This is a brand new box of Enfamil A.R. Infant Formula. It's perfect for little ones who need a bit of help with reflux or frequent spit-up. The added rice starch really makes a difference, and it's designed to reduce spit-up in just a week. I found it super helpful for my baby, and it's got all the good stuff like DHA for brain development. The box is unopened and ready to go.