Skip to main content
Print Save

Lonsurf Prices, Coupons and Patient Assistance Programs

Lonsurf (tipiracil/trifluridine) is a member of the antineoplastic combinations drug class and is commonly used for Colorectal Cancer, and Gastric Cancer.

Lonsurf Prices

The cost for Lonsurf oral tablet (6.14 mg-15 mg) is around $3,969 for a supply of 20 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Lonsurf is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Lonsurf availability.

This Lonsurf price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Oral Tablet

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Please note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Lonsurf Coupons and Rebates

Lonsurf offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples. Some offers may be printed right from a website, others require registration, completing a questionnaire, or obtaining a sample from the doctor's office.

Lonsurf Taiho Oncology Patient Support Co-pay Assistance Program: Eligible commercially insured patients may pay $0 per treatment cycle; for additional information contact the program at 844-824-4648.

Applies to:
Lonsurf
Number of uses:
Per prescription until program expires

Form more information phone: 844-824-4648 or Visit website

Lonsurf Medicare Part D Extra Help Subsidy: Patients who have Medicare Part D coverage may be eligible to apply for the Part D Extra Help Subsidy and once accepted to the program may receive reduced premiums and lower prescription costs; contact the program directly for questions or to sign-up.

Applies to:
Lonsurf
Number of uses:
Per prescription until program expires

Form more information phone: 800-772-1213 or Visit website

Patient Assistance Programs for Lonsurf

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Provider: HealthWell Foundation Copay Program

Elligibility requirements:
  1. May have insurance
  2. Varies
  3. FDA Approved Diagnosis - See Program Website for Details
  4. The patient must also be residing in the US.
  5. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Applicable drugs:
  • Lonsurf (trifluridine and tipiracil) Tablet

More information please phone: 800-675-8416 Visit Website

Provider: Patient Access Network Foundation (PAN)

Elligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Lonsurf (trifluridine and tipiracil) Tablet

More information please phone: 866-316-7263 Visit Website

Provider: Taiho Oncology Patient Support Program

Elligibility requirements:
  1. Must be uninsured or underinsured
  2. Not disclosed
  3. FDA-approved diagnosis
  4. Must be residing in the US or a US territory, and under the care of a US physician
  5. Co-payment assistance, reimbursement support, patient support, and patient assistance programs are available for eligible patients.
Applicable drugs:
  • Lonsurf (trifluridine and tipiracil) Tablet

More information please phone: 844-824-4648 Visit Website