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Vial: Once the vial is punctured, it is OPEN. Once you stick a needle in the vial, it is OPEN. OPEN vials can be stored in the fridge or at CONTROLLED room temperature. Regardless of where it is stored, OPEN insulin will only last 28 days before it must be thrown in the trash.
If refrigeration is not possible, the vial that you are currently using can be kept at room temperature up to 42 days, as long as it is kept below 86 degrees F; 30 degrees C. Throw away unrefrigerated vials after 42 days from the first use, even if they still contain insulin.