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@hellopam

I finally did get a response and they sent me another box of vials. There are still white clumps in it after I shake it so still have concerns.

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Replies to "I finally did get a response and they sent me another box of vials. There are..."

The pharmacist told me to warm it up a little by wrapping your hand around the vial. I think all clumps should be dissolved and mixed in. Keep shaking.
Also Verona has a patient assistance program to help with cost. Call them.