Stiolto Respimat

Indicated For

COPD

About This Medication

# BI Cares Patient Assistance Program Patient Guide: How to Get Stiolto Respimat at Low or No Cost **Stiolto Respimat (tiotropium bromide and olodaterol) is a prescription inhalation spray used to treat chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, by relaxing airways to improve breathing.** This guide explains the **BI Cares Patient Assistance Program** from **Boehringer Ingelheim**, which provides **Stiolto Respimat free of charge** to eligible US patients who are uninsured or underinsured and meet income limits. It's designed for those struggling with medication costs, offering a lifeline for managing COPD without financial burden. ## Who Qualifies for the Program? The program targets patients facing financial hardship. Key requirements include: - **US residency** with a valid physical address (including US territories). - **Uninsured or underinsured** status, meaning no or inadequate coverage for Stiolto Respimat. - **Income below specific thresholds** based on household size. - A **valid prescription** from a healthcare provider. **Medicare Part D patients may qualify**—contact the program to confirm, as exceptions apply.[1][4][7] Eligibility isn't based on a percentage of the Federal Poverty Level (FPL) but fixed income caps. You must complete an application with your doctor's help and provide supporting documents. ## About Stiolto Respimat **Stiolto Respimat** combines two bronchodilators: **tiotropium** (an anticholinergic) and **olodaterol** (a long-acting beta-agonist). Used once daily via a handheld inhaler, it helps control COPD symptoms like shortness of breath, cough, and wheezing, reducing flare-ups. It's not for asthma and requires a prescription. Always follow your doctor's instructions; common side effects include sore throat, cough, and back pain. This program ensures access for those who need it most.[7][8] ## Income Eligibility Breakdown Income limits are annual and based on household size. Here's a clear table: | Household Size | Maximum Annual Income | |----------------|-----------------------| | 1 (Individual) | $40,000 | | 2 (Couple) | $60,000 | | 3 | $80,000 | | 4 | $100,000 | *Add about $20,000 per additional family member.* These are guidelines; proof like tax returns or pay stubs is required. Medicare or other aid doesn't automatically disqualify you.[1][4] ## Insurance Requirements - **Primary focus: Uninsured or underinsured patients.** If insurance doesn't cover Stiolto or costs are too high, you may qualify. - **Medicare Part D:** Often eligible, but verify with the program as coverage gaps matter. - No government insurance like Medicaid typically qualifies, but exceptions exist—call for details. The program verifies your coverage to ensure no better options exist first.[4][7] ## Step-by-Step Application Process Applying is straightforward via **online submission**. Here's how: 1. **Visit the application site:** Go to [https://patient.boehringer-ingelheim.com/us/products/stiolto/savings-and-support/support-services](https://patient.boehringer-ingelheim.com/us/products/stiolto/savings-and-support/support-services) or download the form from Boehringer's site.[2][6] 2. **Gather documents:** - **Proof of income** (e.g., 2025 tax return, W-2s, pay stubs, SSI award letter). - **Proof of residency** (utility bill, lease). - **Completed enrollment form** signed by your prescribing physician (include NPI, original signature—no stamps).[4][7] - **Valid prescription** for Stiolto Respimat. 3. **Fill out the form:** Complete patient sections (personal info, income, insurance). Your doctor handles prescriber sections. 4. **Submit online** or fax to 1-866-851-2827 if needed. Interactive PDFs make it easy.[3][4] 5. **Wait for approval:** Processing takes **2-6 weeks** (some sources say 0-1 week or up to 90 days—plan accordingly).[4] **Tip:** Start early, as supplies ship free once approved. ## Timeline and Delivery - **Processing:** 2-6 weeks typical; urgent cases may vary.[4] - **Delivery:** Shipped free to your **physician's office** or **home**—choose what's best. - **Supply duration:** Up to 12 months initially, with reapplication yearly. Track status via the patient portal if available.[1][6] ## Alternatives if Denied If ineligible: - **Savings Card:** Pay as low as **$35 for 30 days** for eligible commercially insured patients.[2][5] - **Other PAPs:** Check RxAssist.org or NeedyMeds for similar programs. - **Generic options:** No biosimilars listed, but discuss alternatives like Spiriva Respimat with your doctor.[7][8] - **State assistance** or COPD foundations for copay help. Reapply if circumstances change (e.g., job loss). ## Important Disclaimer This guide is for informational purposes based on program details as of late 2025. **Eligibility, income limits, and processes can change**—always check official sources. **Consult your doctor** before starting Stiolto; this isn't medical advice. Boehringer Ingelheim reserves rights to modify or end the program. Free meds require annual reauthorization with new financial proof. For questions, use the application site or provider resources. **Not all applicants qualify; approval isn't guaranteed.**[1][4][7] *(Word count: 1028)*

Program information last verified: March 30, 2026