Medicare Part D coverage · formoterol fumarate · RxCUI 1246321
formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist]
Per the CMS 2026 Part D formulary file, formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] is covered by 235 Medicare Part D plans (4.7% of enrollable products), averaging Tier 5, with prior authorization required on 100% of covering formularies.
- 4.7%
- Plan coverage
- 235
- Plans covering
- T5
- Avg tier
- 100%
- Prior auth required
What the CMS Formulary Data Shows for formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist]
Per the CMS 2026 Part D formulary file, formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] (RxNorm concept RXCUI 1246321, generic name formoterol fumarate) appears on 5 distinct formulary files spanning 235 Medicare Part D plan offerings - 4.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 5 to Tier 5, with a cross-plan average of Tier 5.
Real-world access to formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] depends on utilization management as much as tier placement: 100% of covering formularies require prior authorization. 0% require step therapy. 80% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 3,044 Part D beneficiaries filled formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] in 2023, with total plan-and-beneficiary spending of $6,380,403 and an average per-beneficiary annual cost of $2,096.06. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] today.
Coverage Details
- Formularies covering
- 5
- Plans covering
- 235
- Coverage rate
- 4.7%
- Tier range
- Tier 5, Specialty
- Average tier
- Tier 5, Specialty
Restrictions
- Prior authorization required
- 100% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 80% of formularies
2023 Medicare Spending
- Beneficiaries
- 3,044
- Total spending
- $6,380,403
- Avg per beneficiary
- $2,096.06
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | AZ |
| HealthSpring Alliance (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | AZ |
| HealthSpring Preferred Savings (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | AZ |
| HealthSpring Preferred Full Savings (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | AZ |
| HealthSpring Preferred GA (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | MO |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | MO |
| HealthSpring Premier (HMO-POS) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | UT |
| HealthSpring Preferred (HMO) | Healthspring Healthcare OF Colorado, Inc. | T5 | Yes | $0 | NM |
| HealthSpring Preferred (HMO) | Healthspring Healthcare OF Colorado, Inc. | T5 | Yes | $0 | OH |
Show the next 30 plans
| HealthSpring Preferred (HMO) | Healthspring Healthcare OF Colorado, Inc. | T5 | Yes | $0 | KY, OH |
| HealthSpring Preferred Savings (HMO) | Healthspring Healthcare OF Colorado, Inc. | T5 | Yes | $0 | OH |
| HealthSpring Preferred Savings (HMO) | Healthspring Healthcare OF Colorado, Inc. | T5 | Yes | $0 | KY, OH |
| HealthSpring Preferred (HMO) | Healthspring Healthcare OF Colorado, Inc. | T5 | Yes | $0 | CO |
| HealthSpring Preferred (HMO) | Bravo Health Mid-atlantic, Inc. | T5 | Yes | $0 | DC, DE |
| HealthSpring Preferred PA (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred Savings (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | PA |
| HealthSpring Preferred (HMO) | Bravo Health Pennsylvania, Inc. | T5 | Yes | $0 | NJ |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | MS |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | WA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | OR, WA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | TX |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | TN |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | AR |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | MS, TN |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | AR |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | AR |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | TX |
| HealthSpring Alliance (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | TX |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | GA, TN |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | OK |
| HealthSpring Preferred (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | TX |
| HealthSpring Preferred Savings (HMO) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | TX |
| HealthSpring Premier (HMO-POS) | Healthspring Life & Health Insurance Company, Inc. | T5 | Yes | $0 | IL |
Showing top 50 of 100 plans.
Frequently Asked Questions
Is formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] covered by Medicare Part D?
Yes, formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] is covered by 235 Medicare Part D plans (4.7% of all Part D formularies).
What tier is formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] on Medicare Part D plans?
formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] averages Tier 5 across Part D plans, ranging from Tier 5 to Tier 5.
Does formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] require prior authorization?
100% of Part D formularies require prior authorization for formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist]. Step therapy: 0%. Quantity limits: 80%.
How much does Medicare spend on formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist]?
In 2023, total Medicare Part D spending on formoterol fumarate 0.01 MG/ML Inhalation Solution [Perforomist] was $6,380,403, covering 3,044 beneficiaries. The average spend per beneficiary was $2,096.06.
Read our methodology - how this data is sourced, computed, and verified.
Nationwide similar Part D drugs
Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.
Closest average formulary tier
- 0.8 ML adalimumab-adaz 100 MG/ML Auto-Injector T5
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- deferiprone 1000 MG Oral Tablet [Ferriprox] T5
- ruxolitinib 15 MG/ML Topical Cream [Opzelura] T5
- cyclosporine 1 MG/ML Ophthalmic Suspension [Verkazia] T5
Similar prior-authorization rate
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- 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B] 100% PA
- sotagliflozin 200 MG Oral Tablet [Inpefa] 100% PA
- mycophenolate mofetil 250 MG Oral Capsule 100% PA