One of the quirks of buying brand name GLP1s in the US is that we don't get the dial-a-dose pens, every autopen is one-shot. Some people disassemble them to get multiple doses, but at that point you might as well get the cheaper brand name vials or go with compound or gray.
When I was on Ozempic in the US (Bay Area), it was a dial-a-dose Ozempic branded pen. Came with 4-6 single use needles you’d screw onto the end before use, and discard into a sharps bin after.