that prints the label directly onto the flap substrate 10 or some combination of such apparatus as would be within the capabilities of persons skilled in the art once they understand the principles of this invention an optical sensor not shown is used to detect whether a label has been affixed to the substrate 10 at the label station 80 a microprocessor not shown can be used to keep count of labels properly affixed and or activate an alarm and or shut down the apparatus 70 if a label is not detected on a substrate where a label is supposed to be affixed for a syringe s that has advanced to the fill station 90 the cap c not shown in fig5 is removed by a cap handling apparatus 110 then a liquid dispensing apparatus 120 is connected to the luer l not shown in fig5 of the syringe s to dispense liquid medication into the syringe s and the pump 93 or other suitable liquid metering or control apparatus is actuated to move the medication 91 from the container 92 into the syringe s when the syringe s is filled with the desired volume of fluid as sensed for example by a proximity sensor that senses the corresponding desired position of the plunger p not shown in fig4 of the syringe s the pump 93 or other suitable liquid metering or control apparatus is deactuated then the liquid dispensing apparatus 120.