Product Program year 2023 Source: CMS Open Payments

Spiriva

Drug Respiratory

NDC 0597-0075-41

Open in the dashboard

General payments

$496,604

4,885 payments

Research payments

$0

0 payments

Through program year 2023, $496,604 in general payments and $0 in research payments were reported against Spiriva (Respiratory).

No combined total These are different kinds of money, reported under different rules. A meal and a clinical trial grant do not add up to anything meaningful, so this site does not add them.

By program year

5 rows
Year Kind Amount Payments
2023 General $22,441 203
2022 General $48,170 407
2021 General $82,896 463
2020 General $69,493 658
2019 General $273,604 3,154

Breakdown

Who paid General payments · program years 2019–2023
  1. Boehringer Ingelheim Pharmaceuticals, Inc. $428,034 4,841 payments
  2. Boehringer Ingelheim International GmbH $51,969 25 payments
  3. Boehringer Ingelheim Do Brasil Quimica e Farmaceutical Ltda. $16,601 19 payments
Top recipients General payments · program year 2023
  1. Cedric Franklin Rutland Critical Care Medicine · Riverside, CA $4,320 19% · 1 payment
  2. Jill Ohar Pulmonary Disease · Winston Salem, NC $3,600 16% · 2 payments
  3. Sanjay Sethi Internal Medicine · Buffalo, NY $2,400 11% · 1 payment
  4. Theodore Kelbel Allergy & Immunology · Grand Rapids, MI $1,440 6% · 1 payment
  5. Junaid Malik Pulmonary Disease · Orlando, FL $1,306 6% · 1 payment

The top 5 of the 100 largest recipients; each share is of general payments naming this product in 2023.

The top 25 recipients, free in the app

Specialties paid General payments · program year 2023
  1. Pulmonary Disease Internal Medicine $6,546 29% · 42 practitioners
  2. Critical Care Medicine Internal Medicine $5,045 23% · 7 practitioners
  3. Allergy & Immunology $3,622 16% · 10 practitioners
  4. Internal Medicine $2,953 13% · 22 practitioners
  5. Nurse Practitioner, Family Nurse Practitioner $2,546 11% · 19 practitioners

The top 5 of 24 specialties; each share is of general payments naming this product to practitioners with a specialty in 2023. Each practitioner is counted under their primary specialty.

The top 25 specialties, free in the app

Where the money went General payments · program year 2023
  1. California $6,547 29% · 9 recipients
  2. North Carolina $3,915 17% · 19 recipients
  3. New York $3,135 14% · 8 recipients
  4. Florida $1,830 8% · 56 recipients
  5. Pennsylvania $1,499 7% · 36 recipients

The top 5 of 18 states; each share is of general payments naming this product in 2023 where a state was reported.

The top 25 states, free in the app

Prescribed to Medicare patients

Part D · data year 2024

Part D claims

1,225,045

Prescriptions dispensed, refills included

Drug cost

$829,136,876

Paid at the pharmacy, in all

Medicare Part D drugs matched to SPIRIVA, 2024
Part D drug Name match Relative to the largest Prescribers Claims Drug cost
Spiriva Respimat Tiotropium Bromide Similar name 29,928 904,887 $604,585,037
Spiriva Handihaler Tiotropium Bromide Similar name 16,732 320,158 $224,551,839

Matched to this product by name; CMS does not link its files to Open Payments, so a similar name can be a different strength, form or brand. Prescriber counts include only prescribers with 11 or more claims of the drug, because CMS publishes nothing below that. Part D covers drugs dispensed to Medicare beneficiaries at a pharmacy; it does not include drugs given in a clinic or hospital, or patients with other insurance.

Largest prescribers

First 5 of 185 by claims · 2024

Two separate records. Claims come from Medicare and related payments from Open Payments. They are shown in one row because they name the same product; they do not show that a payment affected a prescription.

The prescribers with the most Part D claims of this drug in 2024
Prescriber Specialty State Claims Drug cost Related payments
Jorge Sanchez-Masiques Pulmonary Disease FL 2,970 $1,549,103 None on record
Irina Zolotarevskaya Pulmonary Disease NY 2,285 $1,217,358 None on record
Andres Redondo Pulmonary Disease FL 1,078 $573,768 None on record
Andres Bermudez Caba Pulmonary Disease PR 947 $509,278 None on record
Rafael Martinez Pulmonary Disease FL 865 $602,965 None on record

"No profile" means the prescriber has no Open Payments record here; "None on record" means no payment naming this product in the payment year. Related payments are general payments, and one that names several products is split evenly, so an amount is payments related to the product, not money paid for it. The list is the prescribers with the most claims, up to 100 per drug.

See more in the dashboard: 25 with a free account, all 185 with Patron
4,885 general

Every payment, record by record

Date, amount, who was paid and what for — filter by year and kind, or download as CSV, free, in files of 5,000 rows.

What you are looking at

Manufacturers name the drug, biological or device a payment relates to. CMS does not give products their own identifiers, so a product here is assembled from how it was reported — a brand may appear under more than one spelling, and this page covers one of them rather than the brand as a whole.

Provenance

Source: CMS Open Payments · through program year 2023

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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