Brand new. Used to require for my job but no longer do. These are the Germany brand Mediven elegance compression stockings full panty hose closed to. Size IV Mediven size. Probably an XL size as that's my pant size. Excellent and expensive brand made in Germany. They are $240 per pair retail. I have more pair I am selling as well. I also have 3 pair of the beige at $30 each.