Lonsurf

(tipiracil / trifluridine)
tipiracil 6.14 MG / trifluridine 15 MG Oral Tablet [Lonsurf]tipiracil 8.19 MG / trifluridine 20 MG Oral Tablet [Lonsurf]
NO BLACK BOX WARNING

Dosage & administration

eficacy, safety & testing

Lonsurf clinical details

Mechanism of Action (MOA)
Clinical Trial, Efficacy & Safety Profile: Metastatic Colorectal Cancer
Clinical Trial, Efficacy & Safety Profile: Metastatic GEJ/Gastric Cancer
Dosing

drug label

Lonsurf prescribing information

Have more Lonsurf questions?

Submit MSL Request
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Need to report a Lonsurf issue?

ONLINE FORM
Report adverse event
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prior authorization

Lonsurf Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

Lonsurf Enrollment Form
Lonsurf Enrollment Form - Spanish
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Lonsurf Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Savings Progam
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
Lonsurf Enrollment Form
Lonsurf Enrollment Form - Spanish
Patient Assistance Program
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patient education

Lonsurf Patient education

Getting started on Lonsurf

NOT PROVIDED BY BRAND
Instructions For Use: Metastatic Colorectal Cancer

NOT PROVIDED BY BRAND
Instructions For Use: Metastatic GEJ/Gastric Cancer

Patient toolkit

About Lonsurf
ASK PATIENT TO:
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View How to Take Lonsurf
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Side Effects
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Patient Resources
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Patient Brochure
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Patient Brochure - Spanish
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Doctor Discussion Guide
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Caregiver Brochure
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Careigver Brochure - Spanish
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people also ask

Lonsurf FAQs

FAQ Data Source

Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.