Request or activate a Savings Card

STEP 1 OF 2: SEE IF YOU QUALIFY FOR A SPIRIVA HANDIHALER SAVINGS CARD

You may be eligible to pay as little as $35* for a 30-day prescription fill with the SPIRIVA HANDIHALER Savings Card. To get started, fill out the form below. All fields are required unless noted as optional.

I am signing up for savings for:

Required.

Are you 18 years or older and live in the 50 United States, DC, or Puerto Rico?

Required.

Does one of the following describe you: I have commercial insurance; I have insurance through my employer; I do not have insurance?

Required.

Are your prescriptions paid for in part or full by any state or federally funded program such as Medicare or Medicaid, Medigap, Veterans Affairs, Department of Defense, or TRICARE?

Required.

Need some help?

If you'd like assistance enrolling in the SPIRIVA HANDIHALER Savings Card program, or if you have any questions, we're here for you.

Call 1-888-215-8374

Mon-Fri, 8 AM to 8 PM ET

Indication

SPIRIVA HANDIHALER is a prescription medicine used once each day (a maintenance medicine) to control symptoms of chronic obstructive pulmonary disease (COPD) by relaxing your airways and keeping them open. COPD includes chronic bronchitis, emphysema, or both. SPIRIVA HANDIHALER also reduces the likelihood of flare-ups and worsening of COPD symptoms (COPD exacerbations).

Important Safety Information

Do not use SPIRIVA HANDIHALER if you are allergic to tiotropium, ipratropium, atropine or similar drugs, or any ingredient in this medicine.

SPIRIVA HANDIHALER is not a rescue medicine and should not be used for treating sudden breathing problems. Your doctor may give you other medicine to use for sudden breathing problems.

SPIRIVA HANDIHALER can cause allergic reactions. Symptoms can include raised red patches on your skin (hives), itching, rash, and/or swelling of the lips, tongue, or throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking the medicine and seek emergency medical care.

Before using SPIRIVA HANDIHALER, tell your doctor if you have a severe allergy to milk proteins.

SPIRIVA HANDIHALER can cause your breathing to suddenly get worse (bronchospasm). If this happens, use your rescue inhaler, stop taking SPIRIVA HANDIHALER, and call your doctor right away or seek emergency medical care.

SPIRIVA HANDIHALER can increase the pressure in your eyes (acute narrow-angle glaucoma), which can cause the following symptoms: eye pain, blurred vision, seeing halos or colored images along with red eyes. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

Dizziness and blurred vision may occur with SPIRIVA HANDIHALER. If you experience these symptoms, use caution when engaging in activities such as driving a car, or operating appliances, or machinery.

SPIRIVA HANDIHALER can cause new or worsened urinary retention. Symptoms of blockage in your bladder, and/or enlarged prostate, may include difficulty passing urine and/or painful urination. If you have any of these symptoms, stop taking your medicine and call your doctor right away.

The most common side effects with SPIRIVA HANDIHALER include upper respiratory tract infection, dry mouth, sinus infection, sore throat, non-specific chest pain, urinary tract infection, indigestion, runny nose, constipation, increased heart rate and blurred vision.

Tell your doctor about all your medical conditions including kidney problems, glaucoma, enlarged prostate, problems passing urine, or blockage in your bladder.

Tell your doctor all the medicines you take, including eye drops. Ask your doctor if you are taking any anticholinergic medicines because taking them together can increase side effects.

Do not swallow SPIRIVA capsules. The contents of the capsule should only be inhaled through your mouth using the HANDIHALER device.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.

CL-SV-0001 1.22.2016