This is new in bag. Description from web: Dual cooling technology with gel memory foam base and ConstantCool cover Gel memory foam cushion with gentle support for ergonomic comfort ConstantCool cover is woven with cooling fibers for effective heat removal Consistent form keeps its shape for long-lasting quality and performance Keeps its shape for long-lasting quality and performance ConstantCool cover with cooling fibers instantly soothes Cooling gel alleviates the heat all-night long for the optimal sleep temperature Customized support and comfort for all sleep positions Memory foam gently relieves pressure and promotes more undisturbed sleep Gently aligns your head and neck for deeply restorative rest Removable cover is machine washable and dryable, for fast cleaning Foam made in the USA