I opened the package, but the item is unused and has not been worn. All accessories are included. Earplugs for sleeping, 2 pairs, soundproof, noise reduction 35dB, sleep aids, noise canceling, high performance, hearing protection, for airplane, study, snoring, travel, live music, work, soundproof earplugs, silicone, washable, unisex, with storage case (S/M/L size x 2 sets each)