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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.

Perforomist Prices

This Perforomist price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies. The cost for Perforomist inhalation solution (20 mcg/2 mL) is around $475 for a supply of 60 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Perforomist is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Perforomist availability.

Inhalation Solution

20 mcg/2 mL Perforomist inhalation solution
from $475.04 for 60 milliliters
Quantity Per unit Price
60 (30 x 2 milliliters) $7.92 $475.04
120 (60 x 2 milliliters) $7.85 $941.49

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.

Drugs.com Printable Discount Card

Print Now

The free Drugs.com 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.

Please 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 63,000 pharmacies nationwide.


Perforomist Coupons and Rebates

Perforomist offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Perforomist Co-Pay Card: Eligible patients may pay the 1st $25 on each of up to 12 prescriptions (30-day supply); for additional information contact the program at 800-657-7619.

Applies to:Perforomist
Number of uses:12 times
ExpiresDecember 31, 2017

Patient Assistance Programs for Perforomist

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: HealthWell Foundation Copay Program

Elligibility requirements:

  1. May have insurance
  2. Varies
  3. Medically appropriate condition/diagnosis
  4. The patient must also be residing in the US.
  5. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.

Applicable drugs:

  • Perforomist (formoterol fumarate)

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:

  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. Medically appropriate condition/diagnosis
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Applicable drugs:

  • Perforomist (formoterol fumarate)
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