Can a gel pack be heated? Yes, if its label gives a heating method. Hot-and-cold packs are warmed briefly in hot water or a microwave, whereas the film and seams of a pack sold for the cold chain may not be chosen for heat. An overheated pack can swell and split at the seam.
Even a heatable pack helps only briefly in warm transport. A frozen pack absorbs 334 kJ per kilogram while it melts; a kilogram of gel heated to 80 °C gives off only about 84 kJ on its way down to 60 °C, because it does not change phase. USDA FSIS says hot food should be held at 60 °C or above, so a long route calls for a heated cabinet or a pre-warmed insulated container.

