Disclosed are embodiments of a vial device and related systems that can include a cartridge that can have a proximal end and a distal end, where the cartridge can include a housing that defines a fluid chamber. Embodiments of the vial device can include a first stopper, where the first stopper can be positioned at about the proximal end of the cartridge, and a second stopper, where the second stopper can be movable relative to the cartridge. Embodiments of the vial device can include an outer housing, where the cartridge can be configured to seat within the outer housing.