Your Pulmo Doc will help you find the right one. Currently I take Symbicort and Spiriva and duoneb. I am on Mediczre now and have a special needs plan that has reasonable co=pays. If you income qualifies you may be eligible for patient assistant help from Astra Zenaca for Symbocort and Engleheim Boehringer for Spriva all at zero cost to you. Spiriva - https://www.boehringer-ingelheim.us/our-respons..., and Symbicort -http://www.azandmeapp.com/eligibility.

I buy my inhalers from All Day Chemist in India. No prescription and I've used them for over 10 years. Never a problem. www.alldaychemist.com

Pharmapassport in Canada has Spiriva 18mg for $104 for three months.You have to mail them Your prescription and a check.don`t be afraid to trust them I get My prescriptions regularly.People here hear horror stories about meds being confiscated at the border,You don`t get the right meds,its not FDA approved. that`s all bogus.That`s big pharma saying that because they want You to buy their meds.Trust Me,call them.

.I get my Spiriva and Advair from Canada.My Advair is called sereflo and it is generic.My spriva is manufactured in Germany but it is the same thing as what You buy in the U.S.Don`t be afraid to order out of Canada.The company where I get mine said 70% of their sales are to people in the U.S.

I have used overseas pharmacy in the past and it is much cheaper. I would not use the generic versions. Mail times can be long because the drugs have to clear customs so if you order, make sure you have a months supply. Also looked accredited pharmacies. Do some research on that.