Actamera and my medicine Kevzara are hard to find in the auto injection pen. Company having trouble getting workers to make the pen. But I found out that the Kevzara also comes In a syringe form. I have to have someone inject for me because of my hands. It's better than waiting another 3 to 4 month for pen.
I also use a specialty pharmacy CVS. They r the ones to tell me about injection not my Rheumatologist. Really peeved me off he would let me sit another, how ever long it will take to get pens back in stick.
Sometimes it's nice if u can have a great relationship with your pharmacist. Get better answers.
Hope that helped

I order from Optum specialty pharmacy. Mail order and arrives within a couple of days