There isn’t much competition for the anaphylactic giant. Last October, a device called Auvi-Q was discontinued after reports that it failed to deliver consistent amounts of epinephrine. There is a cheaper alternative available called Adrenaclick, which costs $142 for two pens with a coupon at Walmart and Sam’s Club, according to Consumer Reports, but is administered slightly differently than EpiPens. EpiPens require a simple cap removal, whereas Adrenaclick has two caps that must be removed. Barbara Young, a pharmacist from the American Society of Health-System Pharmacists, recommends that patients seek training before administering Adrenaclick. EpiPens also require some training, but are simple enough that a child can generally learn to use it on their own, according to Consumer Reports.