BYETTA - PI
Contents
1. Make sure that the 10 with the line under it is in the center of the dose window Note If you cannot turn the dose knob away from you to the 10 see Commonly Asked Questions number 7 in Section 4 of this user manual BYETTA exenatide injection 22 STEP 4 Inject the Dose SS wey N a y 3 p IE VAA P ma Me Pal i ae e y e Grip pen firmly PUSH amp HOLD e Injection is complete when the e Insert needle into skin e Use thumb to firmly push 4 is in the center of the dose using the under the skin injection button in until it window subcutaneous injection stops Continue holding in the The pen is now ready to reset method explained by your injection button while slowly P y healthcare provider counting to 5 to get a full dose e Remove needle from skin Note If you see several drops of BYETTA leaking from the needle after the injection you may not have received a complete dose See Commonly Asked Questions number 4 in Section 4 of this user manual STEP 5 Reset the Pen e Turn dose knob away Note If you cannot turn the dose knob from you until it stops or if your pen leaks your full dose has not been delivered See Commonly shart Is In the dose Asked Questions numbers 4 and 7 in Section 4 of this user manual e Carefully put the outer needle e Unscrew the needle e Throw away needles in a Shield back over the needle puncture resistant container e Remove the needle after or2. is in the center of the dose window AND you have seen a stream or several drops come from the needle tip Note If you do not see liquid after 4 times see Commonly Asked Questions number 3 in Section 4 of this user manual BYETTA exenatide injection 15 STEP E Complete New Pen Setup e For routine use do not e You are now ready for your first repeat this one time only dose of BYETTA new pen setup If you do e Go to Section 3 Step 3 for you will run out of BYETTA instructions on how to inject S N 2 before 30 days of use your first routine dose e Turn dose knob away from you until it stops and the is in the dose window Note If you cannot turn the dose knob see Commonly Asked Questions number 7 in Section 4 of user manual Section 3 Now that you have done the one time only new pen setup follow Section 3 for all of your injections ROUTINE USE STEP 1 Check the Pen Note A small air bubble will not harm you or affect your dose e Wash hands prior to use e Check BYETTA in the cartridge e Check pen label to make sure it e The liquid should be clear is your 5 mcg pen colorless and free of particles e Pull off the blue pen cap If it is not do not use STEP 2 Attach the Needle Pull off outer needle shield Pull off inner needle shield e Remove paper tab from outer o needle shield Do not throw away and throw away A small drop e Push outer needle shield containing of liquid may ap
3. and repeat One Time Only New Pen Setup Steps B E in Section 2 of this user manual Once you see several drops or a stream of liquid coming out of the tip of the needle the setup is complete BYETTA exenatide injection 23 4 Why do I see BYETTA leaking from my needle after I have finished my injection It is normal for a single drop to remain on the tip of your needle after your injection is complete If you see more than one drop e You may not have received your full dose Do not inject another dose Talk with your healthcare provider about what to do about a partial dose e To make sure that you get your full dose when you take your injections firmly push and hold the injection button in and slowly count to 5 see Section 3 Step 4 Inject the Dose 5 How can I tell when the injection is complete The injection is complete when e You have firmly pushed the injection button in all the way until it stops and e You have slowly counted to 5 while you are still holding the injection button in and the needle is still in your skin and e The 4 is in the center of the dose window If you hear a click sound from your BYETTA Pen ignore it You must follow all the steps listed above to make sure your injection is complete 6 Where should I inject BYETTA Front Back Inject BYETTA into your abdomen thigh or upper arm using the injection method explained to you by your healthcare provider 7 What if I cannot pull turn or push the
4. from your BYETTA Pen ignore it You must follow all the steps listed above to make sure your injection is complete 6 Where should I inject BYETTA Front Back Inject BYETTA into your abdomen thigh or upper arm using the injection method explained to you by your healthcare provider 7 What if I cannot pull turn or push the dose knob Check the symbol in the dose window Follow the steps next to the matching symbol If is in the dose window e Pull the dose knob out until appears If is in the dose window and the dose knob will not turn e The cartridge in your BYETTA Pen may not have enough medicine to deliver a full dose A small amount of BYETTA will always stay in the cartridge If the cartridge contains a small amount and the dose knob will not turn your pen does not have enough BYETTA and will not deliver any more doses Obtain a new BYETTA Pen If and part of are in the dose window and the dose knob cannot be pushed in e The dose knob was not turned all the way Continue turning the dose knob away from you until 5 is in the center of the dose window If part of 5 and part of are in the dose window and the dose knob cannot be pushed in e The needle may be clogged bent or incorrectly attached e Attach a new needle Make sure needle is on straight and screwed on all the way e Firmly push the injection button in all the way BYETTA should come from needle tip If 4 is in the dose window and the dose kno
5. it is your 5 mcg pen Pull off the blue pen cap STEP B Attach the Needle Remove paper tab from outer needle shield Push outer needle shield containing the needle straight onto the pen then screw needle on until secure STEP C Dial the Dose Check that the L is in the dose window If not turn dose knob away from you clockwise until it stops and the is in the dose window Note If you cannot turn the dose knob away from you to the 5 see Commonly Asked Questions number 7 in Section 4 of this user manual STEP D Prepare the Pen Point the needle of the pen up and away from you Check BYETTA in the cartridge The liquid should be clear colorless and free of particles If not do not use Pull off outer needle shield Do not throw away Pull dose knob out until it stops and the is in the dose window PUSH amp HOLD Use thumb to firmly push Injection button in until it stops then continue holding the injection button in while slowly counting to 5 If you do not see a stream or several drops come from the needle tip repeat Steps C amp D Note A small air bubble in the cartridge is normal Pull off inner needle shield and throw away A small drop of liquid may appear This is normal Turn dose knob away from you until it stops at 5 Make sure that the 5 with the line under it is in the center of the dose window Pen preparation is complete when the 4
6. of the cartridge during normal use You may remove them with an alcohol wipe or alcohol swab See the complete BYETTA Medication Guide that comes with BYETTA For more information call toll free 1 800 236 9933 or visit www BYETTA com Section 2 Read and follow the directions in this section only after you ve read Section 1 What You Need To Know About Your BYETTA Pen GETTING STARTED Set up your new pen just before you use it the first time For routine use do not repeat this one time only new pen setup If you do you will run out of BYETTA before 30 days of use iy Blue Pen Cap Cartridge BYETTA Label Dose Dose Injection Liquid Window Knob Button Pen Needles Not Included ready to pull dose knob out a Ready to turn to dose position ready to inject 10 mcg Outer Inner Needle Paper 4 dose knob pushed in and Needle Needle Tab ready to reset Shield Shield BYETTA exenatide injection 20 ONE TIME ONLY NEW PEN SETUP STEP A Check the Pen Note A small air bubble in the cartridge is normal e Wash hands prior to use e Check BYETTA in the cartridge e Check pen label to make sure it is The liquid should be clear your 10 mcg pen colorless and free of particles e Pull off the blue pen cap If not do not use STEP B Attach the Needle e Remove paper tab from outer e Pull off outer needle shield e Pull off inner needle shield needle shield Do not throw away and
7. BYETTA exenatide injection 12 PEN USER MANUAL BYETTA exenatide injection 250 mcg mL 1 2 mL 5 mcg 5 mcg PEN USER MANUAL Do not share your BYETTA Pen with other people even if the needle has been changed You may give other people a serious infection or get a serious infection from them Section 1 Read this section completely before you begin Then move on to Section 2 Getting Started WHAT YOU NEED TO KNOW ABOUT YOUR BYETTA PEN PEN USER MANUAL Read these instructions carefully BEFORE using your BYETTA Pen For complete dosing and safety information also read the BYETTA Medication Guide that comes with the BYETTA Pen carton It is important that you use your pen correctly Failure to follow these instructions completely may result in a wrong dose a broken pen or an infection These instructions do not take the place of talking with your healthcare provider about your medical condition or your treatment If you are having problems using your BYETTA Pen call toll free 1 800 236 9933 IMPORTANT INFORMATION ABOUT YOUR BYETTA PEN e Each BYETTA Pen contains enough medicine for injection two times each day for 30 days You do not have to measure any doses the pen measures each dose for you e Do not transfer the medicine in the BYETTA Pen to a syringe or vial e Do not mix BYETTA and insulin in the same syringe or vial even if you take them at the same time e If any part of your pen appears broken or damaged do not use t
8. U NEED TO KNOW ABOUT YOUR BYETTA PEN PEN USER MANUAL Read these instructions carefully BEFORE using your BYETTA Pen For complete dosing and safety information also read the BYETTA Medication Guide that comes with the BYETTA Pen carton It is important that you use your pen correctly Failure to follow these instructions completely may result in a wrong dose a broken pen or an infection These instructions do not take the place of talking with your healthcare provider about your medical condition or your treatment If you are having problems using your BYETTA Pen call toll free 1 800 236 9933 IMPORTANT INFORMATION ABOUT YOUR BYETTA PEN e Each BYETTA Pen contains enough medicine for injection two times each day for 30 days You do not have to measure any doses the pen measures each dose for you e Do not transfer the medicine in the BYETTA Pen to a syringe or vial e Do not mix BYETTA and insulin in the same syringe or vial even if you take them at the same time e If any part of your pen appears broken or damaged do not use the pen e This BYETTA Pen is not recommended for use by people who are blind or have vision problems without the help of a person trained in the proper use of the pen e Follow the injection method explained to you by your healthcare provider e Follow Section 2 only to set up a new pen before first use e Section 3 of this manual should be used for every injection ABOUT PEN NEEDLES What kinds of needles
9. as recommended by your each injection healthcare provider STEP 7 Store Pen for Next Dose e Replace Blue Pen Cap on pen before storage e Store your BYETTA Pen at a temperature between 36 F to 77 F 2 C to 25 C See Storing Your BYETTA Pen in Section 1 of this user manual for complete storage information e When it is time for your next routine dose go to Section 3 Step 1 and repeat Steps 1 7 Section 4 COMMONLY ASKED QUESTIONS 1 Do I need to do the One Time Only New Pen Setup before every dose e No The One Time Only New Pen Setup is done only once just before each new pen is used for the first time e The purpose of the setup is to make sure that your BYETTA Pen is ready to use for the next 30 days e If you repeat the One Time Only New Pen Setup before each routine dose you will not have enough BYETTA for 30 days The small amount of BYETTA used in the new pen setup will not affect the 30 day supply of BYETTA 2 Why are there air bubbles in the cartridge e A small air bubble is normal It will not harm you or affect your dose e Ifthe pen is stored with a needle attached air bubbles may form in the cartridge Do not store the pen with the needle attached 3 What should I do if BYETTA does not come out of the needle tip after four tries during One Time Only New Pen Setup e Carefully put the outer needle shield back over the needle Remove the needle by unscrewing it Throw away the needle properly e Attach a new needle
10. b will not turn e The injection button was not pushed in all the way and a complete dose was not delivered Talk with your healthcare provider about what to do about a partial dose e Follow these steps to reset your pen for your next injection e Firmly push the injection button in all the way until it stops Keep holding the injection button in and slowly count to 5 Then release the injection button and turn the dose knob away from you until appears in the dose window e If you cannot turn the dose knob the needle may be clogged Replace the needle and repeat the step above e For your next dose be sure to firmly push and hold the injection button in and slowly count to 5 before removing needle from skin See the complete BYETTA Medication Guide that comes with BYETTA For more information call toll free 1 800 236 9933 or visit www BYETTA com Distributed by AstraZeneca Pharmaceuticals LP Wilmington DE 19850 BYETTA is a registered trademark of the AstraZeneca group of companies 3107019 3 15 Revised February 2015 BYETTA exenatide injection 18 PEN USER MANUAL BYETTA exenatide injection 250 mcg mL 2 4 mL 10 mcg 10 mcg PEN USER MANUAL Do not share your BYETTA Pen with other people even if the needle has been changed You may give other people a serious infection or get a serious infection from them Section 1 Read this section completely before you begin Then move on to Section 2 Getting Started WHAT YO
11. can be used with my BYETTA Pen e Pen needles are not included with your pen You may need a prescription to get them from your pharmacist e Use 29 thin 30 or 31 thinner gauge disposable pen needles with your BYETTA Pen Ask your healthcare provider which needle gauge and length is best for you Do I use a new needle for each injection e Yes Do not reuse or share your needles with other people You may give other people a serious infection or get a serious infection from them e Remove the needle from the pen immediately after you complete each injection This will help prevent leakage of BYETTA keep out air bubbles reduce needle clogs and decrease the risk of infection e Do not push the injection button on your pen unless a needle is attached to the pen BYETTA exenatide injection 19 How do I throw away my needles e Do not throw away the pen with a needle attached e Place used needles in a closeable puncture resistant container You may use a sharps container such as a red biohazard container a hard plastic container such as a detergent bottle or a metal container such as an empty coffee can Ask your healthcare provider for instructions on the right way to throw away dispose of your used pens and the container There may be state and local laws about how you should throw away used pens and needles e Do not throw the disposal container in the household trash Do not recycle e Always keep the puncture proof c
12. container such as a detergent bottle or a metal container such as an empty coffee can Ask your healthcare provider for instructions on the right way to throw away dispose of your used pens and the container There may be state and local laws about how you should throw away used pens and needles e Do not throw the disposal container in the household trash Do not recycle e Always keep the puncture proof container out of reach of children Do not share your BYETTA Pen with other people even if the needle has been changed You may give other people a serious infection or get a serious infection from them STORING YOUR BYETTA PEN How do I store my BYETTA Pen e Prior to first use store your unused BYETTA Pen in the original carton in a refrigerator at 36 F to 46 F 2 C to 8 C e After first use your BYETTA Pen can be kept at a temperature not to exceed 77 F 25 C e Do not freeze Do not use BYETTA if it has been frozen BYETTA should be protected from light ee oe le the pen away from home store the pen at a temperature between 36 F to 77 F 2 C to 25 C and eep dry e Do not store the pen with the needle attached If the needle is left on the pen BYETTA may leak from the pen and air bubbles may form in the cartridge Keep your pen and needles out of the reach of children How long can I use a BYETTA Pen e You can use your BYETTA Pen for up to 30 days after setting up a new pen for first use After 30 days thro
13. dose knob Check the symbol in the dose window Follow the steps next to the matching symbol If is in the dose window e Pull the dose knob out until appears If is in the dose window and the dose knob will not turn e The cartridge in your BYETTA Pen may not have enough medicine to deliver a full dose A small amount of BYETTA will always stay in the cartridge If the cartridge contains a small amount and the dose knob will not turn your pen does not have enough BYETTA and will not deliver any more doses Obtain a new BYETTA Pen If and part of are in the dose window and the dose knob cannot be pushed in e The dose knob was not turned all the way Continue turning the dose knob away from you until is in the center of the dose window If part of and part of 4 are in the dose window and the dose knob cannot be pushed in e The needle may be clogged bent or incorrectly attached e Attach a new needle Make sure needle is on straight and screwed on all the way e Firmly push the injection button in all the way BYETTA should come from needle tip If is in the dose window and the dose knob will not turn e The injection button was not pushed in all the way and a complete dose was not delivered Talk with your healthcare provider about what to do about a partial dose e Follow these steps to reset your pen for your next injection e Firmly push the injection button in all the way until it stops Keep holding the inject
14. efore 30 days of use e Turn dose knob away from you until it stops and the is in the dose window You are now ready for your first dose of BYETTA Go to Section 3 Step 3 for instructions on how to inject your first routine dose Note If you cannot turn the dose knob see Commonly Asked Questions number 7 in Section 4 of user manual Section 3 STEP 1 Check the Pen Check BYETTA in the cartridge The liquid should be clear colorless and free of particles If it is not do not use e Wash hands prior to use e Check pen label to make sure it 0 is your 10 mcg pen e Pull off the blue pen cap STEP 2 Attach the Needle Pull off outer needle shield Do not throw away e Remove paper tab from outer needle shield e Push outer needle shield containing the needle straight onto pen then screw needle on until secure STEP 3 Dial the Dose Pull dose knob out until it stops and the is in the dose window e Check that the is in the dose window If not turn dose knob away from you clockwise until it stops and the is in the dose window Now that you have done the one time only new pen setup follow Section 3 for all of your injections ROUTINE USE Note A small air bubble will not harm you or affect your dose Pull off inner needle shield and throw away A small drop of liquid may appear This is normal Turn dose knob away from you until it stops at 10
15. he pen e This BYETTA Pen is not recommended for use by people who are blind or have vision problems without the help of a person trained in the proper use of the pen e Follow the injection method explained to you by your healthcare provider e Follow Section 2 only to set up a new pen before first use e Section 3 of this manual should be used for every injection ABOUT PEN NEEDLES What kinds of needles can be used with my BYETTA Pen e Pen needles are not included with your pen You may need a prescription to get them from your pharmacist e Use 29 thin 30 or 31 thinner gauge disposable pen needles with your BYETTA Pen Ask your healthcare provider which needle gauge and length is best for you Do I use a new needle for each injection e Yes Do not reuse or share your needles with other people You may give other people a serious infection or get a serious infection from them e Remove the needle from the pen immediately after you complete each injection This will help prevent leakage of BYETTA keep out air bubbles reduce needle clogs and decrease the risk of infection e Do not push the injection button on your pen unless a needle is attached to the pen BYETTA exenatide injection 13 How do I throw away my needles e Do not throw away the pen with a needle attached e Place used needles in a closeable puncture resistant container You may use a sharps container such as a red biohazard container a hard plastic
16. in the cartridge Do not store the pen with the needle attached 3 What should I do if BYETTA does not come out of the needle tip after four tries during One Time Only New Pen Setup e Carefully put the outer needle shield back over the needle Remove the needle by unscrewing it Throw away the needle properly e Attach a new needle and repeat One Time Only New Pen Setup Steps B E in Section 2 of this user manual Once you see several drops or a stream of liquid coming out of the tip of the needle the setup is complete BYETTA exenatide injection 17 4 Why do I see BYETTA leaking from my needle after I have finished my injection It is normal for a single drop to remain on the tip of your needle after your injection is complete If you see more than one drop e You may not have received your full dose Do not inject another dose Talk with your healthcare provider about what to do about a partial dose e To make sure that you get your full dose when you take your injections firmly push and hold the injection button in and slowly count to 5 see Section 3 Step 4 Inject the Dose 5 How can I tell when the injection is complete The injection is complete when e You have firmly pushed the injection button in all the way until it stops and e You have slowly counted to 5 while you are still holding the injection button in and the needle is still in your skin and e The 4 is in the center of the dose window If you hear a click sound
17. ion button in and slowly count to 5 Then release the injection button and turn the dose knob away from you until appears in the dose window e If you cannot turn the dose knob the needle may be clogged Replace the needle and repeat the step above e For your next dose be sure to firmly push and hold the injection button in and slowly count to 5 before removing needle from skin See the complete BYETTA Medication Guide that comes with BYETTA For more information call toll free 1 800 236 9933 or visit www BYETTA com Distributed by AstraZeneca Pharmaceuticals LP Wilmington DE 19850 BYETTA is a registered trademark of the AstraZeneca group of companies 3107019 3 15 Revised February 2015
18. knob or if your pen leaks your full dose has not been delivered See Commonly Asked Questions numbers 4 and 7 in Section 4 of this user manual Unscrew the needle e Carefully put the outer needle shield back over the needle e Remove the needle after each injection STEP 7 Store Pen for Next Dose e Replace Blue Pen Cap on pen before storage e Store your BYETTA Pen at a temperature between 36 F to 77 F 2 C to 25 C See Storing Your BYETTA Pen in Section 1 of this user manual for complete storage information e When it is time for your next routine dose go to Section 3 Step 1 and repeat Steps 1 7 Section 4 Throw away needles in a puncture resistant container Or as recommended by your healthcare provider COMMONLY ASKED QUESTIONS 1 Do I need to do the One Time Only New Pen Setup before every dose e No The One Time Only New Pen Setup is done only once just before each new pen is used for the first time e The purpose of the setup is to make sure that your BYETTA Pen is ready to use for the next 30 days e If you repeat the One Time Only New Pen Setup before each routine dose you will not have enough BYETTA for 30 days The small amount of BYETTA used in the new pen setup will not affect the 30 day supply of BYETTA 2 Why are there air bubbles in the cartridge e A small air bubble is normal It will not harm you or affect your dose e Ifthe pen is stored with a needle attached air bubbles may form
19. ontainer out of reach of children Do not share your BYETTA Pen with other people even if the needle has been changed You may give other people a serious infection or get a serious infection from them STORING YOUR BYETTA PEN How do I store my BYETTA Pen e Prior to first use store your unused BYETTA Pen in the original carton in a refrigerator at 36 F to 46 F 2 C to 8 C e After first use your BYETTA Pen can be kept at a temperature not to exceed 77 F 25 C e Do not freeze Do not use BYETTA if it has been frozen BYETTA should be protected from light e When carrying the pen away from home store the pen at a temperature between 36 F to 77 F 2 C to 25 C and keep dry e Do not store the pen with the needle attached If the needle is left on the pen BYETTA may leak from the pen and air bubbles may form in the cartridge Keep your pen and needles out of the reach of children How long can I use a BYETTA Pen e You can use your BYETTA Pen for up to 30 days after setting up a new pen for first use After 30 days throw away the BYETTA Pen even if it is not completely empty e Mark the date when you first used your pen and the date 30 days later in the spaces below Date of First Use Date to Throw Away Pen e BYETTA should not be used after the expiration date printed on the pen label How do I clean my BYETTA Pen e Wipe the outside of the pen with a clean damp cloth e White particles may appear on the outside tip
20. pear This is the needle straight onto pen then normal screw needle on until secure STEP 3 Dial the Dose Checkthatihe l isinthe e Pull dose knob out until e Turn dose knob away from dose window If not turn it stops and the is in the you until it stops at 5 dose knob away from you dose window Make sure that the 5 with the clockwise until it stops and line under it is in the center of the ZJ is in the dose window the dose window Note If you cannot turn the dose knob away from you to the 5 see Commonly Asked Questions number 7 in Section 4 of this user manual BYETTA exenatide injection 16 STEP 4 Inject the Dose g da e Grip pen firmly PUSH amp HOLD e Injection is complete when the e Insert needle into skin e Use thumb to firmly push 4 is in the center of the dose using the under the skin subcutaneous injection method explained by your healthcare provider injection button in until it stops Continue holding in the injection button while slowly counting to 5 to get a full dose e Remove needle from skin Note If you see several drops of BYETTA leaking from the needle after the injection you may not have received a complete dose See Commonly Asked Questions number 4 in Section 4 of this user manual window e The pen is now ready to reset STEP 5 Reset the Pen e Turn dose knob away from you until it stops and the is in the dose window Note If you cannot turn the dose
21. throw away A small drop e Push outer needle shield of mle may appear This is normal containing the needle straight onto the pen then screw needle on until secure STEP C Dial the Dose s Checletharthes l eine e Pull dose knob out until it e Turn dose knob away from dose window If not turn stops and the is in the you until it stops at 10 dose knob away from you dose window Make sure that the 10 with clockwise until it stops and the line under it is in the the is in the dose window center of the dose window Note If you cannot turn the dose knob away from you to the 10 see Commonly Asked Questions number 7 in Section 4 of this user manual STEP D Prepare the Pen e Point the needle of the pen up PUSH amp HOLD e Pen preparation is complete and away from you e Use thumb to firmly push when the 4 is in the center injection button in until it of the dose window AND you stops then continue holding the have seen a stream or several injection button in while slowly counting to 5 e If you do not see a stream or several drops come from the needle tip repeat Steps C amp D Note If you do not see liquid after 4 times see Commonly Asked Questions number 3 in Section 4 of this user manual drops come from the needle tip BYETTA exenatide injection 21 STEP E Complete New Pen Setup e For routine use do not repeat this one time only new pen setup If you do i you will run out of BYETTA b
22. w away the BYETTA Pen even if it is not completely empty e Mark the date when you first used your pen and the date 30 days later in the spaces below Date of First Use Date to Throw Away Pen e BYETTA should not be used after the expiration date printed on the pen label How do I clean my BYETTA Pen e Wipe the outside of the pen with a clean damp cloth e White particles may appear on the outside tip of the cartridge during normal use You may remove them with an alcohol wipe or alcohol swab See the complete BYETTA Medication Guide that comes with BYETTA For more information call toll free 1 800 236 9933 or visit www BYETTA com Section 2 Read and follow the directions in this section only after you ve read Section 1 What You Need To Know About Your BYETTA Pen GETTING STARTED Set up your new pen just before you use it the first time For routine use do not repeat this one time only new pen setup If you do you will run out of BYETTA before 30 days of use Blue Pen Cap Cartridge BYETTA Label Dose Dose Injection Liquid Window Knob Button Pen Needles Not Included ready to pull dose knob out EF Ready to turn to dose position 5 ready to inject 5 mcg Outer Inner Needle Paper 4 dose knob pushed in and Needle Needle Tab ready to reset Shield Shield STEP A Check the Pen BYETTA exenatide injection 14 ONE TIME ONLY NEW PEN SETUP Wash hands prior to use Check pen label to make sure
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