Kansas Sends Letters To Trans People Demanding The Immediate Surrender Of Drivers Licenses
(www.erininthemorning.com)
It won't lose efficacy. Vials last for at least a year, and can last for (at least) up to three years. Inspect them for cloudiness, particles, and discoloration.
I also recommend you just buy homebrew vials online. Those vials contain way more doses than the ones you can get prescribed, and have other advantages too.