Pilot Dr. Grip Center of Gravity Retractable Ball Point Pen 36181, 1.0mm Medium Pt., Blue Grip, Black Ink, One Pen with Three Packs of Refills Deal includes: 1 Ea Dr Grip Center of Gravity Pen with Blue Grip and 3 packs of refills with 2 refills per pack (6 total refills). Both pen and refills are 1.0mm medium point with black ink. Dr. Grip Center of Gravity pen is designed with perfect weight distribution for a Balanced writing experience. Geometrically contoured wide double layer grip and balanced gripping axis reduce writing stress and alleviate hand fatigue Turbo Charged ink for ultra-smooth writing performance.