A drug delivery device having a dose expulsion control mechanism, the drug delivery device comprising:
- a barrel including a proximal end and a distal end;
- a plunger rod extending into the barrel through an opening at the proximal end of the barrel, the plunger rod including a depressor and a projection having a longitudinal length defined between a proximal portion and a distal portion, the distal portion including a distally-facing surface, the projection protruding radially outward from a central longitudinal axis of the drug delivery device;
- and
- a flange removably coupled to and capping the proximal end of the barrel, the flange including a body having a one-piece construction, and an opening with a circumference that is fully enclosed by the body, the body including a channel, a first surface, and a second surface that is distal of the first surface, wherein the first surface and the second surface define interfaces for engaging the distally-facing surface such that the body is only configured for two longitudinal and distally-directed strokes of the plunger rod that are inhibited by the flange;
- wherein the distal portion of the projection is positioned external from the body of the flange prior to an initial stroke of the plunger rod that transitions the drug delivery device from an initial configuration to a primed configuration;
- wherein rotating the plunger rod about the central longitudinal axis after the initial stroke transitions the drug delivery device from the primed configuration toward a dosage delivery configuration, and wherein, in the primed configuration, the distally-facing surface abuts the first surface such that the flange blocks distal movement of the distal portion of the projection to limit distal movement of the plunger rod, and in the dosage delivery configuration, the flange allows distal movement of the distal portion of the projection relative to the channel to allow the plunger rod to move a dosage delivery distance until the distally-facing surface abuts the second surface, wherein the second surface defines a closed distal end of the channel, the flange is configured to inhibit distal movement and rotation of the plunger rod relative to the barrel when the distal portion of the projection is positioned against the closed distal end of the channel;
- wherein the distal portion of the projection is visible from an exterior of the flange when the distally-facing surface abuts at least one of the first surface or the second surface, and the proximal portion of the projection is longitudinally spaced from the first surface when the distally-facing surface abuts the second surface such that the proximal portion is positioned outside the body of the flange and proximal to the opening of the flange.