PERFOROMIST 20 MCG/2 ML SOLN

What it is

PERFOROMIST 20 MCG/2 ML SOLN is how the CMS NADAC file names this product. The FDA NDC Directory lists it as formoterol fumarate dihydrate, under the trade name “Perforomist”.

FDA gives its dosage form as solution and its route as respiratory (inhalation).

The labeler, the company named on the label, is Viatris Specialty LLC.

FDA’s Established Pharmacologic Class for it is beta2-Adrenergic Agonist.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $10.05 – $10.12 for 1 mL, depending on the NDC ($10.04859 to $10.1156 per ML), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-01. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size.

The NADAC of all 2 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-01-01. The file is new; the price is not.

NADAC also lists, on the row of its brand NDCs, what pharmacies pay for the generic equivalent, a different product: $1.27321 to $1.33557 per ML filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What NADAC measures · NADAC explanation codes · Carried-forward prices

All 2 NDCs

• 49502-0605-30 · Viatris Specialty LLC · $10.04859 per ML · eff. 2026-01-01 filed carried forward
• 49502-0605-61 · Viatris Specialty LLC · $10.1156 per ML · eff. 2026-01-01 filed carried forward

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name formoterol fumarate dihydrate with PERFOROMIST 20 MCG/2 ML SOLN.

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

OpenBill calculation · october-2026-medicare-part-b-payment-limit-files-final.zip + october-2026-ndc-hcpcs-crosswalk-final.zip · Part B limit 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18) · Part B crosswalk 2026-10-01 to 2026-12-31 (file of 2026-09-17, retrieved 2026-10-18)

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $10.04859 per ML filed.

Of the 10 other products in FDA’s beta2-Adrenergic Agonist class priced per ML, 0 have a higher middle NADAC price and 10 a lower one. The one in the middle is ALBUTEROL SUL 1.25 MG/3 ML SOL, at $0.1979 per ML filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-01, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

Medicare Part B’s payment limit for HCPCS J7606, for 2026-10-01 to 2026-12-31, comes to $0.69 for 1 mL, or $0.6865 per ML once converted to NADAC’s unit for this product.

Medicare Part B pays for an inhaled drug like this only in specific circumstances, such as when it is used with medical equipment like a nebulizer; most prescriptions filled at a pharmacy are paid by Part D.

The patient’s share under Part B (coinsurance, 20% of the limit, before deductibles and other coverage) is $0.2746 per 20 MCG.

Medicare's price is not your price.

What the Part B payment limit is · Converting it to the NADAC unit · How the spread is worked out

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

• What is your cash price for 1 mL? Is it lower than what I would pay through my insurance?
• Which NDC (the 11-digit number on the package) is this? Pharmacies pay $10.04859 to $10.1156 per ML for this product, depending on the NDC.
• How much is in the package I am getting? This page uses 1 mL; your package may hold a different amount.
• If you have Medicare Part B: is this drug covered for me in this setting, and what is my share?
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.