Quick answers
- What is Natesto nasal gel?
- Natesto nasal gel is a brand name of Testosterone, a prescription medicine. The FDA NDC Directory lists 1 Natesto nasal gel product in 1 strength and form.
- Who makes Natesto nasal gel?
- Acerus holds the FDA application for Natesto nasal gel (NDA205488, approved May 28, 2014).
- Is there a generic or store brand of Natesto nasal gel?
- Other products of Testosterone are listed with the FDA, but none in exactly the same strength and form as a Natesto nasal gel product.
- What do pharmacies pay for Natesto nasal gel?
- CMS lists a National Average Drug Acquisition Cost (NADAC) for 1 Natesto nasal gel strength and form (see the table below). That is what pharmacies pay to buy it, not what you pay: your price depends on your insurance and your pharmacy.
- Has Natesto nasal gel been recalled?
- No recall linked to Natesto nasal gel products (by their NDC code or label) appears in the FDA enforcement reports we use.
What Natesto nasal gel is
Each Natesto nasal gel product as listed in the FDA NDC Directory, by active ingredient, strength and form, with its official label. “Same medicine, other names” counts the other products with exactly the same active ingredients, strength and form (generic versions, store brands and other brands); inactive ingredients can differ.
Testosterone · prescription medicine
| Strength and form | Product names | Same medicine, other names | Label |
|---|---|---|---|
| testosterone 5.5 mg/0.122 g gel, metered (nasal) | Natesto nasal gel | None listed | DailyMed |
Its page lists every product and company, the FDA label’s uses and boxed warning, approvals, shortages and recalls: Testosterone →
FDA approval
- NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
| Application | Holder | First approved | Products |
|---|---|---|---|
| NDA205488 | Acerus | May 28, 2014 | 1 |
What pharmacies pay (NADAC)
The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.
This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.
| Strength and form | Generic or brand | Pharmacies pay |
|---|---|---|
| testosterone 5.5 mg/0.122 g gel, metered | Brand: Natesto nasal gel | $41.22 per gram |
NADAC list of November 4, 2026; these prices took effect on October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.
Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →
Companies that list Natesto nasal gel
The company named on the package (holder, repackager or distributor), as listed in the FDA NDC Directory, with its number of Natesto nasal gel products.
- Acerus Pharmaceuticals Corporation1 product
Recalls
No recall linked to Natesto nasal gel products (by their NDC code or label) appears in the FDA enforcement reports.
Sources
- NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drug labeling (SPL, openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
- NADAC (National Average Drug Acquisition Cost) 2026 — Centers for Medicare & Medicaid Services (CMS), data.medicaid.gov, list of November 4, 2026, retrieved November 7, 2026
Which names get a brand page: a name the NDC Directory lists for a medicine, held by one company (the FDA application holder, or the company named on most of its products), that is not just a description, and that is not the only product of its medicine.