How do you pay?

How to pay the least

Ask for the cash price

Natesto nasal gel

No generic is sold yet.

  1. Ask your pharmacy for Natesto nasal gel’s cash price, and one or two other pharmacies too.
  2. Natesto nasal gel’s savings card works only with insurance from a job or one you bought.

Compare every option

Question
Brand nameNatesto nasal gel
Authorized generictestosterone
Regular generictestosterone
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldNone sold yet
Same as the brand?
The original
–
–

Brand nameThe maker’s card

Natesto Savings Program

Savings card from Acerus Pharmaceuticals

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $25 a month

Sign up on natesto.com 

In the maker’s words

“Eligible, commercially insured patients may pay as little as $25 per month, per claim maximums apply.”

From the maker’s offer on natesto.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

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

See the brand name →

Regular genericNot sold

No generic is sold yet. 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

Natesto is an androgen indicated for replacement therapy in males for conditions associated with a deficiency or absence of endogenous testosterone:

  • Primary hypogonadism (congenital or acquired)
  • Hypogonadotropic hypogonadism (congenital or acquired)

Limitations of use:

  • Safety and efficacy of Natesto in men with "age-related hypogonadism" have not been established.
  • Safety and efficacy of Natesto in males less than 18 years old have not been established.

Source: the FDA label for Natesto nasal gel (Acerus Pharmaceuticals Corporation), July 22, 2025. Full label on DailyMed 

Good to know