A pen needle shield assembly comprising a hub fixed to a needle cannula, and a movable shield surrounding the hub, the movable shield comprising an upper portion having an outer diameter, a lower portion having an outer diameter greater than the outer diameter of the upper portion, and a distal opening, wherein the movable shield moves from a first position where the needle cannula is retracted in the movable shield prior to use, to a second position where the needle cannula is extended out of the movable shield through the distal opening for medication delivery and to a third position where the needle cannula is retracted in the movable shield and locked to prevent further use.