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Yes, diabetic pen needles are available over the counter. They can be purchased at most pharmacies and do not require a prescription. However, it is always advisable to consult with a healthcare provider to ensure the correct type and size are being used.

Insulin pens typically do not come with needles included. Needles are usually purchased separately and are designed to be attached to the pen for each injection. It is important to use a new needle for each injection to ensure safety and effectiveness.

Trulicity comes as a pre-filled, single-use pen that already has a built-in needle. Therefore, it does not require a separate pen needle for administration.

Not all insulin pen needles are universally compatible with every insulin pen. Compatibility depends on the specific brand and model of both the insulin pen and the needle. It is important to check the manufacturer's guidelines or consult with a healthcare provider to ensure the correct needle is used with a particular insulin pen.