Key takeaways
Combivent Respimat is an inhaler that combines albuterol and ipratropium to treat symptoms of COPD.
Many private insurance and Medicare plans will cover Combivent Respimat, but the copays, coinsurance, and deductibles may vary.
Without insurance, a 30-day supply of Combivent Respimat can cost an average of $676 per inhaler. Fortunately, there are several viable alternatives and ways to save money.
Combivent Respimat is a combination of the drugs albuterol and ipratropium, commonly prescribed to treat chronic obstructive pulmonary disease (COPD)—a group of pulmonary medical conditions (like chronic bronchitis) that make breathing difficult. As a bronchodilator, Combivent Respimat comes in an inhaler and can help open constricted airways. It can sometimes be expensive, and although there are no over-the-counter or generic versions, there are still some potentially cheaper alternatives. Plus, we’ve got tips on how to save, even if you don’t have insurance.
What is the generic for Combivent Respimat?
Generic drugs are often more affordable than their brand-name references, but unfortunately, there are no current generics for Combivent Respimat. However, the Food and Drug Administration (FDA) has approved a generic mixture of ipratropium and albuterol—Combivent Respimat’s active ingredients—for use by COPD patients.
They may be prescribed as two separate inhalers or as part of a nebulizer treatment. Nebulizers are machines that turn liquid medications into a mist that you inhale through a mask. They’re effective, but they’re larger than inhalers, take 5–20 minutes to administer the medicine, and require a power source, so they’re less convenient to use on the go.
How much does Combivent Respimat cost without insurance?
For people who don’t have insurance or Medicare—or whose plans don’t cover Combivent Respimat—the average retail price is $676 for a 4 gm of 20–100 mcg/act inhaler with 120 inhalations. The typical dosage is four inhalations per day, so that’s around a month’s worth of medication. In comparison, the generic ipratropium-albuterol combo costs an average of $149 out of pocket and as low as $7 with a SingleCare coupon.
That’s not an across-the-board price, though. It can vary based on the specific pharmacy you use, your dosage, and even where you live.
Is Combivent Respimat covered by insurance?
Many times, yes. However, your out-of-pocket costs depend completely on your specific insurance plan. Some may cover it in full, while others may only cover part of the price. Check your plan’s formulary for information on copays, coinsurance, and deductibles to get a better sense of what you might pay after insurance.
Coverage may depend on how your plan classifies Combivent Respimat as well. “Insurance companies have a tier system on medications,” says David Nazarian, MD, founder of My Concierge MD. “The higher the [tier], the more out of pocket you typically have to pay.” Drug tiers vary between plans, so check your formulary to see where Combivent Respimat falls.
If your coverage isn’t sufficient, you can speak with a healthcare provider about alternative drugs that might come at a lower cost. Only the generic nebulizer solution, or a combination of an albuterol inhaler and an ipratropium inhaler, contains the same ingredients as Combivent Respimat. The other inhalers listed below contain different forms of medication that may be used to treat COPD.
Compare Combivent Respimat prices to related drugs |
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| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Combivent Respimat (Ipratropium-albuterol) | $676 for 4 gm of 20–100 mcg/act, 120 inhalations inhaler | $493 for 4 gm of 20–100 mcg/act, 120 inhalations inhaler of brand-name Combivent Respimat at Kroger or Harris Teeter | See latest prices |
| Generic ipratropium-albuterol (nebulizer solution) | $149 for 30, 3 mL of 0.5–2.5 (3) mg/3mL | $7 for 30, 0.5–2.5 (3) mg/3mL vials of inhalational solutions 0.017–0.083% carton of generic ipratropium-albuterol at Walmart | See latest prices |
| Symbicort (budesonide–formoterol) | $483 for a 10.2 gm of 160–4.5mcg/act inhaler | $130 for a 10.2 gm of 160–4.5 mcg/act inhaler of generic Symbicort at CVS | See latest prices |
| Spiriva Respimat (tiotropium bromide) | $100 for a 4 gm of 2.5 mcg/act inhaler | $62 for a 4 gm of 2.5 mcg/act inhaler of brand-name Spiriva Respimat at Kroger or Harris Teeter | See latest prices |
| Stiolto Respimat (olodaterol/ tiotropium bromide) | $646 for a 4 gm of 2.5-2.5 mcg/act inhaler | $433 for a 4 gm of 2.5-2.5 mcg/act inhaler of brand-name Stiolto Respimat at Kroger or Harris Teeter | See latest prices |
| Advair Diskus (fluticasone/ salmeterol) | $494 for 60 aerosol powder breath-activated disp pack | $57 for a 60-dose inhaler, 250–50 mcg/act inhaler of generic Advair Diskus at CVS | See latest prices |
| Breztri Aerosphere (budesonide/ glycopyrrolate/ formoterol) | $937 for a 30-day supply inhaler | $596 for a 30-day supply inhaler of brand-name Breztri Aerosphere at Kroger or Harris Teeter | See latest prices |
| Trelegy Ellipta (fluticasone/ umeclidinium/ vilanterol) | $1,021 for 60 aerosol powder breath-activated disp pack | $595 for 60 blisters of 100 mcg/62.5 mcg/25 mcg inhaler of brand-name Trelegy Ellipta at Publix | See latest prices |
| Tudorza Pressair (aclidinium) | $593 for an aerosol powder breath-activated inhaler | $442 for an aerosol powder breath-activated Inhaler of generic Tudorza Pressair at Kroger or Harris Teeter | See latest prices |
| Atrovent HFA (ipratropium bromide) | $542 for a 12.9 gm of 17 mcg/act inhaler | $191 for a 12.9 gm of 17 mcg/act inhaler of brand-name Atrovent HFA at Publix | See latest prices |
| Ventolin HFA (albuterol sulfate HFA) | $88 for an 18 gm of 108 (90 base) mcg/act inhaler | $19 for an 18 gm of 108 (90 base) mcg/act inhaler of generic albuterol sulfate HFA at Walgreens | See latest prices |
How to get Combivent Respimat without insurance
If you don’t have health insurance that covers Combivent Respimat, there are several ways to make it more affordable.
1. Use free Combivent Respimat coupons
SingleCare offers coupons you can use at more than 35,000 pharmacies across the country. It’s free to sign up for a prescription discount card, and when you present it at a participating pharmacy, you can use its available coupon for Combivent Respimat. Prices and coupon amounts vary by pharmacy and location, but you may be able to pay $493instead of $676, depending on your choice of Pharmacy. You can use SingleCare coupons even if you have insurance or Medicare coverage, but you can’t combine SingleCare savings with insurance.
2. Look for patient assistance programs
There are programs available to help uninsured individuals and people with lower income levels pay for their medications. One of the most prominent is Medicaid, a state-run government program that helps pay for treatments and prescriptions. Some states have additional prescription drug programs, and some third-party organizations, like the Patient Advocate Foundation, can help as well.
3. Ask your healthcare provider about alternatives
Even though Combivent Respimat doesn’t have an FDA-approved generic, its active ingredients—albuterol sulfate and ipratropium bromide—are available separately as generics. Plus, “there are other medications that are used for COPD that can be effective, such as inhaled steroids or a corticosteroid and a long-acting bronchodilator (Symbicort), but these can also be pricey,” Dr. Nazarian says.
But be sure to consult a healthcare professional about your specific condition, symptoms, and medical history so they can offer medical advice on the best alternative for you.
4. Shop around
The U.S. Public Interest Research Groups published a study that found people can save up to $5,400 per year by comparing drug prices at different pharmacies and choosing the most cost-effective options. SingleCare makes it easy to compare prices online and on the go with the Singlecare mobile app.
5. Talk to your healthcare provider or pharmacist
Medical professionals know the industry well, and they often know various ways to save on prescription drugs. Ask them when you go in for an appointment or to drop off your prescription.
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The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of Oct. 22, 2026. Prices vary by pharmacy. Visit our coupon page for updated drug prices at pharmacies near you.
- Albuterol and ipratropium oral inhalation, MedlinePlus (2025)
- Label: Combivent Respimat – ipratropium bromide and albuterol spray, metered, DailyMed (2025)
- Find out if your state has a State Pharmaceutical Assistance Program, Centers for Medicare & Medicaid Services
- Patient Advocate Foundation
- The real price of medications, U.S. Public Interest Research Groups (2019)
- Medically accurate: SingleCare’s Medical Review Board analyzes all of our content to confirm it’s in line with current medical advice.
- Evidence-based: Our content is sourced from reputable U.S.-based healthcare professionals and peer-reviewed research.
- Trustworthy: All of SingleCare’s content goes through a multi-phase review process by our writers, editors, and Medical Board in order to provide clear and credible information.