It is the first time Cosby, 78, has been charged with any offence after months of accusations.
Dozens of women have accused him of sexual assault, dating back to the 1970s, but he has denied wrongdoing.
Cosby made no comment as he arrived at court to be formally charged. He did not enter a plea at the hearing where a judge set bail at $1m, reports the BBC.
Later, his lawyer said in a statement that he would “mount a vigorous defence against this unjustified charge”.
Earlier this month Cosby opened a lawsuit against seven of the women, accusing them of defamation.
It is the second time there has been an investigation into Ms Constand’s complaint against the actor, who won acclaim for playing a family doctor and model father in The Cosby Show.
In 2005, after no charges were brought when she first made the accusation, she sued him and settled for an undisclosed sum.
He has previously said under oath he had a consensual sexual encounter with her.
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