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Humalog KwikPen - Example Usage Tracking

Humalog KwikPen
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Example:
Pen 1 - First used on _______ + 28 days = Throw out on ______
Date Date
Pen 1 - First used on _______ Throw out on _______
Date Date
Pen 2 - First used on _______ Throw out on _______
Date Date
Pen 3 - First used on _______ Throw out on _______
Date Date
Pen 4 - First used on _______ Throw out on _______
Date Date
Pen 5 - First used on _______ Throw out on _______
Date Date
If you have any questions or problems with your HUMALOG KwikPen, contact Lilly at
1-800-Lilly-Rx (1-800-545-5979) or call your healthcare provider for help. For more
information on HUMALOG KwikPen and insulin, go to www.humalog.com.
These Instructions for Use have been approved by the U.S. Food and Drug
Administration.
Humalog
®
and Humalog
®
KwikPenare trademarks of Eli Lilly and Company.
Marketed by: Lilly USA, LLC
Indianapolis, IN 46285, USA
Copyright © 2007, 2013, Eli Lilly and Company. All rights reserved.
Humalog KwikPen meets the current dose accuracy and functional requirements of
ISO 11608-1:2000.
Revised: January 30, 2013
PV 5594 AMP

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