Abstract: An injection device medication delivery pen is provided for injecting fluids such as insulin within body tissue. The device includes a housing, a piston rod movably mounted within the housing, and a dose setting mechanism for controlling the movement of the piston rod with respect to a fluid containing cartridge removably positioned within the housing. The piston rod includes a plunger and a lead screw slidably positioned within the plunger. The plunger and lead screw are coupled by a pair of half nuts. The half nuts may be uncoupled from the lead screw in order to allow it to slide freely with respect to the plunger. A new cartridge may accordingly be installed quickly and easily as the lead screw is easily displaced by a new cartridge.