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Perforomist Prices, Coupons and Patient Assistance Programs

Perforomist (formoterol) is a member of the adrenergic bronchodilators drug class and is commonly used for COPD - Maintenance.

The cost for Perforomist inhalation solution (20 mcg/2 mL) is around $597 for a supply of 60 milliliters, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the discount card which is accepted at most U.S. pharmacies.

Perforomist prices

Inhalation Solution

Quantity Per unit Price
60 (30 x 2 milliliters) $9.94 $596.69
120 (60 x 2 milliliters) $9.87 $1,183.81

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

Perforomist Coupons, Copay Cards and Rebates

Perforomist offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional. Printable Discount Card

The free Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Perforomist Savings Card

Eligible commercially insured patients may pay $0 per 30-day prescription with savings of up to $550 per fill; maximum savings per calendar year is $6600; offer may be used 12 times per calendar year; for additional information contact the program at 800-657-7613.

Applies to:
Number of uses:
12 times within calendar year

Form more information phone: 800-657-7613 or Visit website

Patient Assistance & Copay Programs for Perforomist

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Viatris Patient Assistance Program (Group One Medicines)

Eligibility requirements:
  1. Uninsured or Underinsured with no prescription coverage for needed medication
  2. Determined case by case
  3. FDA-approved diagnosis
  4. Must be residing in the US or a US territory, and under the care of a US physician
  5. Eligibility determined on a case-by-case basis. Contact program for details.
Applicable drugs:
  • Perforomist (formoterol fumarate) Inhalation Solution

More information please phone: 888-417-5780 Visit Website