A medicament transport system for a medicament contained in a vial, the medicament transport system comprising: a first container; a second container; a syringe adapter assembly fluidly connectable to the first container, the syringe adapter assembly including: a syringe adapter sleeve; comprising: a body portion defining a cavity of a first diameter and a nose portion defining a cavity of a second diameter; a syringe adapter plunger including a first end slidably disposed within the syringe adapter sleeve and a second end extending from the syringe adapter sleeve; and a syringe adapter needle connected to the first end of the syringe adapter plunger and fluidly connectable to the first container through the syringe adapter plunger, wherein the syringe adapter plunger has at least a first position wherein the syringe adapter needle is disposed fully contained within the cavity of the body portion and the cavity of the nose portion of the syringe adapter sleeve and at least a second position wherein at least a portion of the syringe adapter needle extends from the syringe adapter sleeve; and a vial adapter assembly fluidly connectable to the second container and configured to slidably receive at least a portion of the syringe adapter sleeve of the syringe adapter assembly, characterized in that the vial adapter assembly includes: a transfer adapter sleeve; a shuttle valve slidably disposed within the transfer adapter sleeve; and a transfer adapter needle connected to the shuttle valve and fluidly connectable to the second container through the shuttle valve, wherein the shuttle valve has at least a first position wherein the transfer adapter needle is disposed within the transfer adapter sleeve and is not in fluid communication with the second container, and at least a second position wherein the transfer adapter needle extends from the transfer adapter sleeve and is in fluid communication with the second container, wherein the syringe adapter sleeve is translatable relative to the transfer adapter sleeve by an amount sufficient for a distal end of the syringe adapter needle to extend through and out of the transfer adapter sleeve. a first container; a second container; a syringe adapter assembly fluidly connectable to the first container, the syringe adapter assembly including: a syringe adapter sleeve; comprising: a body portion defining a cavity of a first diameter and a nose portion defining a cavity of a second diameter; a syringe adapter plunger including a first end slidably disposed within the syringe adapter sleeve and a second end extending from the syringe adapter sleeve; and a syringe adapter needle connected to the first end of the syringe adapter plunger and fluidly connectable to the first container through the syringe adapter plunger, wherein the syringe adapter plunger has at least a first position wherein the syringe adapter needle is disposed fully contained within the cavity of the body portion and the cavity of the nose portion of the syringe adapter sleeve and at least a second position wherein at least a portion of the syringe adapter needle extends from the syringe adapter sleeve; and a vial adapter assembly fluidly connectable to the second container and configured to slidably receive at least a portion of the a syringe adapter sleeve; comprising: a body portion defining a cavity of a first diameter and a nose portion defining a cavity of a second diameter; a body portion defining a cavity of a first diameter and a nose portion defining a cavity of a second diameter; a syringe adapter plunger including a first end slidably disposed within the syringe adapter sleeve and a second end extending from the syringe adapter sleeve; and a syringe adapter needle connected to the first end of the syringe adapter plunger and fluidly connectable to the first container through the syringe adapter plunger, wherein the syringe adapter plunger has at least a first position wherein the syringe adapter needle is disposed fully contained within the cavity of the body portion and the cavity of the nose portion of the syringe adapter sleeve and at least a second position wherein at least a portion of the syringe adapter needle extends from the syringe adapter sleeve; and a vial adapter assembly fluidly connectable to the second container and configured to slidably receive at least a portion of the syringe adapter sleeve of the syringe adapter assembly, characterized in that the vial adapter assembly includes: a transfer adapter sleeve; a shuttle valve slidably disposed within the transfer adapter sleeve; and a transfer adapter needle connected to the shuttle valve and fluidly connectable to the second container through the shuttle valve, wherein the shuttle valve has at least a first position wherein the transfer adapter needle is disposed within the transfer adapter sleeve and is not in fluid communication with the second container, and at least a second position wherein the transfer adapter needle extends from the transfer adapter sleeve and is in fluid communication with the second container, a transfer adapter sleeve; a shuttle valve slidably disposed within the transfer adapter sleeve; and a transfer adapter needle connected to the shuttle valve and fluidly connectable to the second container through the shuttle valve, wherein the shuttle valve has at least a first position wherein the transfer adapter needle is disposed within the transfer adapter sleeve and is not in fluid communication with the second container, and at least a second position wherein the transfer adapter needle extends from the transfer adapter sleeve and is in fluid communication with the second container,