This study conducted by a specialty pharmacy does not reflect my experience as a patient who has been forced to use a mail order specialty pharmacy for injectable meds that must be refrigerated.  These meds are left outside in extreme temps requiring me to miss work consistently to receive these shipments.  As I result, my compliance has become erratic because I can only order it when I can rescue the package.  There was never a glitch when sent to my local pharmacy who also had the added convenience of being open 7 days/week.  The expectation from the specialty pharmacy is that I should have this package sent to work (not possible) or a neighbor (all work).  And now I only have a 4 day window where the specialty pharmacy ships PLUS I need to wait at home.  This has been the worst thing that has happened to my medical care and has actually resulted in increased medical visits/costs.