Lonsurf

(tipiracil / trifluridine)
Lonsurf 15 MG / 6.14 MG Oral TabletLonsurf 20 MG / 8.19 MG Oral Tablet
NO BOXED WARNING

Dosage & administration

drug label

Lonsurf prescribing information

prior authorization

Lonsurf prior authorization resources

Most recent Lonsurf prior authorization forms

View By Payer
Verified: Feb 07, 2024Kaiser Foundation Health Plan - Chronic High-Dose Opioid Therapy Prior Authorization Form Washington
Verified: Mar 02, 2024Highmark BCBS Northeastern NY - Medicare Prescription Drug Medication Request Form
Verified: Mar 02, 2024Highmark BCBS Northeastern NY - Short Acting Opioid Prior Authorization Form
Verified: Mar 02, 2024Highmark BCBS Western NY - Specialty Drug Prior Authorization Form
Verified: Mar 02, 2024Highmark BCBS Western NY - Non-Formulary Drug Coverage Prior Authorization Form

Most recent state uniform prior authorization forms

Verified: Feb 27, 2024Arizona - Uniform Prior Authorization Form
Verified: Feb 27, 2024Colorado - Uniform Prior Authorization Form
Verified: Feb 27, 2024Hawaii - Uniform Prior Authorization Form
Verified: Feb 27, 2024Illinois - Uniform Prior Authorization Form
Verified: Feb 27, 2024Indiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Louisiana - Uniform Prior Authorization Form
Verified: Feb 27, 2024Michigan - Uniform Prior Authorization Form
Verified: Feb 27, 2024Minnesota - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Feb 27, 2024New Mexico - Uniform Prior Authorization Form
Verified: Feb 27, 2024Oregon - Uniform Prior Authorization Form
Verified: Feb 27, 2024Texas - Uniform Prior Authorization Form
Learn More

Benefits investigation

Lonsurf Enrollment Form
Lonsurf Enrollment Form - Spanish
Learn More

financial assistance

Lonsurf financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Progam
Learn More

Foundation programs

under insured
no insurance
goverment insurance
65+
Lonsurf Enrollment Form
Lonsurf Enrollment Form - Spanish
Patient Assistance Program
Learn More

PubMed™ | Lonsurf

Lonsurf PubMed™ News

patient education

Lonsurf patient education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

About Lonsurf
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
View How to Take Lonsurf
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Side Effects
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Resources
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Caregiver Brochure
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Careigver Brochure - Spanish
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

people also ask

Lonsurf FAQs

How is the dosage of Lonsurf?Lonsurf is available in 2 dosages, including 6.14-15 mg Tab and 8.19-20 mg Tab
What does Lonsurf treat?Lonsurf treats Infectious Keratoconjunctivitis, Colorectal Neoplasms and Herpetic Keratitis
What is Lonsurf made of?Lonsurf contains tipiracil / trifluridine which is a Nucleoside Analog Antiviral
How Is Lonsurf Administered?Lonsurf is administered as a Oral Pill
What Are The Lonsurf Mechanism Of Action?Lonsurf mechanism of action is Nucleic Acid Synthesis Inhibitors or Thymidine Phosphorylase Inhibitors
FAQ Data Source