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RE: [IP] Medco Insulin delivery

How should I store HUMALOG?
 Store all unopened (unused) HUMALOG in the original carton in a
refrigerator at 360F to 460F (20C to 80C).
 Do not freeze. Do not use HUMALOG if it has been frozen.
 Keep unopened HUMALOG in the carton to protect from light.
After starting use (open)

 Keep in the refrigerator or at room temperature below 860F (300C) for up
to 28 days.
 Keep vials away from direct heat or light.
 Throw away an opened vial after 28 days of use, even if there is insulin
left in the vial.
 Unopened vials can be used until the expiration date on the HUMALOG carton
and label, if the medicine has been stored in a refrigerator.

Cartridge and Prefilled Pens:
 Keep at room temperature below 860F (300C) for up to 28 days.
 Do not store a cartridge or prefilled pen that you are using in the
 Keep cartridges and prefilled pens away from direct heat or light.

The above is from Eli Lilly. It indicates that insulin should be kept AT
360F to 460F (20C to 80C). That would include shipping time. If it goes to
860F (300C) it can be kept for up to 28 days. So if you receive a 90 days'
supply in shipment and the temp is above 360F to 460F (20C to 80C), then it
will not last 90 days, only 28 days

John S Wilkinson, Rome, NY
"A  veteran  is someone who, at one point in his or her life, wrote a blank
check made payable to The 'United States of America', for an amount of up to
and including their life." (Author unknown)
Be very, very careful what you put into that head, because you will never,
ever get it out. Thomas Cardinal Wolsey (1471-1530)

-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Julia R
Sent: Friday, June 17, 2011 8:36 AM
To: insulin pumpers
Subject: Re: [IP] Medco Insulin delivery

I get my Symlin and insulin from Medco because it would be more expensive to
get them from a local pharmacy under my insurance, especially for the
The Symlin is $70 every 3 months mail order and would be $440 every 3 months
at a local pharmacy.  Big difference.

I have had several long conversations with the pharmacists at Medco about
shipping and packaging of these 2 temperature sensitive drugs.  They
that they have developed a "best practice" technique and procedure that
involves different methods depending on the outside temperature.  So in
they ship them overnight, but in May they use 2 -day.  They also vary the
temperature of the gel packs depending on the outside temperature.  I didn't
like this explanation, and said I would like them to ship everything
overnight, but they insisted they were following safe and recommended

I asked how I would know if the medicines were safe when I opened the
The pharmacist told me that I should open one of the packages and touch the
symlin pen.  If it was above room temperature, I should call them right
I have done that since this conversation.  The medicine is always cooler
room temperature and the gel packs are always still cool.  But I will call
them if it ever isn't.

Someone thought they would not deliver on the weekend, but i did get a
delivery on a Saturday morning.  Luckily I was home to receive it.

Julia, MM522
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