XYOSTED Frequently Asked Questions


XYOSTED is a prescription medicine used to treat adult men who have low or no testosterone due to certain medical conditions. It is not known if XYOSTED is safe and effective for use in children younger than 18 years old or for the treatment of men who have low testosterone due to aging. Improper use of XYOSTED may affect bone growth in children.

Your doctor will diagnose hypogonadism based on a combination of your symptoms and laboratory testing. A diagnosis of low testosterone is typically confirmed by at least two separate early morning blood tests showing total testosterone levels below 300 ng/dL.

In a clinical study of 150 patients on XYOSTED*, 90% had testosterone levels in the normal range† by week 12. Individual results may vary.

* Studied for 52 weeks when taken every week as directed. Achieving desired blood levels may require dose adjustments at Week 7 based upon Week 6 blood levels. 
Some patients fell below minimum level of 300ng/dL despite dose adjustments.

“Normal Range” is defined as 300-1,100 ng/dL.

XYOSTED is a once-weekly auto-injector used to deliver testosterone subcutaneously. It is designed to be virtually painless.1*† Your healthcare provider will train you on how to use it properly. For additional resources please see ‘Instructions for Use’ and the ‘How To Take XYOSTED’ video.

* 150 patients entered the one-year trial; 99.4% of injections were reported to be pain free.

Injection site reactions, including bruising, bleeding, redness, and hardness, were reported in 12.7% of patients who received XYOSTED for up to 1 year in the trial. 
No patients discontinued XYOSTED because of injection site reactions.

1 Data on file. XYO-0008. Antares Pharma, Inc.

The most common side effects are increased hematocrit, hypertension, increased PSA, injection site bruising, headaches, back pain, increased blood creatine phosphokinase, and injection site hemorrhage, each of which occurred in fewer than 15% of participants in two clinical studies in a total of 283 men who received XYOSTED once a week for up to one year. 


Please refer to the Important Safety Information for full Warnings and Precautions.

In a one-year clinical trial of 150 men receiving 1,519 injections, 99.4% of injections were reported as painless.1 Injection site reactions can occur, including: bruising, bleeding, redness, and hardness.

The needle in the XYOSTED auto-injector is not visible before or during injection. The device is designed to be user-friendly and discreet, with a collar-activated mechanism that hides the needle.

Store XYOSTED at room temperature (68°F to 77°F or 20°C to 25°C). Do not refrigerate or freeze. Keep it in the original packaging to protect it from light and out of reach of children.

Yes, you can travel with XYOSTED.* Be sure to pack it in your carry-on luggage if you’re flying. You may also want to bring a copy of your prescription and a letter from your doctor to help with airport security.

* Store XYOSTED at room temperature (68°F to 77°F or 20°C to 25°C). Do not refrigerate or freeze. Keep it in the original packaging to protect it from light and out of reach of children.

Yes. Most eligible* commercially insured patients will pay as little as $25 out of pocket for their XYOSTED each time a prescription is filled. This offer is valid for 13 prescription fills per year. Certain eligibility restrictions apply. You can sign up at www.XYOSTED.com/copay

* Eligibility restrictions: Offer not valid for prescriptions reimbursed under any federal or state healthcare program, including Medicare, Medicaid, or any state medical assistance programs. Offer void where prohibited by law, taxed, or restricted. Offer only valid in the USA. Maximum benefit up to $125 for each prescription filled. Halozyme reserves the right to rescind, revoke, or amend this offer at any time without notice. By using this co-pay card, you demonstrate that you understand and agree to comply with the terms and conditions of this offer as put forth on this co-pay assistance card.

You will need to contact your insurance provider to find out if you are covered.

If your insurance does not cover XYOSTED, you may still be able to access XYOSTED through the XYOSTED4YOU Cash Program. This program is designed to help eligible* patients - whether uninsured or denied coverage - to purchase XYOSTED for $199 per month with a valid prescription.

* Eligibility restrictions: Must be 18 years or over with a valid prescription for XYOSTED® (testosterone enanthate). Must be a U.S. resident with a valid U.S. shipping address. Additional shipping charges may apply. Offer not valid for prescriptions reimbursed under any private insurance or any federal or state healthcare program, including, but not limited to, Medicare, Medicaid, Tricare, or any state medical assistance programs. Purchases made under this program cannot be claimed in any Part D True Out of Pocket Cost (TrOOP) Submission. Patients are responsible for reporting use of this program to any private insurer, health plan or third-party payer. The XYOSTED4YOU Cash Program is not health insurance. Cannot be combined with other offers or programs. Offer void where prohibited by law, taxed, or restricted. Halozyme reserves the right to rescind, revoke, or amend this offer at any time without notice. By enrolling in this program, you demonstrate that you understand and agree to comply with the terms and conditions set forth herein and any additional Terms and Conditions set for by Sterling Pharmacy regarding purchases made under this program.

To participate, you must:

  • Be 18 years or older
  • Have a valid prescription for XYOSTED
  • Be a U.S. resident with a valid U.S. shipping address

Please note: This program is not insurance and cannot be used in combination with any federal or state healthcare programs (like Medicare or Medicaid). 
Additional terms and conditions apply.

You can obtain XYOSTED through one of the program’s partnered specialty pharmacies:

National Specialty Pharmacy 

Sterling Specialty Pharmacy.
Call 1-888-618-4126

Local Specialty Pharmacies 

ahma Rx:
Elmsford, NY
Call 1‑914‑840‑5027
ahma Rx:
New York, NY
Call 1‑212‑749‑6626
ahma Rx:
Garfield, NJ
Call 1‑862‑225‑9422
Allied Pharmacy:
Sugar Land, TX
Call 1‑832-365-3420
Choice Specialty Pharmacy:
Sugarland, TX
Call 1‑832‑944‑6112
Choice Specialty Pharmacy:
Shenandoah, TX
Call 1-346-309-4800
Goldsmith Medicenter Pharmacy:
Des Peres, MO
Call 1-314-432-5020
Pharmacy at Blue Back:
West Hartford, CT
Call 1-860-656-6229

Yes. XYOSTED is available for home delivery through our trusted specialty pharmacy partners. To get started, simply ask your doctor to send your prescription to any one of the specialty pharmacy partners listed below.

National Specialty Pharmacy

Sterling Specialty Pharmacy:
Call 1-888-618-4126

Regional Specialty Pharmacies

Alabama
Village Discount Drug: Cullman, Alabama 
Call 1-256-775-7455
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California
986 Pharmacy: Santa Monica, CA
Call 1-310-496-7555

ABC Pharmacy: Laguna Hills, CA
Call 1-949-916-9990

Delta Drugs: Glendale, CA
Call 1-818-309-2884

Link Pharmacy: Lake Forest, CA
Call 1-949-215-5899
––––––––
Connecticut
Pharmacy at Blue Back: West Hartford, CT
Call 1-860-656-6229
––––––––
Georgia
Anchor Pharmacy: Decatur, GA
Call 1-404-600-8172
––––––––
Missouri
Goldsmith Medicenter Pharmacy: Des Peres, MO
Call 1-314-432-5020
––––––––
New Jersey
ahma Rx: Garfield, NJ 
Call 1‑862‑225‑9422

––––––––

New York
ahma Rx: Elmsford, NY 
Call 1‑914‑840‑5027

ahma Rx: New York, NY 
Call 1‑212‑749‑6626

Chemist Shoppe: Long Island City, NY
Call 1-718-472-0900, ext 2

Silver Rod: Brooklyn, NY 

Call 1-718-236-5705
––––––––
Rhode Island
Atwood Pharmacy: Johnstown, RI
Call 1-401-864-0460
––––––––
Texas
Choice Specialty Pharmacy: Sugarland, TX 
Call 1‑832‑944‑6112

Choice Specialty Pharmacy: Shenandoah, TX 
Call 1-346-309-4800

Alamo Pharmacy: San Antonio, TX
Call 1-210-314-6782

Allied Pharmacy: Sugar Land, TX
Call 1-832-365-3420

Paying for XYOSTED?

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INDICATION/WHAT IS XYOSTED?

XYOSTED is a prescription medicine that contains testosterone. XYOSTED is used to treat adult men who have low or no testosterone due to certain medical conditions.

It is not known if XYOSTED is safe and effective for use in children younger than 18 years old. Improper use of XYOSTED may affect bone growth in children.

It is not known if XYOSTED is safe or effective to treat men who have low testosterone due to aging.

XYOSTED is a controlled substance (CIII) because it contains testosterone that can be a target for people who abuse prescription medicines. Keep your XYOSTED in a safe place to protect it. Never give your XYOSTED to anyone else. Selling or giving away this medicine may harm others and it is against the law.

XYOSTED is not meant for use by women.

IMPORTANT SAFETY INFORMATION

Do not use XYOSTED if you:

  • Are a man who has breast cancer.
  • Have or might have prostate cancer.
  • Are a woman who is pregnant. XYOSTED may harm your unborn baby.
  • Are allergic to XYOSTED or to any ingredients in XYOSTED including testosterone or sesame oil.

What should I tell my healthcare provider before using XYOSTED?

Before you use XYOSTED, tell your healthcare provider about all of your medical conditions, including, if you have any of the following: high blood pressure or are being treated for high blood pressure, or have heart problems, high red blood cell count, urinary problems due to an enlarged prostate, kidney or liver problems, a history of mental health illness including suicidal thoughts or actions, depression, anxiety or mood disorder, or problems breathing while you sleep (sleep apnea).

Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Using XYOSTED with other medicines can affect each other. Especially, tell your healthcare provider if you take insulin, medicines that decrease blood clotting (blood thinners), corticosteroids or medicines for pain and cold. Know the medicines you take. Ask your pharmacist for a list of all your medicines if you are not sure. Show your list to your healthcare provider and pharmacist when you get a new medicine.

How should I use XYOSTED?

  • See the detailed Instructions for Use for Information about how to use XYOSTED.
  • Use XYOSTED exactly as your healthcare provider tells you to take it.
  • Your healthcare provider will show you or your caregiver how to inject XYOSTED. You should not inject XYOSTED until you have been trained on the proper way to use it.

What are the possible side effects of XYOSTED?

XYOSTED can cause serious side effects including:

  • Increase in red blood cell count, hematocrit or hemoglobin. High red blood cell counts increase the risk of clots, strokes, and heart attacks. You may need to stop XYOSTED if your red blood cell count increases. Your healthcare provider should check your red blood cell count, hematocrit and hemoglobin while you use XYOSTED.
  • If you already have an enlarged prostate, your signs and symptoms may get worse while using XYOSTED. This can include: increased nighttime urination, trouble starting urination, more frequent urination, feeling an urge to urinate, having a urine accident, and being unable to pass urine or weak urine flow
  • Increased risk of prostate cancer. Your healthcare provider should check you for prostate cancer or any other prostate problems before you start and while you use XYOSTED.
  • Blood clots in the legs or lungs. Signs and symptoms of a blood clot in your leg can include leg pain, swelling or redness. Signs and symptoms of a blood clot in your lungs can include difficulty breathing or chest pain.
  • Increase in blood pressure. XYOSTED can increase your blood pressure. Increases in blood pressure can increase the risk of heart attack or stroke over time. If your blood pressure increases while on XYOSTED, blood pressure medicines may need to be started. If you are taking blood pressure medicines, new blood pressure medicines may need to be added or your current blood pressure medicines may need to be adjusted to control your blood pressure. If your blood pressure cannot be controlled, XYOSTED may need to be stopped. Your healthcare provider will monitor your blood pressure while you are being treated with XYOSTED.
  • Abuse. Testosterone can be abused, when taken at higher than prescribed doses and when used with other anabolic androgenic steroids. Abuse can cause serious heart and psychological side effects.
  • In large doses XYOSTED may lower your sperm count.
  • Liver problems. Symptoms of liver problems may include nausea or vomiting, yellowing of your skin or whites of your eyes, dark urine or pain on the right side of your stomach area (abdominal pain).
  • Swelling of your ankles, feet, or body, with or without heart failure. This may cause serious problems for people who have heart, kidney or liver disease.
  • Enlarged or painful breasts.
  • Problems breathing while you sleep (sleep apnea).
  • Change in mood. Talk to your healthcare provider if you have changes in mood or behavior including, new or worsening depression, or suicidal thoughts.

Call your healthcare provider right away if you have any of the serious side effects listed above.

The most common side effects of XYOSTED include: red blood cell increase, prostatic specific antigen (PSA) increase (a blood test for prostate cancer), increased blood pressure, and injection site reactions including bruising, bleeding, redness and headache.

Other side effects include more erections than are normal for you or erections that last a long time. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of XYOSTED. For more information, ask your healthcare provider or pharmacist.

For more information, go to www.XYOSTED.com
or call 1-844-XYOSTED (1-844-996-7833).
To report side effects to the FDA,
visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see the full Prescribing Information and Medication Guide.
April 2025 Update.