One nipple has been used, so only one is for sale. This is new, but since one was used, I'm listing it as "like new." The Purelan tube contains 37g in total. About half of it has been used. Due to shipping costs, I will pack the nipple without its box, with the case open. Please check the photos of the entire box for any questions about the nipple. I will pack this with the hope that your baby grows up healthy and well.