I also was concerned about travel. My insurance company will not cover Tymlos, which is similar to Forteo but does not require refrigeration. I get my Forteo by mail in a box with two blue ice packs and lots of foam. The ice packs are still mostly hard on arrival. So, using the ice packs, the box and the foam should keep your Forteo for two days of travel. The box is a one foot cube so travel by plane, train or bus will be awkward. Ask about Tymlos. Tymlos is a more recent product, which makes it somewhat riskier. The book Good Bones compares the two drugs.