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How much does Stiolto Respimat cost without insurance?

The cost of Stiolto Respimat varies by pharmacy, and there are a few ways to save

Key takeaways

  • Stiolto Respimat treats COPD by combining tiotropium and olodaterol to help open and relax the airways.

  • The monthly cost of Stiolto Respimat without insurance may average over $600.

  • There is no generic version of Stiolto Respimat available until at least 2027.

  • Stiolto Respimat may be covered by insurance, but coverage details and costs can vary.

Stiolto Respimat (tiotropium bromide and olodaterol) is a prescription bronchodilator for chronic obstructive pulmonary disease (COPD). COPD includes conditions like chronic bronchitis and emphysema, making it hard for affected individuals to breathe. Stiolto Respimat combines an anticholinergic agent, tiotropium (which helps open the airways), with a long-acting beta-agonist (LABA), olodaterol (which relaxes the muscles around the airways). Stiolto Respimat is a maintenance inhaler, also called a controller inhaler, and is not a rescue inhaler for acute COPD attacks.

Without insurance, the cost of Stiolto Respimat can be over $600 per month. For many people, the retail price of Stiolto Respimat can make getting treatment difficult without insurance coverage. However, discount cards and other savings strategies may help reduce the burden.

Is there a generic for Stiolto Respimat?

Stiolto Respimat is only available as a brand-name inhaler. Currently, there is no generic version of Stiolto Respimat approved by the Food and Drug Administration (FDA). 

The original manufacturer of Stiolto Respimat, Boehringer Ingelheim Pharmaceuticals, holds its patent. However, the earliest the patent for the brand name may expire is 2027, after which a generic version may come to the market. In addition, any potential generic must go through rigorous testing. 

Is Stiolto Respimat covered by insurance?

Yes, some insurance companies may include Stiolto Respimat in their coverage plans. These policies can vary depending on the specific plan. Some plans may include quantity limits, meaning only a certain amount can be filled at a time. The best way to confirm specific coverage details is to contact your health insurance company directly.

Stiolto Respimat is typically covered by Medicare prescription drug plans, specifically under Part D or Advantage plans. For more information on Medicare coverage and copay details, consult your plan’s formulary or speak with a Medicare representative.

Several factors influence the cost of Stiolto Respimat with insurance or Medicare. These include copays, deductibles, and whether prior authorization is required. For example, a person’s copay may vary based on the specific plan and tier placement of the medication. Patients may also need to meet deductibles before insurance coverage begins, which can affect out-of-pocket costs.

How much does Stiolto Respimat cost without insurance?

The cost of Stiolto Respimat without insurance can vary depending on the pharmacy and location. As of the time of publication, the average retail cost for a single Stiolto Respimat inhaler, which contains 60 puffs or 30 doses of 2.5 mcg tiotropium and 2.5 mcg olodaterol, is $631. Annually, this can add up to over $7,500.

There are alternative medications available that may be more affordable than Stiolto. Options such as generic versions of bronchodilators or combination inhalers like Symbicort (budesonide/formoterol) or Advair (fluticasone/salmeterol) might provide similar benefits at a lower cost. It’s important to consult a healthcare provider to discuss these alternatives and find a suitable and cost-effective treatment plan.

Drug name Price without insurance of brand-name drug  SingleCare price Savings options
Stiolto Respimat (olodaterol/tiotropium bromide) $631 per 1, 4 gm of 2.5–2.5 mcg/act inhaler $408 per 1, 4 gm of 2.5–2.5 mcg/act inhaler See latest prices
Symbicort (budesonide/formoterol) $508 per 1, 10.2 gm of 160–4.5 mcg/act inhaler $94 per 1, 10.2 gm of 160–4.5 mcg/act inhaler See latest prices
Advair Diskus (fluticasone/salmeterol) $544 per 1, 250–50 mcg/act inhaler $48 per 1, 250–50 mcg/act inhaler See latest prices
Anoro Ellipta (umeclidinium/vilanterol) $170 per 62.5 mcg/25 mcg inhaler $98 per 62.5 mcg/25 mcg inhaler See latest prices
Trelegy Ellipta (fluticasone/umeclidinium/vilanterol) $884 per 100 mcg/62.5 mcg/25 mcg inhaler $504 per 100 mcg/62.5 mcg/25 mcg inhaler See latest prices
Combivent Respimat (ipratropium/albuterol) $637 per 20-100 mcg/act inhaler $481 per 20-100 mcg/act inhaler See latest prices
Airduo RespiClick (fluticasone/salmeterol) $525 per 1, 113–14 mcg/act inhaler $127 per 1, 113–14 mcg/act inhaler See latest prices
Bevespi Aerosphere (formoterol/ glycopyrrolate) $703 per 1, 10.7 gm of 9–4.8 mcg/act inhaler $424 per 1, 10.7 gm of 9–4.8 mcg/act inhaler See latest prices
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs, if available. Click the link under “Savings options” to see the latest drug prices.

How to get Stiolto Respimat without insurance

Paying for Stiolto Respimat without insurance can be costly. However, there may be several ways to save on your Stiolto prescription. Some strategies to help reduce the cost include the following:

1. Use a SingleCare discount card

With a SingleCare discount card or coupon, you may be able to save on your medication costs. The SingleCare discount card may help individuals and their families save up to 80% on prescription drugs, including brand-name and generic medications. For instance, the price of a Stiolto Respimat inhaler may drop to around $408 from its cash price of $631. Check with participating pharmacies to maximize savings.

2. Apply for the Stiolto Respimat patient assistance program

The BI Cares Patient Assistance Program allows eligible individuals to get free Stiolto if they lack health insurance or don’t have enough coverage to make the drug affordable. 

RELATED: How to save on Stiolto

3. Compare prices at different pharmacies

Pharmacy prices for Stiolto Respimat can vary. Websites like SingleCare may help you find the lowest price available in your area. Checking different pharmacies can potentially save you hundreds of dollars annually.

4. Seek medical advice for potential alternatives

Your healthcare provider might suggest comparable medications that are less expensive. For example, if you are using Stiolto Respimat for COPD, your doctor might recommend Breo Ellipta or Advair, both of which are combination inhalers that may offer similar benefits at a lower cost. Another option could be Anoro Ellipta, which is also designed to help manage COPD symptoms and might be a more economical alternative.

5. Try a generic inhaler

While no generic version of Stiolto Respimat is currently available, it’s worth keeping an eye out for future developments. Generic versions of other COPD inhalers may be available, including generic Symbicort and Advair Diskus. Generic drugs typically cost less than brand-name ones. Exploring generic options as soon as they become available can offer a more affordable solution.

With these strategies, you may be able to make the cost of Stiolto Respimat without insurance more manageable.

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