I have almost made it through my first month of rebif. One of the biggest frustrations with the drug (if not the greatest) is the packaging that it is shipped in. Because it needs to be kept cool, it has to shipped in a styrofoam crate with blocks of ice and many other layers of insulating material. Can anyone say overkill? I know their is good reason for the shipping that Theracom (my pharmacy) does, and the meds are always extremely well packaged (just got my second dose) by issue comes from Theracom’s refusal to reuse the packaging. They say they have done it in the past and that folks have tampered with the packaging before returning it. One bad egg ruins it for everyone? Well I think that is bunk. Maybe Theracom needs to do some inspections on their returned packaging. I am sure that the crates can be reused. In fact I refuse to think otherwise. Theracoms solution of just throw it away is environmentally irresponsible and needs to be reevaluated. I am sure they aren’t the only pharmacies who do this and I am sure rebif isn’t the only meds that get shipped in this manner. I am going to continue my fight to keep their shipping containers out of the landfills.