This is a listing for 1 package of CardinalHealth Wuilted Adult Briefs Wings style. Size is Large for a 45 – 58 inch waist. Package contains 18. Unisex adult diapers. Photos are of this exact item. Thanks! Feedback: We would appreciate your leaving positive feedback if you were satisfied with our service. We will of course leave feedback for you also after the transaction is completed. Thank You! From a smoke free home. Thank You for Looking!!!