NATESTO NASAL 5.5 MG/0.122 GM
FDA nonproprietary name: testosterone
For 11 g
Pharmacies pay
$454.05 filed
11 × $41.27698 per GM
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-22 · as of 2026-10-14 · retrieved 2026-10-17
Medicare
We don’t know yet
No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.
The spread
We don’t know yet
There is no Medicare figure to compare with, so there is no spread.
Cost-plus estimate
$527.16 estimated
$454.05 + $68.11 (15%) + $5.00 fee per fill = $527.16
This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out
OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-07-22 (file of 2026-10-14, retrieved 2026-10-17)
Open the interactive card Change the quantity, type what you were charged, and see every record in full.
What it is
NATESTO NASAL 5.5 MG/0.122 GM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as testosterone, under the trade name “Natesto nasal gel”.
FDA gives its dosage form as gel, metered and its route as nasal.
The labeler, the company named on the label, is Acerus Pharmaceuticals Corporation.
FDA’s Established Pharmacologic Class for it is Androgen.
The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 42667-5511-01.
NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $454.05 for 11 g (11 × $41.27698 per GM, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-07-22. That is what pharmacies pay their suppliers, not what they charge you.
NADAC’s explanation codes for it: 2, the latest survey was within 2% of the current NADAC, so the NADAC was carried forward from the previous file; 5, calculated based on package size.
This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-07-22. The file is new; the price is not.
What NADAC measures · NADAC explanation codes · Carried-forward prices
The NDC
- 42667-5511-01 · Acerus Pharmaceuticals Corporation · $41.27698 per GM · eff. 2026-07-22 filed carried forward
Other strengths, forms and brands
10 other products in the NADAC file share the FDA nonproprietary name testosterone with NATESTO NASAL 5.5 MG/0.122 GM.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| NATESTO NASAL 5.5 MG/0.122 GM this page | $41.27698 per GM filed | We don’t know yet |
| TESTIM 1% (50 MG) GEL | $3.78468 per GM filed | $3.72244 per GM filed |
| TESTOSTERONE 1% (25 MG/2.5 G) PK | $1.20385 per GM filed | We don’t know yet |
| TESTOSTERONE 1% (50 MG/5 G) PK | $0.40611 per GM filed | We don’t know yet |
| TESTOSTERONE 1.62% (2.5 G) PKT | $1.81823 per GM filed | We don’t know yet |
| TESTOSTERONE 1.62% GEL PUMP | $0.46695 per GM filed | We don’t know yet |
| TESTOSTERONE 1.62%(1.25 G) PKT | $3.64945 per GM filed | We don’t know yet |
| TESTOSTERONE 12.5 MG/1.25 GRAM | $0.82642 per GM filed | We don’t know yet |
| TESTOSTERONE 30 MG/1.5 ML PUMP | $0.50763 per ML filed | We don’t know yet |
| TESTOSTERONE 50 MG/5 GRAM GEL | $0.73654 per GM filed | We don’t know yet |
| TESTOSTERONE 50 MG/5 GRAM PKT | $0.40611 per GM filed | We don’t know yet |
Part D is one average per brand and generic name, over every strength and form.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-22, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18
Compared with its class
Its NADAC price is $41.27698 per GM filed.
Of the 9 other products in FDA’s Androgen class priced per GM, 0 have a higher middle NADAC price and 9 a lower one. The one in the middle is TESTOSTERONE 12.5 MG/1.25 GRAM, at $0.82642 per GM filed (eff. 2026-09-23).
Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.
CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-07-22, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17
What Medicare paid
We don’t know yet; the card above says why.
Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched
What to ask at the counter
None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.
- What is your cash price for 11 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 11 g; your package may hold a different amount.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why does this page start at 11 g?
- NADAC prices this product per GM. The FDA NDC Directory’s package description gives 11 g in one package for this product’s NDC (“1 APPLICATOR in 1 BOX (42667-5511-1) / 11 g in 1 APPLICATOR”), so the card starts at one package: 11 GM. Change it to match your prescription.
Related pages
Its pharmacologic class
Related in the same class
- TESTOSTERONE CYP 1,000 MG/10 ML
- XYOSTED 100 MG/0.5 ML AUTO-INJ
- JATENZO 158 MG CAPSULE
- DANAZOL 100 MG CAPSULE