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Pen needles and syringes

Pen needles and insulin syringes are free through the NDSS for registered people who use insulin. Here are the brands and sizes on the scheme, the limits, the access form, and how to get the most from every needle.

Free for people who use insulin

State and territory governments cover the NDSS co-payment on pen needles and syringes, so they cost nothing for registered people who use insulin, whatever card you hold. They come through an NDSS Access Point, usually a community pharmacy. For PDC clients that is Bedford Pharmacy 777, and they can go in your BlueLoop box.

Pharmacist working at the Pharmacy 777 dispensary counter

PHOTO NEEDED · Pharmacist at the Bedford Pharmacy 777 counter handing a client boxes of pen needles, client's face visible, no patient details on screen. Landscape 4:3.

Credentialled diabetes educator holding a diabetes education resource

PHOTO NEEDED · A client and a credentialled diabetes educator at a clinic desk, the educator holding an insulin pen with a pen needle attached, both faces visible. Landscape 4:3.

No cost, whatever your card

There is no co-payment on pen needles or syringes. General, concession and DVA registrants all pay nothing, up to 1,200 in any 180-day period.

PHOTO NEEDED · Three pen needles of different lengths lined up beside a ruler on a white bench, no brand names readable. Landscape 4:3.

Shorter is usually enough

A 4mm pen needle reaches the fat layer under the skin for most adults and children, whatever their body size. Longer needles are more likely to reach muscle.

Dropping a used pen needle into a sharps container

PHOTO NEEDED · A used pen needle being dropped into a yellow sharps container on a kitchen bench. Landscape 4:3.

One needle, one injection

A new needle every time keeps injections comfortable. A reused needle blunts, bends and can leave lumps under the skin.

Pen needles and syringes on the NDSS

Every brand on the July 2026 NDSS order form, with the lengths it comes in. All are single use, 100 to a box, and free for registered people who use insulin.

PHOTO NEEDED · A box of Embecta (BD) pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Embecta (BD)

BD Micro-Fine and Ultra-Fine

Pen needles from 4mm to 12.7mm, in 29G to 32G. The 4mm and 5mm are the Ultra-Fine range.
4, 5, 6, 8, 12.7mm
Free
View in shop →

PHOTO NEEDED · A box of NovoFine pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Novo Nordisk

NovoFine

Pen needles in 4mm, 6mm and 8mm. The 4mm and 6mm are 32G, the 8mm is 30G.
4, 6, 8mm
Free
View in shop →

PHOTO NEEDED · A box of Unifine Pentips pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Ascensia

Unifine Pentips and Pentips Plus

Pentips in 4mm to 8mm. Pentips Plus, in 4mm and 5mm, have a built-in chamber that removes and holds the used needle.
4, 5, 6, 8mm
Free
View in shop →

PHOTO NEEDED · A box of mylife Clickfine pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Point of Care Diagnostics

mylife Clickfine

Clickfine Diamond in 4mm, 6mm and 8mm, and Clickfine in 5mm.
4, 5, 6, 8mm
Free
View in shop →

PHOTO NEEDED · A box of Insupen Advanced pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Point of Care Diagnostics

Insupen Advanced

The shortest needle on the scheme at 3.5mm, plus 4mm, 5mm and 6mm, in 31G to 34G.
3.5, 4, 5, 6mm
Free
View in shop →

PHOTO NEEDED · A box of Droplet pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Point of Care Diagnostics

Droplet

Pen needles in 4mm, 5mm, 6mm and 8mm at 32G, plus a 12mm at 29G.
4, 5, 6, 8, 12mm
Free
View in shop →

PHOTO NEEDED · A box of Drew's Daily Dose pen needles beside an insulin pen, product clearly shown. White background, 1200px wide.

Harvest Health

Drew's Daily Dose

Eight sizes from 4mm to 8mm, in 30G to 33G, the widest choice of any brand on the scheme.
4, 5, 6, 8mm
Free
View in shop →

PHOTO NEEDED · A box of BD Ultra-Fine insulin syringes with one syringe beside an insulin vial, product clearly shown. White background, 1200px wide.

Embecta (BD)

BD Ultra-Fine insulin syringes

For drawing insulin from a vial. 0.3, 0.5 and 1.0 mL, with a 6mm or 8mm needle, all 31G. They share the 1,200 limit with pen needles.
0.3, 0.5, 1.0 mL
Free
View in shop →

Who can get them

Pen needles and syringes follow from your NDSS registration, as long as the NDSS knows you use insulin. These are the rules as published in July 2026.

You use insulin and are registered
+

You can get free pen needles and syringes at any NDSS Access Point. Show your NDSS card, or your Medicare card if the NDSS card has not arrived yet.

You started insulin after you registered
+

Tell the NDSS first. Your health professional completes a Syringe or Pen Needle Access Form (NDSSFRM009) and can submit it online, or you can send a copy of your original insulin prescription. Once access is approved, you can order.

Who can certify the access form
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A health professional with a current Medicare provider number, a credentialled diabetes educator with a current ADEA CDE number, or a practice nurse with current Ahpra registration.

You use a non-insulin injectable
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The July 2026 access form lists insulin as the only approved medicine. Needles for other injectable diabetes medicines are not supplied free through the NDSS. Ask our pharmacy what comes in the pack and what you may need to buy.

How many you can get
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Up to 1,200 pen needles and syringes combined in any 180-day period. If you need more, call the NDSS Helpline on 1800 637 700 to discuss it.

Not registered yet
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Registration is free and lasts for life. Your GP, practice nurse, nurse practitioner, endocrinologist, credentialled diabetes educator or Aboriginal health practitioner registers you. You need a Medicare or DVA card, or to be eligible for one.

Pen needles at a glance
Cost
Free, no co-payment
Limit
1,200 per 180 days
Access form
NDSSFRM009
Helpline
1800 637 700

Based on NDSS guidance updated July 2026, checked 19 September 2026 and reviewed monthly.

Started insulin recently?

Our credentialled diabetes educators can certify your access form and check your injection technique in the same appointment.

Book a CDE consult

Injecting with a pen

Insulin works best in the fat layer under the skin. The needle length decides where it goes, and a few habits make every injection more comfortable and more reliable.

Cross-section of skin, fat and muscle. A 4mm pen needle ends in the fat layer, an 8mm needle ends deeper in the fat, and a 12.7mm needle can reach the muscle.SkinFat layerInsulin goes hereMuscleAvoid4mm8mm12.7mmMost peopleIf fat is thickCan reach muscleCross-section of skin, fat and muscle. A 4mm pen needle ends in the fat layer, an 8mm needle ends deeper in the fat, and a 12.7mm needle can reach the muscle.SkinFat layerInsulin goes hereMuscleAvoid4mm8mm12.7mm4mm: fat layer for most people8mm: fat, if the layer is thick enough12.7mm: can reach muscle

Illustrative only. Skin is about 2mm thick in most adults. The fat layer varies from person to person and from site to site.

1

Attach a new needle

Use a new pen needle for every injection. Remove both caps, and keep the outer cap to unscrew the needle afterwards.

2

Do a safety shot

Dial 2 units and press them into the air to check insulin is flowing, then dial your dose.

3

Inject straight in, then count to 10

Insert the needle at 90 degrees, press the button all the way, and count slowly to 10 before you remove it.

4

Remove the needle straight away

Unscrew the needle after each injection and put it in an approved sharps container. Leaving it on lets air in and insulin leak out.

Choosing a needle

Most people do well on a short needle. These are the points our diabetes educators check at an injection review.

Length
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A 4mm pen needle, inserted at 90 degrees, reaches the fat layer for most adults and children whatever their body size. International injection guidelines recommend it as the starting length.

When to lift a skin fold
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Young children and very lean adults may need a gently lifted skin fold, even with a 4mm needle. With longer needles a lift, or an angled injection, matters more. Your educator will show you.

Gauge
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The higher the gauge, the thinner the needle, so 32G is thinner than 29G. Thinner needles can feel more comfortable. All syringes on the scheme are 31G.

Rotate your sites
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Move each injection about a finger width from the last, and work around the tummy in a pattern. Injecting into the same spot causes firm lumps called lipohypertrophy.

If you find a lump
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Insulin is absorbed unpredictably from a lump, which can cause highs and lows. Avoid the area until it settles, and ask your educator to check your sites.

If an injection stings
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Let the insulin reach room temperature and check you are using a new needle. Some people find a slightly longer needle, such as 5mm or 6mm instead of 4mm, helps.

Sizes on the NDSS
Shortest
3.5mm, Insupen
Most brands
4mm to 8mm
Longest
12.7mm, BD Micro-Fine
Gauges
29G to 34G
Syringes
0.3, 0.5 and 1.0 mL

Need a sharps container?

Used needles go in an approved sharps container. Ask our team at Bedford Pharmacy 777, or call the NDSS Helpline on 1800 637 700.

Call Bedford Pharmacy 777

Frequently asked questions

What people usually ask about pen needles and syringes.

Are pen needles really free?
+

Yes, for people registered with the NDSS who use insulin. State and territory governments cover the co-payment, so there is nothing to pay up to 1,200 in any 180-day period.

Do I need a new needle every time?
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Yes. Pen needles are single use. A reused needle is blunter, can hurt and bruise, and adds to the risk of lumps under the skin.

Will any pen needle fit my insulin pen?
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Most pen needles use a standard thread and fit most insulin pens. The box lists the pens it fits, and our pharmacy team can check yours.

I use a GLP-1 or other non-insulin injectable. Can I get needles through the NDSS?
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Not at the moment. The July 2026 NDSS access form lists insulin as the approved medicine. Ask our pharmacy what comes with your pen and what you may need to buy.

How do I get rid of used needles?
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Put them in an approved sharps container, never in glass, cardboard, tins or plastic bottles. Take full containers to a designated disposal point, such as some public hospitals, participating pharmacies and medical centres, community sharps bins and some councils.

What length should I use?
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For most adults and children a 4mm pen needle is enough. If you are on a longer needle, or have lumps at your sites, ask your diabetes educator to review your technique before changing.

Sources

[1] National Diabetes Services Scheme. Pen needles and syringes; Subsidised products. ndss.com.au, pages updated July 2026, checked 19 September 2026.

[2] National Diabetes Services Scheme. Syringe or Pen Needle Access Form, NDSSFRM009, and Pen Needles/Syringes order form, NDSSFRM013, both version July 2026.

[3] National Diabetes Services Scheme. All about insulin fact sheet, version 1.0.0, 1 July 2026; NDSS Youth Zone, Insulin. Injection sites, rotation, lipohypertrophy, safety shot and sharps disposal.

[4] Frid AH, Kreugel G, Grassi G, et al. New insulin delivery recommendations. Mayo Clinic Proceedings 2016;91(9):1231-1255. International evidence on 4mm pen needles, skin folds and site rotation.

General information only, based on NDSS guidance checked 19 September 2026. NDSS rules and product lists change, so the NDSS Helpline on 1800 637 700 has the final word on your eligibility.

Starting insulin, or not sure your needle is right?

Book with one of our credentialled diabetes educators. We can certify your NDSS access form, check your injection sites and technique, and help you choose a needle. BlueLoop members get their pen needles in one box.

Or go straight to a service

Phone (08) 6110 0570 · NDSS products supplied by Bedford Pharmacy 777 · Medicare, NDIS, DVA and private options across our services

For GPs, endocrinologists and nurse practitioners

Starting a patient on insulin?

Use our online referral form and tick Diabetes Education. Our credentialled diabetes educators teach injection technique, certify the Syringe or Pen Needle Access Form, and send a summary back to you.