| 13/03/2019 | Stage 1 : Lido di Camaiore - Lido di Camaiore | 21 km | ||
| 14/03/2019 |
 |
Stage 2 : Camaiore - Pomarance | 195 km | |
| 15/03/2019 |
|
Stage 3 : Pomarance - Foligno | 226 km | |
| 16/03/2019 |
|
Stage 4 : Foligno - Fossombrone | 221 km | |
| 17/03/2019 |
|
Stage 5 : Colli al Metauro - Recanati | 180 km | |
| 18/03/2019 |
 |
Stage 6 : Matelica - Jesi | 195 km | |
| 19/03/2019 | Stage 7 : San Benedetto del Tronto - San Benedetto del Tronto | 10 km |
Stage 4 Tirreno - Adriatico 2019 (Foligno - Fossombrone)
| Stage 4: Foligno-Fossombrone | Total: 221km |
|---|
| Classement | ||
|---|---|---|
| 1. | Primoz Roglic | 25:28:00 |
| 2. | Adam Yates | +0:01 |
| 3. | Jakob Fuglsang | +0:30 |
| 4. | Tom Dumoulin | +1:25 |
| 5. | Thibaut Pinot | +2:32 |
| 6. | Julian Alaphilippe | +2:34 |
| 7. | Wout Poels | +2:42 |
| 8. | Simon Clarke | +3:01 |
| 9. | Sam Oomen | +3:12 |
| 10. | Rui Alberto Faria Costa | +3:18 |