4 ! packs. 22 in each package so 88 total. All new unopened SleepOvers by Cuties Underwear PULL ONS Training nighttime or day Tear away Stretchy sides Great quality! highly absorbent ! JUST LIKE THE EXPENSIVE BRANDS Cuties are designed with the comfort and feel of real underwear. features include Tag LESS back Gentle, Hypoallergenic Liner Aloe & Vitamin E More Discreet Absorbent Core Dual Leg Cuffs for leakage protection. Soft, Smooth Side Panels secure,discreet,underwear-like fit.large x large Size for those between 60 -140 lbs Label says differently but My son is 80lbs and wears these just fine !