Most are new I only used the small bottles not the big ones so four big and new and the 4 small were used only a few times since my baby wouldn’t take a bottle. The nipples have been thrown away that were used. I have the ones open as shown that are 1- newborn 3-2+ months nipple 1- 3 4+ month nipple 1 - sippy cup nipple Those are all new and not been sterilized and I have the three packs that are sealed Those are two packs of 2+ plus nipples And 1 pack 4+ nipples