Is this TSA approved?

The TSA does not approve or disapprove of medicine carrying devices. You're allowed to bring with you any amount of liquid medication necessary in any container you'd like including frozen or partially frozen ice packs. I've traveled with just regular ice pack and a cooler to hold my insulin. It also does not count against your carry-on item

Can I put my pen in this too? Or is it just for the vials?

Try this SHBC Insulin Pen Carrying Case Portable Medical Cooler Bag for Diabetes with Protective Ice Brick - Convenient to Changing Needles with Each Injection https://www.amazon.com/dp/B08JG3X3SB/ref=cm_sw_r_apan_i_9MJ8P5G4VZ2Y5Z6AESH2?_encoding=UTF8&psc=1

Where can I buy a replacement ice pack? Just in case something happens to it.

Yes .... All of those ice packs are similar size I have one from a previous pack from a different company and they all fit

De que simenzio es deben ser los botes de insulina para que cierre el estuche

Lo use con mi mamá y las botellas de la insulina de ella son de 3 ml y queda algo de espacio. La garantía de Amazon es insuperable pienso que puedes comprarlo y si no se ajusta a tú necesidad lo devuelves. Si te funciona no te arrepentirás porque es fabuloso.

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🧳 Travel Smart, Live Well!

TRAVEL READY - Lightweight and portable, perfect for the on-the-go lifestyle of modern diabetics.
DURABLE PROTECTION - Crafted from high-quality oxford fabric and EVA material to safeguard your supplies.
COMPACT CONVENIENT - Designed to fit seamlessly in your luggage without taking up precious space.
STAY COOL STAY ACTIVE - Keep your insulin at optimal temperatures for up to 8 hours, no electricity needed!
SMART STORAGE SOLUTIONS - Holds 2 vials and includes a mesh pocket for syringes or other essentials.

The SHBC Medical Cooler Insulin Vial Carrying Travel Case is a high-quality, portable solution for diabetics, featuring durable materials and an ice pack that keeps insulin cool for up to 8 hours. With dimensions of 7.7 by 3.5 by 2.5 inches, it offers smart storage for vials and syringes, ensuring your medical supplies are safe and accessible wherever you go.