The Cheapest Way to Get Your Asthma and COPD Inhalers Online (Without Insurance)

The Cheapest Way to Get Your Asthma and COPD Inhalers Online (Without Insurance)

If you’re living with asthma or COPD and don’t have prescription insurance, you already know how expensive inhalers can be in the U.S. Many people pay hundreds of dollars a month for medications like Trelegy, Spiriva, or Flovent, sometimes even skipping doses or going without treatment to save money. Fortunately, there’s a legal and affordable alternative: ordering your inhalers from Canada with a valid U.S. prescription.

This guide explains how uninsured Americans can reduce their out-of-pocket costs by using a Canadian prescription referral service, how much you can expect to save, and which inhalers are available.

Why Are Inhalers So Expensive in the U.S.?

Inhalers are often among the most costly medications for people managing chronic lung conditions. Reasons include:

  • Many inhalers are still brand-name only in the U.S., with no generic alternative.
  • Pharmacy benefit managers and insurance markups drive prices up.
  • Even with insurance, high deductibles or coverage exclusions mean some patients pay $400–$600/month.

This forces many patients to search for more affordable options, especially if they are on fixed incomes or paying entirely out-of-pocket.

Inhalers You Can Buy for Less from Canada

Through a trusted prescription referral service like Over the Border Meds, Americans can access lower-cost inhalers from licensed Canadian pharmacies. Medications are Health Canada-approved and identical in active ingredients to U.S. products, though the packaging may look different.

Here are some popular inhalers available at a reduced cost:

  • Trelegy Ellipta – $189.95 per inhaler (vs. $550+ in the U.S.)
  • Spiriva Respimat
  • Flovent HFA and Diskus – generic available in Canada
  • Symbicort Turbuhaler
  • Incruse Ellipta
  • Anoro Ellipta

Many patients find that even without insurance, these options are significantly more affordable when ordered from Canada.

Do You Need a Prescription?

Yes, a valid U.S. prescription is required to order medication from Canada. Your provider can:

  • Fax the prescription directly to 1-833-209-3704, or
  • You can upload it securely online at this link:
    Upload Your Prescription

You can order up to a 3-month supply at a time for personal use, as allowed under U.S. importation guidelines.

How the Process Works

Ordering inhalers from Canada is simple:

1. Choose your medication and complete your order online.

2. Submit your U.S. prescription (either upload it or have your doctor fax it).

3. Your prescription is reviewed and filled by a licensed Canadian pharmacy.

4. Your inhaler is shipped directly to your home, typically within 5–10 business days.

There is no need for insurance, and customer support is available if you need help submitting your prescription.

How Much Can You Save?

Let’s look at a few examples:

InhalerU.S. Price (Retail)Canadian Price (via Referral)
Trelegy Ellipta$550–$650$189.95 per inhaler
Flovent HFA$300+from ~$59 (or generic)
Spiriva Respimat$450+$102

Savings of 50–70% are common, especially for patients who pay out-of-pocket in the U.S.

Why Are Canadian Prices Lower?

Canada regulates the price of prescription medications through a national review board, keeping drug costs more affordable. Generic versions are often available earlier than in the U.S., and medications are dispensed directly from licensed Canadian pharmacies without the layers of middlemen common in the American system.

Because of this, many Americans turn to Canadian prescription referral services to reduce their monthly costs while still accessing the medications they need.

Tips for Uninsured Patients

If you don’t have insurance, here’s how to save even more:

  • Order a 3-month supply to reduce shipping costs.
  • Ask your prescriber to write a prescription for 90 days at a time.
  • Use coupon code Hello10 for 10% off your first order at Over the Border Meds.
  • Stick to generic options when available, like Flovent’s generic version.

Final Thoughts

Managing asthma or COPD shouldn’t break the bank. If you’re uninsured or underinsured, ordering your inhalers from a Canadian pharmacy through a prescription referral service can help you continue your treatment affordably and legally.

With a valid U.S. prescription and a simple upload or fax, you can save hundreds each month, without compromising on safety or effectiveness.