How many pens of glargine (insulin glargine) are in a standard box?

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Glargine Insulin Pen Packaging

Standard insulin glargine pens are packaged in boxes of 5 pens, with each pen containing 300 units (3 mL of U-100 insulin). 1

Standard Packaging Configuration

  • Box quantity: 5 prefilled pens per box 1
  • Pen capacity: 300 units per pen 2, 3
  • Total units per box: 1,500 units (5 pens × 300 units)

Concentrated Formulations

For U-300 glargine (Toujeo®), the packaging differs:

  • U-300 glargine is supplied in prefilled devices packaged in boxes of 3 or 5 pens 4
  • Each U-300 pen contains 450 units (1.5 mL of U-300 insulin, equivalent to 450 units of U-100 insulin) 5, 6

Clinical Context

The standard 5-pen box configuration applies to:

  • U-100 glargine vials and prefilled pens 1
  • U-100 glargine biosimilar/follow-on products (such as Basaglar) 1, 7

This packaging is consistent across the American Diabetes Association guidelines, which note that pricing calculations are based on these standard box quantities when determining monthly medication costs. 1

Important Distinction

U-300 glargine (Toujeo®) is NOT bioequivalent to U-100 glargine (Lantus®), and switching between formulations requires dose adjustment and reinforced blood glucose monitoring. 5 The U-300 formulation typically requires slightly higher daily insulin doses compared to U-100 formulations. 6, 8

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Maximum Insulin Dose in Pen Devices: Safety and Effectiveness Considerations

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Insulin Pen Requirements for Daily Dosage

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Insulin glargine 300 units/mL: A new basal insulin product for diabetes mellitus.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2016

Research

[INSULIN GLARGINE 300 U/mL (TOUJEO®)].

Revue medicale de Liege, 2016

Guideline

Cost of Basaglar (Insulin Glargine) in the United States

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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