Although it is new and unused, the outer packaging has some scratches because it was kept in a nursing bag. The tape that was holding it closed has come off. For patients who don't like sponges for oral care, these oral care cotton swabs were very helpful. They said they felt less discomfort. Made in Japan, these cotton swabs are perfect for oral care, with 50 swabs per pack. Individually wrapped for convenience. - Brand: oral plus - Product Name: Oral Care Cotton Swabs - Quantity: 50 swabs - Made in: Japan For this item, if shipping is included, the cotton swabs will be taken out of the box, and the box will be folded and shipped. The price is 2200 yen. If you purchase other items totaling over 3000 yen, the shipping will be included for 1000 yen. The outer box will be excluded. If they can be included together, it will be a little cheaper. Thank you for looking.