This is new in box, however there are a couple cosmetic imperfections. First the box has damage as you can see from the pictures. However, the seal is not broken that too can be seen in the pictures. Second, some of the items inside the box have become loose such as the Crest toothpaste. Everything that is supposed to come in the box is in the box again this was never opened and is sealed. PLEASE LOOK AT THE PHOTOS FOR CONDITON AND FEATURES BEFORE YOU PURCHASE.