A drug delivery device monitoring system is provided. The system includes a drug delivery device having a visually-identifiable feature reflecting a state or an indicia of the drug delivery device; an electronic recordation device configured to capture an image of the visually-identifiable feature and generate image data therefrom; and a computing system operable to perform image analysis on the image data to generate interpreted data therefrom. The interpreted data is provided to a stakeholder monitoring the drug delivery device.