Taiho Oncology Copay Assistance Program: Lonsurf

Funded

About

The Taiho Oncology Copay Assistance Program: Lonsurf provides significant financial support for patients who need Lonsurf, helping them pay as little as $0 per treatment cycle. Available to U.S. residents with private insurance, the program facilitates easy enrollment and re-enrollment, ensuring seamless access to Lonsurf. This program greatly reduces the financial burden of cancer treatment for eligible patients, making this essential medication more accessible through the Taiho Oncology Copay Assistance Program: Lonsurf.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible patients may pay $0 per treatment cycle no matter the dose strength

•Patients and HCPs can enroll online at www.TaihoOncologyCopay.com

•Patients can also enroll by completing the enrollment form together with their doctor: https://taihocorpmediarelease.s3.uswest2.amazonaws.com/documents/patientenrollmentformenglish.pdf

•Program will notify doctor's office of eligibility, and will provide card information for patient to use at their preferred specialty pharmacy

•There is no expiration date on the copay card, enrollment automatically resets annually and is subject to annual limits

•Patient is automatically reenrolled

•For questions regarding claims processing, claim transmission or other issues, pharmacists can contact the Help Desk at (833) 3605518, which is available 24hours a day, 7 days a week

•For questions regarding patient eligibility or online enrollment call 8448244648, Monday through Friday from 8:00 AM – 8:00 PM EST

•You must have minimum outofpocket costs of $.01 to redeem this offer.

Enrollment Forms

Enrollment Form