Due to State and Federal Law, we sell Syringes and Needles only to the Medical Facilities. X-Large, 8" x 6.25" * The poucho case is easily activated with just water * Large enough for pens and bottles * Keeps insulin bottles or pens cool without refrigeration * Great for active travelers * Can be used and re-activated a hundred times * Stays cool up to 4 days Supplies Not Included