Why don't they understand?

I picked up more insulin at the pharmacy the other day. More accurately, I went to the pharmacy Monday, Thursday and Friday to get more insulin. Getting prescriptions from them is always an adventure, invariably they will only bill one insurance company, or will have some other redundant question. This time, I chose to go through the drive thru, which turned out to be a wise choice. I told them my name, and watched as they got the prescription bag, and picked up a bottle of insulin OFF THE COUNTER, put it in my bag, and handed it to me. For a split second, I debated what to do. I know that bottle wasn't sitting on the counter because they just got done putting the label on the box, I called it in the day before, to be sure it would be ready by the time I got to the pharmacy. I had no idea how long that bottle of life sustaining, refrigeration required bottle of medication had been sitting on the counter. I decided I couldn't keep silent. I don't always go through all three bottles of insulin in a month, what happens when they sit in my refrigerator longer than that? Who can guarantee that they will be good until the date on the box? What's the point of even putting a expiration date on the box when the pharmacy blatantly ignores the instructions? As the technician handed me the bag I said, "why wasn't this refrigerated?" His answer? "It doesn't need to be refrigerated if you use it within a month." I proceeded to briefly argue with him, before deciding that even though his whole occupation revolves around medications, he apparently didn't understand how important it is that these medications work exactly as they are supposed to. I drove off feeling frustrated that yet another medical professional had failed me. I am now making the policy that when I pick up my insulin, I either need to see them take it out of the refrigerator, or it needs to be cool to the touch. I don't care it that makes me an annoying patient, I need to know my insulin is safe.
Oh, the other thing that frustrated me? They only had one bottle of Humalog insulin available in the whole pharmacy! They were OUT of insulin. I would have to return Wednesday to get the rest of my prescription. I gave them an extra day for good measure, and went back Thursday, only to be told it still wasn't ready, forcing me to make another trip back on Friday. If this pharmacy wasn't my only option in pretty much the whole state, I would switch, but I think I'm going to find these problems everywhere.