An institutional unit for a
drug delivery device, the institutional unit comprising a housing (10), a
piston rod (30), and a
dose setting and driving mechanism configured to perform a
dose setting operation and a
dose delivery operation by transmitting a delivery force to the
piston rod (30) so as to drive the
piston rod (30) in a distal direction during the
dose delivery operation, wherein the dose setting and driving mechanism includes a first driving member (40a), a second driving member (40b), and an adapter mechanism having at least two different states: a setting state and a delivery state, wherein, in the setting state, the second driving member (40b) is rotationally fastened relative to the housing (10) at least against rotation in the delivery direction, and wherein, in the delivery state, the second driving member (40b) is rotatable relative to the housing (10) in the delivery direction, wherein, in the setting state, the first driving member (40a) is rotatable relative to the second driving member (40b) at least in the delivery direction, and wherein, in the delivery state, the second driving member (40b) is rotationally locked to the first driving member (40a) at least against rotation of the second driving member (40b) relative to the first driving member (40a) in the delivery direction.