Here’s another example of packaging inefficiency. I work in a dental office here in Naples, Fla., and this vial came in this box to our office on March 5, 2018. Sigh. I know it is inefficient, but I’m sure there’s an explanation. Not a good one, but an explanation. And, no, the vial wasn't refrigerated or needed special handling and was wrapped only in the bubble wrap at the top of the box.