This is a bulk sale of Nose Celeb Premium pocket tissues. It includes 4 packs x 3, for a total of 12 packs. These are the "Premium" version, which is even softer than the regular type, making them ideal for carrying around during allergy season or as a spare when you're out and about. These are unopened. They will be carefully packaged with measures to prevent water damage and shipped as quickly as possible.