Public record
Testosterone cypionate: the public record
Each table is computed from the named federal dataset as of its data date; the method is under each one.
Label
FDA label facts for testosterone cypionate
The FDA label read for testosterone cypionate (AZMIRO, application NDA216318) was last revised on 2025-07-25. It carries no boxed warning. Of the 4 population sections checked, 4 are present: pregnancy, lactation, pediatric use, geriatric use.
| Measure | Value | Note |
|---|---|---|
| Label revision date | 2025-07-25 | |
| Label read | AZMIRO | NDA216318, brand-name application |
| Boxed warning | No | |
| Pregnancy section | Present | |
| Lactation section | Present | |
| Pediatric use section | Present | |
| Geriatric use section | Present |
How this was calculated
Selected the most recently revised prescription label for this single ingredient from an original manufacturer, preferring a brand-name application. Checked which sections exist and quoted headings and sentences exactly as printed.
One label: the newest prescription label for single-ingredient testosterone cypionate from an original manufacturer
Read from one label. Labels for other brands, strengths or forms of the same ingredient can differ. A missing section heading does not mean there is no guidance. Read the full label before relying on it.
Approvals
FDA approval history for testosterone cypionate
The earliest FDA approval on file for a testosterone cypionate product is 1978-06-23. Drugs@FDA lists 19 applications for it and 102 approved supplements, the most recent on 2025-07-28.
| Measure | Value | Note |
|---|---|---|
| Earliest FDA approval on file | 1978-06-23 | |
| Applications with an approval on file | 19 | |
| New drug applications (NDA) | 1 | |
| Generic applications (ANDA) | 18 | |
| Approved supplements | 102 | label, manufacturing and efficacy changes |
| Most recent supplement approval | 2025-07-28 | |
| Sponsoring companies | 17 |
How this was calculated
Selected applications with a product whose only active ingredient is this substance, then counted approved original and supplemental submissions. The earliest approved original submission is the first approval.
Applications with a single-ingredient testosterone cypionate product in Drugs@FDA, all sponsors and strengths
Older approvals can be missing dates, and tentative approvals are not counted. An approved application does not mean the product is currently marketed.
Patents and generics
Patents and generic approvals for testosterone cypionate
The FDA Orange Book lists 16 approved generic applications for testosterone cypionate, the first approved on 2005-01-31. 3 listed patents on specific brand products have not yet expired, the last on 2039-03-25; generics of other versions are already approved.
| Measure | Value | Note |
|---|---|---|
| Brand-name applications (NDA) | 1 | |
| Approved generic applications (ANDA) | 16 | first approved 2005-01-31 |
| Companies with a generic not marked discontinued | 10 | |
| Listed patents not yet expired | 3 | |
| Latest listed patent expiry | 2039-03-25 | on any product; may cover only one brand formulation |
| Earliest approval date on file | before 1982 | |
| Products not marked discontinued | 15 of 26 |
How this was calculated
Selected Orange Book products whose only active ingredient is this substance, then counted applications by type and the distinct patents and exclusivities listed against them. Expired patents are left out.
All single-ingredient testosterone cypionate products in the Orange Book, every brand and strength, files dated 2026-10-09
An approved generic or an expired patent does not show that a generic is on sale. Launch timing also depends on litigation, settlements and supply. Biologics and compounded products are not in the Orange Book.
Medicare Part D
Medicare Part D claims for testosterone cypionate by age group
Of 1,120,868 Medicare Part D claims for testosterone cypionate in 2024, 828,574 (73.9%) were for enrollees aged 65 and over and 292,294 were for enrollees under 65.
| Measure | Value | Note |
|---|---|---|
| All Part D claims, 2024 | 1,120,868 | |
| Claims for enrollees aged 65 and over | 828,574 | |
| Claims for enrollees under 65 | 292,294 | mostly people who qualify through disability |
| Share of claims for enrollees aged 65 and over | 73.9% | share of claims, not of patients |
How this was calculated
Summed the national rows for every brand and generic row with this generic name. Claims under 65 are total claims minus claims for enrollees 65 and over.
National Part D claims for single-ingredient testosterone cypionate products, 2024, split at age 65
Medicare mostly covers people 65 and over, so this split describes Medicare enrollees and not use in the general population.
Medicare Part D
Medicare Part D claims for testosterone cypionate by state
Florida had the most Medicare Part D claims for testosterone cypionate in 2024 (125,019), followed by Texas (103,782) and California (80,239). Prescribers in 58 states and territories wrote 1,120,842 claims in all.
| Measure | Value | Note |
|---|---|---|
| All states and territories, 2024 | 1,120,842 claims | |
| States and territories with reported claims | 58 | |
| Florida | 125,019 claims | $5.1M gross drug cost |
| Texas | 103,782 claims | $4.5M gross drug cost |
| California | 80,239 claims | $3.3M gross drug cost |
| Georgia | 47,615 claims | $1.7M gross drug cost |
| North Carolina | 46,079 claims | $1.6M gross drug cost |
How this was calculated
Summed claims and drug cost by prescriber state over every brand and generic row with this generic name. Combination products excluded. Rows CMS suppressed for small counts are left out.
Part D claims for single-ingredient testosterone cypionate products by the prescriber's state, 2024
State counts follow population size and where the prescriber practises. They are not per-person rates and do not show any state's coverage rules.
Medicare Part D
Medicare Part D spending on testosterone cypionate
Medicare Part D spending on testosterone cypionate products was $41.6M in 2024 across 1,121,071 claims, compared with $39.0M in 2023 (+6.7%). Average spending per claim was $37.06, before rebates.
| Measure | Value | Note |
|---|---|---|
| Total spending, 2024 | $41.6M | |
| Total spending, 2023 | $39.0M | |
| Change in spending, 2023 to 2024 | +6.7% | |
| Claims (prescription fills), 2024 | 1,121,071 | |
| Average spending per claim, 2024 | $37.06 | |
| Testosterone Cypionate: spending, 2024 | $41.4M | 1,118,253 claims |
| Depo-Testosterone: spending, 2024 | $162,367 | 2,818 claims |
How this was calculated
Summed total spending and claims over every brand and generic row with this generic name in the CMS file, using the Overall manufacturer rows. Combination products excluded. Average per claim is spending divided by claims.
Every single-ingredient testosterone cypionate product in Part D (Testosterone Cypionate, Depo-Testosterone), 2024.
Gross drug cost before manufacturer rebates, so net cost is lower. Part D excludes some uses by law (for example erectile dysfunction, weight loss and hair growth), so claims reflect covered uses only. Compounded products are not included.
Medicaid
Medicaid prescriptions for testosterone cypionate by state
State Medicaid programmes paid for 583,527 testosterone cypionate prescriptions in 2025, with $21.0M reimbursed before rebates. California reported the most (83,353), followed by Oregon (36,422) and Kentucky (33,704); 52 states and territories reported any.
| Measure | Value | Note |
|---|---|---|
| Prescriptions paid by Medicaid, 2025 | 583,527 | |
| Total reimbursed before rebates, 2025 | $21.0M | |
| States and territories reporting | 52 | with at least one count CMS did not suppress |
| California | 83,353 prescriptions | $3.9M reimbursed |
| Oregon | 36,422 prescriptions | $988,680 reimbursed |
| Kentucky | 33,704 prescriptions | $1.1M reimbursed |
| New York | 31,492 prescriptions | $1.3M reimbursed |
| Michigan | 29,878 prescriptions | $825,596 reimbursed |
How this was calculated
Matched each Medicaid product code to the FDA NDC Directory by labeler and product code, kept finished single-ingredient products, then summed prescriptions and reimbursement by state. National roll-up and suppressed rows dropped.
All single-ingredient testosterone cypionate products in the FDA NDC Directory, fee-for-service and managed care, 2025
Counts under 11 are suppressed by CMS and left out, so totals are a floor. Amounts are before rebates. Differences between states reflect programme size and coverage rules. Compounded products are not included.
Pharmacy cost
Pharmacy acquisition cost (NADAC) for testosterone cypionate
Retail pharmacies paid an average of $11.01 per mL for TESTOSTERONE CYP 200 MG/ML as of 2026-11-11, compared with $11.76 twelve months earlier (-6.4%). This is a pharmacy purchase cost, not a patient price.
| Measure | Value | Note |
|---|---|---|
| TESTOSTERONE CYP 200 MG/ML | $11.01 per mL | 12 months earlier $11.76 (-6.4%) |
| TESTOSTERONE CYP 2,000 MG/10 ML | $2.42 per mL | 12 months earlier $3.42 (-29.1%) |
| TESTOSTERONE CYP 1,000 MG/10 ML | $4.32 per mL | 12 months earlier $4.99 (-13.4%) |
How this was calculated
Matched NADAC product codes to the FDA NDC Directory, kept finished single-ingredient products, and listed the product descriptions with the most package codes. The earlier price is the same package code in the file one year before.
Generic versions of testosterone cypionate in the weekly NADAC file of 2026-11-11, compared with the file of 2025-11-12
NADAC is the average invoice price retail pharmacies pay, from a voluntary survey. It leaves out rebates, dispensing fees and markups, and it is not what a patient or insurer pays. Compounded products are not surveyed.
Adverse event reports
Most reported events in FDA adverse event reports for testosterone cypionate
Through 2026-10-28, FDA had received 8,833 adverse event reports for testosterone cypionate, 5,064 of them marked serious by the reporter. The symptom terms named most often were myocardial infarction (953), cerebrovascular accident (685) and deep vein thrombosis (624).
| Measure | Value | Note |
|---|---|---|
| All reports received | 8,833 | |
| Reports the reporter marked serious | 5,064 | death, hospitalisation, disability or similar outcome |
| Myocardial infarction | 953 reports | |
| Cerebrovascular accident | 685 reports | |
| Deep vein thrombosis | 624 reports | |
| Pulmonary embolism | 572 reports | |
| Pain | 474 reports |
How this was calculated
Counted FAERS reports listing this active substance, then the reaction terms named most often. A report can name several reactions, and a term can describe the illness being treated and not an effect of the drug. Terms about product use or complaints rather than symptoms (for example drug ineffective) were left out of the list.
Reports where FDA recorded testosterone cypionate as a single-ingredient active substance (any brand), all years to 2026-10-28
FAERS reports are unverified and do not prove the drug caused the event. Reporting rises with use, publicity and lawsuits, so these counts cannot give rates or risks and cannot be compared between drugs.
Recalls
FDA drug recalls naming testosterone cypionate
FDA enforcement reports list 161 drug recall entries naming testosterone cypionate from 2012 to 2026-10-28. 147 of them are for compounded or other unlisted products and 14 for products FDA lists under a label. The most common stated reason was lack of sterility assurance (130 of 161).
| Measure | Value | Note |
|---|---|---|
| Recall entries on record | 161 | |
| For products FDA lists under an approved or registered label | 14 | |
| For compounded or other unlisted products | 147 | matched by the name in the product description |
| Class I (most serious) | 1 | |
| Class II | 157 | |
| Class III | 3 | |
| Most recent recall reported | 2026-10-28 | |
| Most common stated reason | lack of sterility assurance | 130 of 161 entries |
How this was calculated
Counted enforcement report entries matched by FDA's listed active substance, or by the name in the product description where FDA lists none. Reasons were grouped by keywords in FDA's stated reason.
Recalls of single-ingredient testosterone cypionate products, plus compounded or unlisted products whose description names it
Each recall covers specific lots from one firm and is not a statement about every product with this ingredient. One event can appear as several entries, one per product.
Clinical studies
Registered clinical studies of testosterone cypionate
ClinicalTrials.gov lists 55 registered studies that name testosterone cypionate as an intervention as of 2026-11-11. Of these, 11 are recruiting, 25 are completed and 8 are phase 3 studies.
| Measure | Value |
|---|---|
| Registered studies | 55 |
| Recruiting now | 11 |
| Not yet recruiting | 5 |
| Completed | 25 |
| Terminated, withdrawn or suspended | 8 |
| Phase 3 (including phase 2/3) | 8 |
| Phase 2 (including phase 1/2) | 24 |
| Phase 1 | 6 |
How this was calculated
Searched the ClinicalTrials.gov intervention field for the name, downloaded every matching record and counted by overall status and phase. Combined phases are counted under the higher phase. Phase not applicable covers observational, device and behavioural studies.
Studies whose intervention field matches testosterone cypionate, any condition, any country, all statuses
A registered study is not a result. Counts include studies where the drug is a comparator or background treatment, and studies that never finished or reported.
Articles on Testosterone cypionate
- Testosterone Cypionate Dosing for Adults Aged 30 to 49: Evidence-Based Guide
- Testosterone Cypionate Monitoring for Adults (30 to 49): Lab Schedule, Target Ranges, and Red Flags
- Does Aetna (CVS Health) Cover Testosterone Cypionate?
- Does Anthem (Elevance Health) Cover Testosterone Cypionate?
- Testosterone Cypionate: Compounded vs. Branded, A Complete Clinical Comparison
- Testosterone Cypionate Cost vs. Alternatives: A Full Comparison of TRT Options