VIAL= bottle that contains drug. Lot # and expiration date are on bottle.

Box= container that vial comes in. Date of expiration and Lot # are on box end

Drug Monograph for Patient= That paper that is folded about twenty times and is tissue thin that gives every drop of scientific and FDA required information on and about drug. Found stuffed in every box of Tysabri.

Not sure why that would have anything to do with someone being checked by their neurologist for liver function or blood"checks"