PERFOROMIST J Code: J7606
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms
Q4 2026 Medicare Payment Limit for J7606, effective October 1, 2026: $1.373 per HCPCS billing unit, down 11.2% from $1.547. From CMS's final file.
Drug & Product Overview
About PERFOROMIST
Perforomist is a medication aligned to the HCPCS J Code: J7606 for billing, pricing, and reimbursement purposes in the United States. It is a Respiratory drug administered via the inhalation route and manufactured by multiple companies.
According to CMS Drug Use Information: Formoterol is used as a long-term (maintenance) treatment to prevent or decrease breathing problems caused by ongoing lung diseases (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Formoterol belongs to the class of drugs known as long-acting inhaled beta-agonists (LABAs). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. This effect helps to reduce wheezing, coughing, and shortness of breath. This medication does not work right away and should not be used for sudden attacks of breathing trouble. Your doctor must prescribe a quick-relief inhaler (such as albuterol, also called salbutamol in some countries) for sudden shortness of breath while you are using formoterol. You should always have a quick-relief inhaler with you. This form of formoterol is not approved to treat asthma. People with asthma using long-acting inhaled beta agonists (such as formoterol) without also using an inhaled corticosteroid may have an increased risk of serious (sometimes fatal) breathing problems.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
NDC Code Information
Based on publicly available CMS files. Showing 5 of 31 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00093-4061-06 | Formoterol fumarate | Teva Pharmaceuticals USA, Inc. | 60 | 20 MCG / 2 ML |
| 00378-1631-91 | Formoterol Fumarate | Mylan Pharmaceuticals Inc. | 60 | 20 MCG / 2 ML |
| 42571-0463-62 | Formoterol fumarate | Micro Labs Limited | 60 | 20 MCG / 2 ML |
| 42858-0094-35 | Formoterol Fumarate | Rhodes Pharmaceuticals | 30 | 20 MCG / 2 ML |
| 43598-0778-30 | Formoterol Fumarate | Dr. Reddy's Laboratories Inc. | 30 | 20 MCG / 2 ML |
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PERFOROMIST Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →PERFOROMIST CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes. |
CMS does not include Perforomist (J7606) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7606. Wastage billing guide →
PERFOROMIST Medically Unlikely Edits (MUE)
The most billing units of J7606 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 20 mcg. The limit is different in the office and the hospital. Use the one for your setting.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
PERFOROMIST Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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