Although it is new and unused, the outer packaging has 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 it felt less uncomfortable. 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 you include shipping, we will take the cotton swabs out of the box and fold the box for shipping. The price will be 2200 yen. If you purchase other items totaling over 3000 yen, we will include shipping for 1000 yen. The outer box will be excluded. If we can include it, it will be a little cheaper. Thank you for looking.