Arformoterol non-comp unit
Products billed under this code include Arformoterol Tartrate, Brovana.
Payment limit per 15 mcg, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under this code include Arformoterol Tartrate, Brovana.
Payment limit per 15 mcg, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Arformoterol Tartrate | Micro Labs Limited | 42571-0464-73 | 30 | $16.26 |
| Arformoterol Tartrate | Dr. Reddy's Laboratories Inc. | 43598-0777-30 | 30 | $16.26 |
| Arformoterol Tartrate | Dr. Reddy's Laboratories Inc. | 43598-0777-60 | 60 | $32.52 |
| Arformoterol Tartrate | Ingenus Pharmaceuticals LLC | 50742-0395-30 | 30 | $16.26 |
| Arformoterol Tartrate | Ingenus Pharmaceuticals LLC | 50742-0395-60 | 60 | $32.52 |
| Arformoterol Tartrate | American Health Packaging | 60687-0770-83 | 30 | $16.26 |
| Arformoterol Tartrate | American Health Packaging | 60687-0770-84 | 60 | $32.52 |
| Arformoterol Tartrate | Alembic Pharmaceuticals Inc. | 62332-0633-30 | 30 | $16.26 |
| Arformoterol Tartrate | Alembic Pharmaceuticals Inc. | 62332-0633-60 | 60 | $32.52 |
| Arformoterol Tartrate | Cipla USA, Inc. | 69097-0168-53 | 30 | $16.26 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Arformoterol Tartrate | Cipla USA, Inc. | 69097-0168-64 | 60 | $32.52 |
| Arformoterol Tartrate | Cipla USA, Inc. | 69097-0168-87 | 30 | $16.26 |
| Arformoterol Tartrate | Slate Run Pharmaceuticals | 70436-0151-57 | 30 | $16.26 |
| Arformoterol Tartrate | Slate Run Pharmaceuticals | 70436-0151-58 | 60 | $32.52 |
| Arformoterol Tartrate | Lupin Pharmaceuticals, Inc. | 70748-0175-30 | 30 | $16.26 |
| Arformoterol Tartrate | Lupin Pharmaceuticals, Inc. | 70748-0175-60 | 60 | $32.52 |
| Arformoterol Tartrate | Lifestar Pharma | 70756-0612-60 | 60 | $32.52 |
| Arformoterol Tartrate | Lifestar Pharma | 70756-0612-70 | 30 | $16.26 |
| Arformoterol Tartrate | Fosun Pharma USA Inc. | 72266-0259-30 | 30 | $16.26 |
| Arformoterol Tartrate | Fosun Pharma USA Inc. | 72266-0259-60 | 60 | $32.52 |
| Arformoterol Tartrate | Northstar RxLLC | 72603-0208-30 | 30 | $16.26 |
| Arformoterol Tartrate | Northstar RxLLC | 72603-0208-60 | 60 | $32.52 |
| Arformoterol Tartrate | Ritedose Pharmaceuticals, LLC | 76204-0026-02 | 60 | $32.52 |
| Brovana | Lupin Pharmaceuticals, Inc. | 27437-0055-30 | 30 | $16.26 |
| Brovana | Lupin Pharmaceuticals, Inc. | 27437-0055-60 | 60 | $32.52 |
| Brovana | Lupin Pharmaceuticals, Inc. | 27437-0060-30 | 30 | $16.26 |
| Brovana | Lupin Pharmaceuticals, Inc. | 27437-0060-60 | 60 | $32.52 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.542 | −$0.20 | 15 mcg | Arformoterol non-comp unit | v1, posted September 17, 2026 |
| 3Q26 | $0.742 | +$0.015 | 15 mcg | Arformoterol non-comp unit | v1, posted September 15, 2026 |
| 2Q26 | $0.727 | +$0.012 | 15 mcg | Arformoterol non-comp unit | v1, posted September 15, 2026 |
| 1Q26 | $0.715 | +$0.006 | 15 mcg | Arformoterol non-comp unit | v1, posted September 15, 2026 |
| 4Q25 | $0.709 | −$0.082 | 15 mcg | Arformoterol non-comp unit | v1, posted September 8, 2026 |
| 3Q25 | $0.791 | +$0.105 | 15 mcg | Arformoterol non-comp unit | v1, posted March 10, 2026 |
| 2Q25 | $0.686 | −$0.123 | 15 mcg | Arformoterol non-comp unit | v1, posted March 10, 2026 |
| 1Q25 | $0.809 | +$0.127 | 15 mcg | Arformoterol non-comp unit | v1, posted December 19, 2025 |
| 4Q24 | $0.682 | −$0.781 | 15 mcg | Arformoterol non-comp unit | v1, posted June 11, 2025 |
| 3Q24 | $1.463 | −$0.383 | 15 mcg | Arformoterol non-comp unit | v1, posted June 11, 2025 |
| 2Q24 | $1.846 | −$0.47 | 15 mcg | Arformoterol non-comp unit | v1, posted March 11, 2025 |
| 1Q24 | $2.316 | −$0.332 | 15 mcg | Arformoterol non-comp unit | v1, posted December 19, 2024 |
| 4Q23 | $2.648 | −$0.638 | 15 mcg | Arformoterol non-comp unit | v1, posted October 10, 2024 |
| 3Q23 | $3.286 | +$0.384 | 15 mcg | Arformoterol non-comp unit | v1, posted June 5, 2024 |
| 2Q23 | $2.902 | −$0.274 | 15 mcg | Arformoterol non-comp unit | v1, posted February 23, 2024 |
| 1Q23 | $3.176 | +$0.069 | 15 mcg | Arformoterol non-comp unit | v1, posted December 6, 2023 |
| 4Q22 | $3.107 | −$1.984 | 15 mcg | Arformoterol non-comp unit | v1, posted June 22, 2023 |
| 3Q22 | $5.091 | −$1.512 | 15 mcg | Arformoterol non-comp unit | v1, posted June 9, 2023 |
| 2Q22 | $6.603 | −$2.154 | 15 mcg | Arformoterol non-comp unit | v1, posted December 14, 2022 |
| 1Q22 | $8.757 | −$1.962 | 15 mcg | Arformoterol non-comp unit | v1, posted June 8, 2022 |
| 4Q21 | $10.719 | −$0.564 | 15 mcg | Arformoterol non-comp unit | v1, posted June 2, 2022 |
| 3Q21 | $11.283 | +$0.621 | 15 mcg | Arformoterol non-comp unit | v1, posted June 2, 2022 |
| 2Q21 | $10.662 | −$0.334 | 15 mcg | Arformoterol non-comp unit | v1, posted March 1, 2022 |
| 1Q21 | $10.996 | – | 15 mcg | Arformoterol non-comp unit | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.