium bromide inhalation powder) For Oral Inhalation Only 18 mcg (as tiotropium) per capsule R…

    CGMP Deviations: Intermittent exposure to temperature excursion during storage. — Recalling firm: Cardinal Health Inc. — FL, GA, SC

  • Dec 14, 2017
    RECALLRecall (Class II): SPIRIVA HandiHaler (tiotropium bromide inhalation powder) 18 mcg/capsule (90 capsules (unit dose blisters) per box, Rx…

    Failed Stability Specifications — Recalling firm: Boehringer Ingelheim Pharmaceuticals, Inc. — Distributed nationwide

  • Mar 27, 2014
    RECALLRecall (Class III): Spiriva HandiHaler (tiotropium bromide inhalation powder), Do Not Swallow Spiriva Capsules, For Use With HandiHaler Onl…

    Defective Delivery System: Potential for dose delivery out of specification due to interation of the drug product powder with the lubricant on the interior of the capsule shell. — Recalling firm: Boehringer Ingelheim Roxane Inc — Nationwide and Puerto Rico

  • Aug 30, 2013
    RECALLRecall (Class III): SPIRIVA HandiHaler (Tiotropium Bromide Inhalation Powder) Capsules 18 mcg per dose, Rx only, a) 10 count blister (NDC 0…

    Presence of Foreign Substance: This recall is being conducted due to the potential for extrinsic foreign particles in the API used to manufacture SPIRIVA Handihaler — Recalling firm: Boehringer Ingelheim Roxane Inc — Nationwide