SPIRIVA HandiHaler (tiotropium bromide inhalation powder) 18 mcg/capsule (90 capsules (unit dose blisters) per box, Rx Only, Made in Germany, Distributed by: Boehringer Ingelheim (BI) Pharmaceuticals, Inc., Ridgefield, CT 06877, NDC 0597-0075-47
Failed Stability Specifications
Distributed nationwide
https://www.accessdata.fda.gov/scripts/ires/index.cfm?Product=D-0242-2018