Short answer: Keep unopened Lyumjev in the fridge at 36-46°F (2-8°C), in its carton, until the expiration date. At room temperature below 86°F (30°C) it lasts 28 days in total, counting unopened and in-use time together. In-use vials may be refrigerated or not; in-use pens and cartridges are not refrigerated. Never use Lyumjev that froze. Source: Lyumjev label, section 16.2.
Section 16.2: “Refrigerate unopened LYUMJEV vials, pens, and cartridges between 36°F to 46°F (2°C to 8°C) until time of use and keep in the original carton to protect from light. Do not freeze or use LYUMJEV if it has been frozen. Do not expose to direct heat. Discard opened or unopened LYUMJEV vials, pens, and cartridges stored at room temperature below 86°F (30°C) after 28 days.”
| Form | Unopened, room temp (below 86°F) | Unopened, refrigerated | In use, room temp (below 86°F) | In use, refrigerated |
|---|---|---|---|---|
| 10 mL vial | 28 days | Until expiration date | 28 days | 28 days |
| 3 mL cartridge | 28 days | Until expiration date | 28 days | Do not refrigerate |
| 3 mL KwikPen (U-100 and U-200) | 28 days | Until expiration date | 28 days | Do not refrigerate |
| 3 mL Junior KwikPen | 28 days | Until expiration date | 28 days | Do not refrigerate |
| 3 mL Tempo Pen | 28 days | Until expiration date | 28 days | Do not refrigerate |
Table footnotes: “In-use (opened) vials, whether or not refrigerated, must be used within 28 days.” “When stored at room temperature, LYUMJEV can only be used for a total of 28 days including both not in-use (unopened) and in-use (opened) storage time.”
Because the footnote counts all room-temperature time together. A pen that sat out unopened for a week has three weeks left once you start it, not 28 days. Keeping spares in the fridge until needed keeps the full 28 days for when the pen is opened. The Humalog label, also insulin lispro, uses the same total-time rule.
See the Lyumjev dosing schedule, Lyumjev side effects and missed a Lyumjev dose.
An in-use Lyumjev pen travels at room temperature for the rest of its 28 days. Unopened spares start using up their 28 days as soon as they leave the fridge. Keep them off direct contact with an ice pack, since frozen Lyumjev is not used.
More in the travel guide.