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In-Use Storage: Once a pen is opened and in use, you can keep it at room temperature (below 30C) or in the refrigerator for up to 30 days

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"It's clearly the case of spending some money to save a lot more money, but more importantly, saving lives. As for the drug negotiation process, Doug Gray with the Virginia Association of Health Plans said the practice is fairly common

Consistency is more important than the specific time of day

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Acknowledgments We acknowledge Jennifer Jakell for administrative support and Nick Verbene for graphical support