text: There are no cold packs or ice packs that I know of that are at temperatures above freezing.  36 degrees F is just a few degrees above freezing.  The mopst important thing is that you do not freeze the Byetta.  You could put the in an insulated constainer with cold packs but make sure there is separation between the medication and the ice packs.  You need to inulate the medication so that it does not freeze.  Ideally you would get a device that plugs into the cigarette lighter in the car that has a controlled temperature at refridgerator levels.  They make them in many shapes and sizes and are getting cheaper.  But if you have to use ice and an ice chest just make sure u separate the ice form the medicine to prevent freezing.