LONSURF
Generic: trifluridine and tipiracil
Manufacturer: Taiho Oncology · Program: Taiho Oncology Patient Support
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured patients; separate $0 co-pay for eligible commercially insured (not government insurance)
Residency
US, Puerto Rico, US territories
Eligibility for uninsured or underinsured patients; specific income thresholds not detailed on site
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required, per treatment cycle
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- proof of insurance status
- prescription
Indicated For
metastatic colorectal cancer, gastric cancer
Program information last verified: March 30, 2026
Ready to apply for LONSURF assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.