The 5 pack Omnitrope 10 mg cartridge does come with the SurePal Pen with your 1st order.
5 x Omnitrope cartridges 10mg 30IU (90IU total) comes in 1 box with 5 cartridges. Omnitrope is made by Sandoz and is a FDA approved Human Growth Hormone. Like all other FDA approved human growth hormone (HGH), Omnitrope is a 191 amino acid chain. Omnitrope comes in a reconstituted (pre-mixed) cartridge. If you don't have a the SurePal pen, you can use a diabetic needle to extract and inject instantly.