Comes as pictured see the measurements for exact size. This was a from a pack of Mack’s earplugs(not included), but it was never used. The original packaging is missing, and there are some scuffs, scratches on the exterior. This is for one single case that will hold one pair of earplugs(not included). Ask any questions, or request more pictures if needed before buying. Please be sure of purchase, no returns. We sell items strictly for adults—we do not intend for this item to be kept near children, nor pets—as it may contain parts that could be a choking hazard.