OpenBilldrug price receipt

NADAC week of 2026-10-14

TIOTROPIUM 18 MCG CAP-INHALER

For 1 capsule

Pharmacies pay

$11.81 filed

1 × $11.81093 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$11.96 filed

1 × $11.9614 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.0× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Tiotropium Bromide” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$18.58 estimated

$11.81 + $1.77 (15%) + $5.00 fee per fill = $18.58

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

TIOTROPIUM 18 MCG CAP-INHALER is how the CMS NADAC file names this product. The FDA NDC Directory lists it as tiotropium bromide.

FDA gives its dosage form as capsule and its route as oral; respiratory (inhalation).

The labeler, the company named on the label, is Lupin Pharmaceuticals, Inc.

FDA’s Established Pharmacologic Class for it is Anticholinergic.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 68180-0964-12.

NADAC classes it as a generic drug (rate-setting class G), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $11.81 for 1 capsule (1 × $11.81093 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

The NDC

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name tiotropium bromide with TIOTROPIUM 18 MCG CAP-INHALER.

ProductPharmacies pay per unitMedicare per unit
SPIRIVA HANDIHALER 18 MCG CAP
brand · capsule
$10.60481 to $11.679 per EA filed
eff. 2026-09-23
$16.60372 per EA filed
Part D 2024 average
TIOTROPIUM 18 MCG CAP-INHALER this page
generic · capsule
$11.81093 per EA filed
eff. 2026-09-23
$11.9614 per EA filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

Its NADAC price is $11.81093 per EA filed.

Of the 23 other products in FDA’s Anticholinergic class priced per EA, 1 has a higher middle NADAC price and 22 a lower one. The one in the middle is LOMOTIL 2.5-0.025 MG TABLET, at $2.99096 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $11.96 for 1 capsule, at an average of $11.9614 per EA in 2024 (2024-01-01 to 2024-12-31) for “Tiotropium Bromide”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 172,243 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for TIOTROPIUM 18 MCG CAP-INHALER labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Tiotropium Bromide / Tiotropium Bromide: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on generic name.
Why does this page start at 1 capsule?
NADAC prices this product per EA, and the FDA NDC Directory lists its NDC as dosage form “CAPSULE” with route “ORAL; RESPIRATORY (INHALATION)”. Only a tablet, capsule, lozenge or troche with route “ORAL”, or a tablet or film with route “SUBLINGUAL” or “BUCCAL”, starts at 30, and this is not one. So the card starts at 1 capsule, priced per capsule, rather than guess how many make up a fill; change it to match your prescription.