How to Help Your Patients Save Money on Perforomist: A Provider's Guide to Savings Programs

Perforomist (formoterol fumarate inhalation solution) carries a retail price of $865–$1,484 per 30-day supply (60 vials), making cost one of the most significant barriers to medication adherence for your COPD patients. Non-adherence to COPD maintenance therapy leads to accelerated disease progression, increased emergency department visits, and preventable hospitalizations. This guide gives you the tools to proactively address Perforomist affordability during clinical encounters.

Step 1: Default to Generic Prescribing

The most impactful single step is to prescribe

formoterol fumarate inhalation solution 20 mcg/2 mL generically rather than brand-name Perforomist. Generic formoterol is bioequivalent and significantly less expensive:

• Brand Perforomist retail: $865–$1,484 per 30-day supply
• Generic formoterol with GoodRx coupon: approximately $92–$99 per 30-day supply
• Generic prescribing also improves pharmacy fill rates, since more pharmacies stock the generic

Write the prescription as: "Formoterol fumarate inhalation solution 20 mcg/2 mL unit-dose vials, Dispense 60 vials (30-day supply), Refills: 11." Check your EHR's formulary integration to confirm which pharmacies can fill at the lowest tier.

Step 2: Know the Manufacturer Programs

Viatris (the manufacturer of brand Perforomist) offers patient assistance and copay support programs. Contact information:

• Viatris Patient Assistance: 888-417-5780. Patients with commercial insurance who meet criteria may receive copay reduction.
• Patient assistance for uninsured/underinsured: Program eligibility and formulary are subject to change — call to confirm current availability for Perforomist.

Consider having your MA or pharmacist reach out to Viatris on behalf of patients who are struggling with cost. Many practices develop a relationship with manufacturer representatives who can facilitate patient enrollment.

Step 3: Connect Patients With PAN Foundation and Non-Profit Programs

The Patient Access Network (PAN) Foundation provides financial assistance to insured patients with chronic conditions who meet income criteria. For COPD patients on Perforomist, the PAN Foundation may assist with:

• Copayments and coinsurance
• Deductibles
• Insurance premiums in some cases

Contact PAN Foundation at 866-316-7263. Patient eligibility is based on income (typically ≤ 400% of the federal poverty level) and active health insurance. Note that PAN Foundation programs for specific drugs open and close as funding is available — check current status.

Step 4: Medicare Part D Optimization

For your Medicare patients, Perforomist cost optimization involves several considerations:

• Formulary tier: Generic formoterol fumarate is often placed at Tier 1 or 2 on Part D plans. Brand Perforomist may be Tier 3–4. Prescribing generically reduces patient cost.
• Formulary exception: If brand Perforomist is medically necessary, document a formulary exception request citing medical necessity and intolerance to alternatives.
• Extra Help (Low Income Subsidy): Medicare patients with limited income and resources may qualify for Extra Help (LIS), which can reduce Part D drug costs to near zero. Refer eligible patients to their local Social Security office or State Health Insurance Assistance Program (SHIP).
• 2026 Part D cap: The annual out-of-pocket cap is $2,100 in 2026. High-cost drug users who reach this threshold pay $0 for the rest of the calendar year.

38,004+ patients found their medications in stock

38K+

Find Perforomist In Stock Today →

Step 5: Mail-Order and 90-Day Supplies

When clinically appropriate, prescribe 90-day supplies through the patient's plan's mail-order pharmacy. Most Part D and commercial plans offer lower per-day costs for maintenance medications filled through mail order. This also reduces the frequency with which patients face pharmacy availability challenges.

Step 6: Use medfinder to Reduce Pharmacy Hunting Time

Cost savings mean nothing if the patient can't find the medication.

medfinder for providers calls pharmacies near the patient to find which ones have formoterol fumarate in stock, and texts results directly to the patient. This service eliminates the hours patients spend on the phone and helps ensure they actually fill — and stay on — their COPD maintenance therapy.

Skip the calls, skip the stress.

Find Perforomist In Stock Today →

50K+

Medications
Found

99%

Success
Rate

6+

Hours saved
on average

Building a Perforomist Cost Management Protocol for Your Practice

Consider implementing a systematic approach for all Perforomist patients:

1. At initiation: Prescribe generic, run formulary check, identify preferred pharmacy, provide medfinder information
2. At follow-up visits: Assess adherence and ask about cost barriers; adjust approach if needed
3. Annual review: Revisit Part D plan formulary tiers during Medicare open enrollment (Oct 15 – Dec 7) and assist patients in selecting a plan that places generic formoterol at the lowest tier

For the patient-facing version of this savings guide, share our

How to Save Money on Perforomist article with your patients.