HumatroPen® 12 mg MS9561

GUDID 30300029561010

HumatroPen 12 mg is a reusable pen injector intended for use with Humatrope 12 mg cartridges

ELI LILLY AND COMPANY

Cartridge-accepting autoinjector, mechanical

• Primary Device ID: 30300029561010
• NIH Device Record Key: fd1a56be-1783-49fc-96a3-fe8be718cc05
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: HumatroPen® 12 mg
• Version Model Number: MS9561
• Catalog Number: MS9561
• Company DUNS: 006421325
• Company Name: ELI LILLY AND COMPANY
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: false
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: false
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: false
• RX Perscription: true
• OTC Over-The-Counter: false

Customer Support Contacts

• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx
• Phone: 800-545-5979
• Email: xxx@xxx.xxx

Device Identifiers

Device Issuing Agency	Device ID
GS1	00300029561019 [Primary]
GS1	30300029561010 [Package]; Contains: 00300029561019; Package: Case [20 Units]; In Commercial Distribution

FDA Product Code

• FMF: Syringe, Piston

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: false

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2019-09-24
• Device Publish Date: 2019-09-16

Devices Manufactured by ELI LILLY AND COMPANY

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• 00300021283551 - Lilly Together: 2024-08-05 Software as a medical device (SaMD) for some Lilly medicines which provides access to medication reminders and customer support
• 00300021284558 - Lilly Together: 2024-08-05 Software as a medical device (SaMD) for some Lilly medicines which provides access to medication reminders and customer support
• 00300021176556 - Lilly Together: 2024-03-19 Software as a medical device (SaMD) for some Lilly medicines which provides access to medication reminders and customer support
• 00300021177553 - Lilly Together: 2024-03-19 Software as a medical device (SaMD) for some Lilly medicines which provides access to medication reminders and customer support
• 00300021174552 - Lilly Together: 2024-02-26 Software as a medical device (SaMD) for some Lilly medicines which provides access to medication reminders and customer support
• 00300021175559 - Lilly Together: 2024-02-26 Software as a medical device (SaMD) for some Lilly medicines which provides access to medication reminders and customer support