OpenBilldrug price receipt

NADAC week of 2026-10-14

TESTIM 1% (50 MG) GEL

FDA nonproprietary name: testosterone

For 5 g

Pharmacies pay

$18.92 filed

5 × $3.78468 per GM

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$18.61 filed

5 × $3.72244 per GM, Part D average

Medicare's price is not your price.

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


The spread

0.98× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Testim” / “Testosterone” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$26.76 estimated

$18.92 + $2.84 (15%) + $5.00 fee per fill = $26.76

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. 2026-09-23 (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

TESTIM 1% (50 MG) GEL is how the CMS NADAC file names this product. The FDA NDC Directory lists it as testosterone, under the trade name “Testim”.

FDA gives its dosage form as gel and its route as transdermal.

The labeler, the company named on the label, is Endo USA, Inc.

FDA’s Established Pharmacologic Class for it is Androgen.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 66887-0001-05.

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 $18.92 for 5 g (5 × $3.78468 per GM, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.73654 per GM filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

The NDC

Other strengths, forms and brands

10 other products in the NADAC file share the FDA nonproprietary name testosterone with TESTIM 1% (50 MG) GEL.

ProductPharmacies pay per unitMedicare per unit
NATESTO NASAL 5.5 MG/0.122 GM
brand · gel, metered
$41.27698 per GM filed
eff. 2026-07-22
We don’t know yet
TESTIM 1% (50 MG) GEL this page
brand · gel
$3.78468 per GM filed
eff. 2026-09-23
$3.72244 per GM filed
Part D 2024 average
TESTOSTERONE 1% (25 MG/2.5 G) PK
generic · gel
$1.20385 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 1% (50 MG/5 G) PK
generic · gel
$0.40611 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 1.62% (2.5 G) PKT
generic · gel
$1.81823 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 1.62% GEL PUMP
generic · gel / gel, metered
$0.46695 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 1.62%(1.25 G) PKT
generic · gel
$3.64945 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 12.5 MG/1.25 GRAM
generic · gel / gel, metered
$0.82642 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 30 MG/1.5 ML PUMP
generic · solution
$0.50763 per ML filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 50 MG/5 GRAM GEL
generic · gel
$0.73654 per GM filed
eff. 2026-09-23
We don’t know yet
TESTOSTERONE 50 MG/5 GRAM PKT
generic · gel
$0.40611 per GM filed
eff. 2026-09-23
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 $3.78468 per GM filed.

Of the 9 other products in FDA’s Androgen class priced per GM, 1 has a higher middle NADAC price and 8 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. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $18.61 for 5 g, at an average of $3.72244 per GM in 2024 (2024-01-01 to 2024-12-31) for “Testim” and “Testosterone”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 882 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

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.

Questions

Why is the comparison with Medicare for TESTIM 1% (50 MG) GEL labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Testim / Testosterone: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 5 g?
NADAC prices this product per GM. In the FDA NDC Directory, NDC 66887-0001-05 (“30 TUBE in 1 CARTON (66887-001-05) / 5 g in 1 TUBE”) is a carton of 30 tubes, 150 g in all: a wholesale pack of identical units, so OpenBill counts one tube of it. So the card starts at one tube: 5 GM. Change it to match your prescription.