Elvie pump spout and valve kit pack of 2. Seals pack of 2. Bra Adjusters pack of 4. Spout and valve parts ensure that milk only flows into the bottle. For use exclusively with Elvie Pump. BPA free, dishwasher and food safe. Includes: 2 Spouts, 2 Valves. Brand new box of Elvie Seals. 2 Seals Bra Adjusters new box. 4 pack