ASHP’s third Executive Forum on Cold Chain Management convened virtually March 28 to share strategies for anticipating and responding to drug product integrity and supply challenges in an evolving marketplace. The meeting was the third in a series of events that brought together cold chain experts and pharmacy leaders to share ideas on optimizing the handling, storage, and transportation of medications. Forum attendees represented health systems, specialty pharmacies, wholesalers, distributors, pharmaceutical manufacturers, federal pharmacy, and other stakeholders. The March 28 session was moderated by Jason Chou, system vice president of pharmacy operations for Ochsner Health in New Orleans, LA. The main discussion topics were: In an opening poll, 76% of forum participants indicated they felt somewhat prepared for future cold chain requirements, and 6% said they were very prepared. Amanda Frick, senior clinical manager of Vizient’s Center for Pharmacy Practice Excellence, opened the forum with an overview of anticipated storage requirements for drug products that are expected to enter the market in the near future. Frick said the developmental pipeline includes a growing share of vaccines and other products that will require cold storage and transit.