Testosterone Shortage Update: What Patients Need to Know in 2026

The Testosterone Shortage: Where Things Stand in 2026

The Testosterone shortage isn't new — but it's still affecting patients across the country. If you've been struggling to fill your prescription for Testosterone Cypionate or other formulations, here's everything you need to know about the current situation in 2026.

Is Testosterone Still in Shortage?

Yes. As of early 2026, Testosterone Cypionate injections remain in intermittent shortage. According to the American Society of Health-System Pharmacists (ASHP), the shortage has been ongoing since early 2023.

The situation has improved somewhat compared to the worst periods of 2023 and 2024, but supply is still not back to normal. Pfizer's Depo-Testosterone 200 mg/mL 1 mL vials are available in limited supply with weekly releases. The 100 mg/mL 10 mL vials have been on extended back order. Generic manufacturers including Cipla, Hikma, and Sun Pharma have also had intermittent availability issues.

Other formulations — including topical gels, patches, oral capsules, and nasal gels — are generally more available, though they tend to cost more.

Why Is Testosterone Hard to Find?

The shortage comes down to a few key factors:

• Surging demand: Testosterone prescriptions have increased significantly, driven partly by the explosion of telehealth TRT clinics. Hundreds of new clinics have opened since 2024, and major platforms like Hims, Ro, and Hone now offer TRT services.
• Manufacturing constraints: Pfizer and other manufacturers have struggled with production delays. Sterile injectable manufacturing requires specialized facilities, and capacity is limited.
• DEA production quotas: As a Schedule III controlled substance, Testosterone manufacturing is subject to annual DEA quotas. These quotas can't always keep pace with rapidly growing demand.
• Supply chain fragility: Raw materials, sterile vials, and shipping logistics have all been strained.

For a deeper look, read our full explainer on why Testosterone is so hard to find in 2026.

How Much Does Testosterone Cost in 2026?

Cost depends heavily on which formulation you use:

• Testosterone Cypionate injection (generic): $30–$110 without insurance for a 1 mL or 10 mL vial. With a GoodRx or SingleCare coupon, as low as $14–$30.
• Generic Testosterone gel (1.62%): $41–$80 per month with a coupon. Brand-name AndroGel can cost $400–$900 per month without insurance.
• Oral capsules (Jatenzo, Tlando, Kyzatrex): $500–$900 per month (brand-name only, no generics yet).
• Patches (Androderm): $200–$500 per month without insurance.
• Xyosted autoinjector: Varies, often $200+ per month without insurance.

For tips on reducing costs, see our guide on how to save money on Testosterone.

Are There Any New Options?

The Testosterone market has expanded in recent years with newer formulations:

• Kyzatrex (Testosterone Undecanoate oral capsules) joined Jatenzo and Tlando as an oral TRT option.
• Xyosted continues to be available as a subcutaneous autoinjector alternative to traditional IM injections.
• Compounding pharmacies have stepped in to fill gaps, preparing Testosterone Cypionate when commercial products are unavailable.
• Enclomiphene, while not Testosterone itself, is being used off-label to stimulate natural Testosterone production and is available through some telehealth clinics and compounding pharmacies.

Learn more about your options in our post on alternatives to Testosterone.

How to Find Testosterone in Stock

Here's what we recommend:

1. Search on Medfinder — check real-time pharmacy availability near you.
2. Try independent pharmacies — they often have supply when chains don't.
3. Ask about compounding — a compounding pharmacy can prepare Testosterone if commercial products are out.
4. Fill early — don't wait until you're completely out. Refill a few days ahead.
5. Talk to your doctor — if one formulation is unavailable, another may work for you.

For more detailed strategies, read our guide on how to find Testosterone in stock near you.

Final Thoughts

The Testosterone shortage is an ongoing challenge, but supply is slowly improving. Stay proactive, explore your options, and use tools like Medfinder to find your medication. If you haven't already, find a doctor who can help you navigate this — our guide on finding a doctor who prescribes Testosterone is a good place to start.