Cernos Gel is testosterone in transdermal form: a clear alcohol-based gel supplied as fourteen single-use sachets per box, applied to the skin instead of injected. The carrier evaporates and the hormone crosses the dermis into circulation, which is the reason this dosage form exists at all - no needle, and no first pass through the liver.
Sun Pharmaceuticals is one of India's largest pharmaceutical companies, and Cernos is its long-running testosterone brand, spanning capsules and injections as well as this gel. Transdermal delivery produces a flatter hormone profile than a bolus injection does.