Gastrointestinal Stromal Tumors

A   Gastrointestinal Stromal Tumor (GIST) is a type of tumor that is found in the gastrointestinal tract, most often in the stomach or small intestine. Symptoms may include anemia, abdominal pain, nausea, vomiting, loss of appetite and weight loss.  GIST can develop in all ages, but is most common between age 50 and 70.  In some rare cases, GIST can be inherited through a genetic mutation. 

Assistance Information

Dollar cap is shared across assistance types.

Public Insurance — Up to 500% FPL

Assistance Type Status Max Amount
Copay Open $4,500
Medical Expenses Open $4,500
Premium Open $4,500
Travel Expense Open $500

Diagnosis Codes

  • C49.A Gastrointestinal stromal tumor
  • C49.A0 Gastrointestinal stromal tumor, unspecified site
  • C49.A1 Gastrointestinal stromal tumor of esophagus
  • C49.A2 Gastrointestinal stromal tumor of stomach
  • C49.A3 Gastrointestinal stromal tumor of small intestine
  • C49.A4 Gastrointestinal stromal tumor of large intestine
  • C49.A5 Gastrointestinal stromal tumor of rectum
  • C49.A9 Gastrointestinal stromal tumor of other sites

Covered Medications

  • Gleevec
  • Imatinib Mesylate
  • Imkeldi
  • Mekinist
  • Trametinib Dimethyl Sulfoxide
  • Regorafenib
  • Stivarga
  • SUNItinib Malate
  • Sutent
  • Dabrafenib Mesylate
  • Tafinlar
  • Avapritinib
  • Ayvakit
  • Qinlock
  • Ripretinib