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Once you start using an Ozempic pen, it can be kept out of the fridge for up to 56 days below 30 °C (86 °F). Before first use, keep it refrigerated (2–8 °C). Mounjaro and Zepbound single-dose pens can be kept unrefrigerated for up to 21 days below 30 °C; the Mounjaro KwikPen lasts 30 days below 30 °C after first use. Never freeze these pens, and don’t use one that has been frozen or overheated.

The short answer
| Pen | Before first use | Out of the fridge | Freezing |
|---|---|---|---|
| Ozempic (multi-dose FlexTouch) | Fridge 2–8 °C | After first use: 56 days below 30 °C or in the fridge | Don’t use if frozen |
| Wegovy (single-dose pen, US) | Fridge 2–8 °C | Up to 28 days at 8–30 °C before use | Don’t use if frozen |
| Mounjaro single-dose pen (US) | Fridge 2–8 °C | Up to 21 days below 30 °C | Don’t use if frozen |
| Mounjaro KwikPen (multi-dose; UK, Australia, EU) | Fridge 2–8 °C | 30 days below 30 °C after first use | Don’t use if frozen |
| Zepbound single-dose pen / vial | Fridge 2–8 °C | Up to 21 days below 30 °C | Don’t use if frozen |
| Rybelsus (oral semaglutide tablets) | Room temperature in the blister | — | — |
These are the manufacturers’ limits; follow the leaflet in your pack, because pen versions and local labels differ. Write the date you started a pen, or took it out of the fridge, on the label.
Semaglutide and tirzepatide are proteins (peptides). Heat breaks them down gradually; freezing can damage them immediately. If a pen has been frozen, or left above 30 °C for an extended period, or the solution looks cloudy, coloured or contains particles, don’t use it. Ask your pharmacist about a replacement; some manufacturers’ helplines can advise on specific temperature exposures. A damaged pen doesn’t usually cause harm; it just may not work.
Counterfeit pens have been found in several countries, including the US and Mexico. Buy only from a licensed pharmacy with a prescription. See buying diabetes medicines in Mexico.
Compounded semaglutide or tirzepatide, sold by some clinics and telehealth services, comes with its own storage instructions and a beyond-use date set by the compounding pharmacy, often shorter than for branded pens. These products aren’t FDA-approved, and the FDA has warned about dosing errors and unapproved versions. Follow the label exactly, and be cautious with products sold “for research use only”. Missed-dose windows and other everyday rules are in the diabetes care guide.
Yes, before use: keep Mounjaro and Zepbound pens in the fridge. If needed, single-dose pens can be kept unrefrigerated (below 30 °C) for up to 21 days.
The leaflet only describes fridge storage before first use, so there is no official allowance. A pen kept at ordinary room temperature (below 30 °C) for a night is unlikely to be damaged, but ask your pharmacist or the Novo Nordisk helpline; a common approach is to start using it and count the 56 days from that point.
You can, but you don’t need to. Either way, the 56-day limit after first use applies.
More on this topic: GLP-1 medicines, glucose meters and sick-day rules are covered in Diabetes Care: Glucose Meters, Diabetes Medicines and GLP-1 Pens.
Medical disclaimer: this article is general information, not a diagnosis or a personal recommendation. Check with your doctor or pharmacist before starting, stopping or combining medicines. Read the full disclaimer.