Designed And Patented By Colorectal Surgeons10Includes: Reusable Anal Applicators (5 Each), Reusable Dosing Syringes (5 Each), Dosing Jar (1 Each), Medication Tube-To-Syringe Adapter (1 Each)10Precise Delivery To Anal Canal Reduces Sphincter Spasm For Greater Pain Relief10Made In The Usa By Surgin Medical. Does Not Include Medication10