Grafapex is given by a doctor or nurse and billed by the clinic, not a pharmacy. Your care team and your insurance decide which product you get, so ask them what you’d pay.

How do you pay?

How to pay the least

Given by your care team

Billed by the clinic

Grafapex is given by a doctor or nurse, not picked up at a pharmacy.

  1. Ask your care team or your plan what you’d pay before your visit.

Compare every option

Question
Brand nameGrafapex
Authorized generictreosulfan
Regular generictreosulfan
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldNone found
Same as Grafapex?
The original
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–

Brand nameThe maker’s card

GRAFAPEX Copay Program (CORE Connections)

Savings card from Medexus Pharma

Grafapex’s maker has a savings program. Its page doesn’t list a dollar amount.

Sign up on grafapex.com 

Or call 1-844-723-2739.

From the maker’s site, checked November 2, 2026. Check the maker’s page for who can use it.

Authorized genericNot sold

There isn’t one. An authorized generic is Grafapex itself, from the same company, sold without the brand name, and usually for less. For now Grafapex is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

We didn’t find one. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

What the FDA label says

GRAFAPEX is an alkylating drug indicated for:

  • Use in combination with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation (alloHSCT) in adult and pediatric patients 1 year of age and older with acute myeloid leukemia (AML)..
  • Use in combination with fludarabine as a preparative regimen for allogeneic hematopoietic stem cell transplantation in adult and pediatric patients 1 year of age and older with myelodysplastic syndrome (MDS)..

Source: the FDA label for Grafapex (Medexus Pharma, Inc.), January 31, 2025. Full label on DailyMed 

Good to know