Tiotropium Bromide
Brand name: Spiriva Handihaler
Rank #39 of 500 drugs by total cost
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
$478.1M
Total Cost
673,800
Total Claims
$478.1M
Total Cost
25,545
Prescribers
$710
Cost per Claim
75,865
Beneficiaries
962,918
30-Day Fills
$19K
Avg Cost/Provider
26
Avg Claims/Provider
Share of Medicare Part D Spending
0.17%
of total Medicare Part D spending
$478.1M of $275.65B
Top Prescribers by Cost
Top 10 prescribers of $478.1M total
🔎 Data Overview
Ranked #39 out of 500 drugs tracked by total cost. Tiotropium Bromide represents a significant portion of Medicare drug spending.
Average cost of $6,302 per patient per year. Medications at this price point significantly impact patient out-of-pocket costs and Medicare spending.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Top Prescribers of Tiotropium Bromide
| # | Provider | Specialty | Location | Claims | Cost |
|---|---|---|---|---|---|
| 1 | Jorge Sanchez-Masiques | Pulmonary Disease | Miami, FL | 2,137 | $1.2M |
| 2 | Jorge Sanchez-Masiques | Pulmonary Disease | Miami, FL | 2,215 | $1.2M |
| 3 | Andres Bermudez Caba | Pulmonary Disease | Coto Laurel, PR | 937 | $494K |
| 4 | Ernesto Mejia | Pulmonary Disease | Morristown, TN | 645 | $434K |
| 5 | Rosa Roman Carlo | Pulmonary Disease | Mayaguez, PR | 827 | $434K |
| 6 | Sidharth Bagga | Internal Medicine | Oroville, CA | 633 | $389K |
| 7 | Mohammad-Ali El-Harakeh | Internal Medicine | Prescott, AZ | 445 | $381K |
| 8 | Jon Michel | Pulmonary Disease | Peoria, IL | 521 | $378K |
| 9 | Luis De Jesus Vargas | Pulmonary Disease | Caguas, PR | 660 | $360K |
| 10 | Bryson Stair | Nurse Practitioner | Columbus, OH | 604 | $341K |
| 11 | Samer Alkhuja | Pulmonary Disease | East Stroudsburg, PA | 477 | $322K |
| 12 | Juan Candelario Lanza | Pulmonary Disease | Caguas, PR | 583 | $311K |
| 13 | Luis Nieves Garrastegui | Pulmonary Disease | Rio Piedras, PR | 565 | $297K |
| 14 | Clyde Southwell | Pulmonary Disease | Hendersonville, TN | 347 | $294K |
| 15 | Eldrige Pineda | Internal Medicine | Washington, DC | 510 | $287K |
Top prescribers ranked by total cost for this drug in 2023.
Related Drugs by Cost
| # | Drug | Total Cost | Claims |
|---|---|---|---|
| 36 | Varicella-Zoster Ge/As01b/Pf (Shingrix) | $514.4M | 2,419,884 |
| 37 | Tafamidis (Vyndamax) | $511.1M | 20,589 |
| 38 | Fluticasone/Vilanterol (Breo Ellipta) | $493.0M | 909,837 |
| 39 | Tiotropium Bromide (Spiriva Handihaler) | $478.1M | 673,800 |
| 40 | Evolocumab (Repatha Sureclick) | $460.5M | 528,560 |
| 41 | Acalabrutinib Maleate (Calquence) | $457.0M | 31,890 |
| 42 | Atorvastatin Calcium (Atorvastatin Calcium) | $444.6M | 30,263,929 |
Related Analysis
Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology