Mylan

PERFOROMIST - Cost

Last Updated: April 1st, 2024

HCPCS:

J7606

HCPCS Code Descriptor:

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms

Medicare Payment Limit:

The PERFOROMIST Medicare Payment Limit is $3.568

Average Sale Price:

PERFOROMIST ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PERFOROMIST Medicare Co-insurance percentage is 20%. PERFOROMIST's Medicare Co-insurance amount is $0.71 per HCPCS unit.

APC Code:

The Perforomis:t APC Code is: not available

APC Payment Limit:

The APC Payment Limit for PERFOROMIST is not available.

Perforomist Cost Information:

PERFOROMIST, became effective on January 1, 2009, and is aligned to HCPCS J7606. As of 2024, PERFOROMIST has 13 NDCs mapped to J7605. Pricing between 2021 and 2023 remained unchanged amongst WAC and AWP. However, both experienced a substantial decrease of more than half through 2024.

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Perforomist’s wholesale acquisition cost (WAC) information was last updated on:
January 30, 2024
Perforomist’s average wholesale price (AWP) information was last updated on:
January 30, 2024