Affordability Check
How to afford TOLAK
Generic name: FLUOROURACIL
Pick how you're covered. We'll show you the cheapest legitimate way to get TOLAK — your insurance copay, manufacturer savings, charity grants, or cash price. It takes 30 seconds and we never ask for your personal information.
Pick an option above to see your specific path.
Different insurance means different laws and different savings. For example, Medicare patients cannot use manufacturer copay cards (federal law) — but the manufacturer almost always has a Patient Assistance Program that gives the drug free.
About TOLAK and its cost
What is this medication? Tolak is a topical prescription cream that contains four percent fluorouracil as its active ingredient. It is specifically designed to treat actinic keratosis, which are rough, scaly patches on the skin caused by years of sun exposure. These lesions are considered precancerous, meaning they have the potential to develop into a type of skin cancer known as squamous cell carcinoma if they are not properly addressed. By applying this medication to the affected areas, patients can effectively clear these growths from the face, ears, or scalp.
The medication functions as an antimetabolite that interferes with the ability of abnormal skin cells to grow and multiply. It works by blocking the synthesis of DNA and RNA within the rapidly dividing cells of the actinic keratosis lesions, eventually causing those cells to die off. During the treatment period, which usually lasts for four weeks with once-daily applications, the treated skin typically becomes red, irritated, and crusty. This reaction is a normal sign that the medication is successfully targeting and removing the damaged skin cells to allow healthy tissue to reform.
TOLAK is made by Pierre Fabre. Like most brand-name drugs, it's priced at a high list price — but patients rarely pay that list price. The options above are the real paths most people use to get it affordably.
Common questions
What's the cheapest way to afford TOLAK?
It depends on your insurance. On Medicare, apply for the manufacturer's Patient Assistance Program (PAP) — it gives the drug free if you meet income requirements. With private insurance, the manufacturer copay card usually drops your copay to $0-$25. Uninsured patients should compare the PAP with Cost Plus Drugs cash price.
Can I use a copay card with Medicare for TOLAK?
No — federal law (the Anti-Kickback Statute) prohibits manufacturer copay cards on Medicare, Medicaid, TriCare, and VA prescriptions. But Pierre Fabre has a separate Patient Assistance Program for Medicare beneficiaries. Check the options above.
Does my Medicare Part D plan cover TOLAK?
Part D coverage varies by plan. We query the CMS Prescription Drug Plan file to show you what percentage of plans cover it and at what tier. For your exact copay, pick "Medicare" above and check your plan's Summary of Benefits, or log in to Medicare.gov.
How long does a Patient Assistance Program take?
Most PAPs take 2-6 weeks from application to first fill. Ask the manufacturer about a "bridge supply" — many will ship 30 days free while your application is being reviewed so you don't go without the drug.
What if I have a high-deductible plan?
For generics, Cost Plus Drugs cash price is often cheaper than your deductible-phase copay. For brand names, the manufacturer copay card almost always wins. A GoodRx coupon can be a last resort for uncovered drugs, but it doesn't count toward your deductible.
Are there charity grants for Actinic Keratosis?
Charities like HealthWell Foundation, PAN Foundation, Good Days, and the National Organization for Rare Disorders provide copay help for specific conditions. Funds often run out mid-year — apply early. We list the specific grants for your condition in the options above.
More about TOLAK
Full TOLAK drug page
FDA label, prior authorization rules, full indications list
More options for Actinic Keratosis
Drugs, grants, and assistance for this condition
Guide to Patient Assistance Programs
How PAPs work, who qualifies, typical wait times
If your insurance denied coverage
5-level appeal playbook — Medicare has a 60% win rate at Level 3