Don’t let the high cost of brand nebulized long-acting bronchodilator therapy disrupt your treatment. We help eligible patients access Perforomist (formoterol fumarate inhalation solution) for as little as $69.95 per month through the manufacturer’s Patient Assistance Program.
The Perforomist Prescription Assistance Program is a manufacturer-sponsored initiative that provides Perforomist at little or no medication cost to qualifying patients based on income and insurance status. The program is designed for COPD patients who are uninsured or underinsured.
Navigating the program on your own means dealing with eligibility verification, pulmonology/primary care coordination, prior-authorization documentation, and renewal deadlines.
AffordMyPrescriptions eliminates that burden. For a flat $69.95 per month, our Patient Advocates handle every step of your enrollment, from initial application through ongoing refill coordination and renewal.
| Pharmacy(With Coupon) | PrIce (30-Day)* | You Save W/ Us |
|---|---|---|
| Walgreens (brand) | ~$400 | Save ~$330/mo |
| CVS Pharmacy (brand) | ~$420 | Save ~$350/mo |
| Walmart (brand) | ~$320 | Save ~$250/mo |
| Costco (brand) | ~$310 | Save ~$240/mo |
Generic formoterol | ~$80 | Already low |
*Just a heads-up — retail prices are estimates based on public data and vary by pharmacy. AffordMyPrescriptions Advocacy Service bypasses this by using drug manufacturer programs to secure your medication directly at no cost or retail price.
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The Patient Assistance Program is free to apply for and provides Perforomist at no medication cost if approved. Our $69.95/month service covers full advocacy. With generic formoterol inhalation solution widely available at low cost, generic is usually the cheaper path for most patients.
Complete a simple eligibility form so our team can determine if you may qualify for medication assistance programs.
Our specialists help gather documentation, complete applications, and coordinate with program providers.
Once approved, you may receive your medication through the assistance program while we help manage ongoing paperwork and renewals.
Many patients try discount cards first. Here’s why the Patient Assistance Program through AffordMyPrescriptions is the better long-term solution for Perforomist:
Still $300–$420 per month even with the best discount
Eligibility is generally determined by annual household income and insurance status. Most programs follow guidelines that include limits of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. Because requirements vary by program and household, we encourage you to contact AffordMyPrescriptions directly so we can review your specific situation and determine if you qualify for Perforomist assistance.
Not sure if you qualify? Our pre-qualification check is completely free. If we can’t help, you won’t be charged.
Perforomist (formoterol fumarate inhalation solution) is a twice-daily nebulized long-acting beta2-agonist (LABA) used for maintenance bronchodilation in COPD. Nebulized delivery is useful for patients who cannot effectively use handheld inhalers — including some elderly patients, those with severe COPD, and patients with poor inhaler technique.
How Perforomist Works:
COPD causes bronchoconstriction, where smooth muscles contract and narrow the airways, making breathing difficult. Formoterol is a long-acting beta2-agonist that relaxes these smooth muscles, offering a quick onset within 5 to 15 minutes and lasting for about 12 hours. The nebulized solution delivers the medication through a jet or vibrating mesh nebulizer, providing an effective alternative to handheld inhalers. This method is especially useful for patients with poor inhaler technique or severe COPD who lack the adequate inspiratory flow required for dry powder inhalers.
Form and use:
Perforomist is administered twice daily, approximately 12 hours apart, using one 20 mcg/2 mL unit-dose vial. The solution is inhaled via a standard jet nebulizer with a mouthpiece, with each session lasting between 5 to 10 minutes. It should not be mixed with other nebulizer medications unless explicitly directed by a prescriber. Like all long-acting beta2-agonists, Perforomist is designed strictly for daily maintenance therapy and must not be used to treat acute bronchospasms.
Generic availability:
Generic formoterol fumarate inhalation solution is widely available in the U.S. at a substantially lower cost than brand-name Perforomist. Another nebulized alternative is arformoterol, though patients who can manage handheld devices typically find inhaler formats more convenient. Available inhaler alternatives feature combination therapies that include options like salmeterol, umeclidinium/vilanterol, tiotropium/olodaterol, and glycopyrrolate/formoterol. Triple-therapy inhalers, such as Breztri Aerosphere, are also available to combine a LABA with other necessary maintenance medications.
Warnings:
Perforomist carries a boxed warning regarding asthma-related death when long-acting beta2-agonists are used alone without an inhaled corticosteroid, though it is only approved to treat COPD. The medication also carries warnings for paradoxical bronchospasm, which can worsen breathing immediately after administration. Additional potential risks include immediate hypersensitivity reactions and cardiovascular effects like tachycardia, arrhythmias, and blood pressure fluctuations. Patients may also experience metabolic and neurological side effects, including hypokalemia, hyperglycemia, tremors, and nervousness.
Brand Perforomist costs approximately $300–$420 per 60-vial monthly supply. Generic formoterol is dramatically cheaper, often $50–$120/month with a coupon. Through AffordMyPrescriptions, qualifying patients receive Perforomist at no medication cost — our $69.95 monthly fee covers full advocacy and program management. Most patients find generic formoterol is the cheaper path.
Yes. The FDA approves generic formoterol fumarate inhalation solution as bioequivalent to brand Perforomist. Most pharmacies stock generic; most insurance plans prefer generic. Most prescribers are comfortable with generic.
Nebulized delivery is useful for patients who cannot effectively use handheld inhalers — including some elderly patients, patients with severe COPD and poor inspiratory flow, patients with cognitive impairment affecting inhaler technique, and patients with severe arthritis affecting inhaler manipulation. For patients who can use inhalers well, inhalers (especially combination LABA/LAMA inhalers like Anoro Ellipta, Stiolto Respimat) are usually more convenient and require less time per dose.
No. Perforomist is approved only for COPD. In asthma, LABAs as monotherapy carry an increased risk of asthma-related death — they must always be combined with an inhaled corticosteroid (typically as a fixed-dose combination inhaler like Advair, Symbicort, Breo). Perforomist is not for asthma.
Generally avoid mixing in the nebulizer cup without specific prescriber guidance. Some combinations are compatible; others may be incompatible. Discuss with your pulmonologist or pharmacist. Some patients run different nebulized medications sequentially in the same session.
No. Perforomist is a long-acting maintenance bronchodilator — not for relief of acute bronchospasm. Continue to use your short-acting rescue inhaler (albuterol, levalbuterol) for sudden breathing symptoms. The onset of formoterol is somewhat rapid (~5–15 minutes) compared with salmeterol, but the medication is still intended for chronic twice-daily use.
If denied, we explore alternatives — switching to generic formoterol (much cheaper), nebulized arformoterol (Brovana, also generic), or to an inhaler-format LABA/LAMA combination (Anoro Ellipta, Stiolto Respimat) if handheld inhaler use is feasible, the manufacturer’s copay program for commercially insured patients, or independent foundations such as the COPD Foundation, American Lung Association, PAN Foundation, or HealthWell Foundation. If we cannot find a path, you won’t be charged our service fee.
If you are struggling with the high cost of Perforomist, our team may be able to help you access assistance programs — or guide you to generic formoterol. Check your eligibility today.
Start free by filling out a simple online form.
Our specialist will contact you for a quick welcome call.
Our team handles everything, so you can focus on your health.