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
2–8 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.