I got ahold of my IVF Nurse on Sun., March 11th - they happened to be in doing a procedure early that morning and I caught them. I explained what had happened with my meds with stupid BioScrip and asked what to do about my lack of progesterone suppositories. She said that I was fine to substitute a shot for the suppository. I also asked if it would be detrimental if the suppositories were not refrigerated for the weekend - the shipments that had arrived before had clearly been marked as a refrigerated product and even were shipped with ice packs. She assured me that they would be fine - the refrigeration is merely to help them keep their shape. She said if they were soft that they could easily be put back into the fridge to regain the shape - that being warm will not actually hurt the drug compound at all.
She went on to state that if I have any more problems I'm to tell them - they are more than willing to call the insurance company to explain that I'm not getting adequate care from the pharmacy which they make me use. I thanked her, breathed a little sigh of relief about substituting a shot for a suppository, and went about my day.
I had more spotting today - dark red and more than just a little. I kept reminding myself that I had no major cramping with it and the blood was not bright red. Just tried to keep calm till my ultrasound the next day.