Cut- to- size. Arrive in plastic bag, without any instructions for use or care. Not rocket science, I know, but you can purchase Dr. Scholl's at your local pharmacy, and return them easily if need be. These are not any any way a superior to other over-the-counter orthotics. They didn't work for me. I don't advise buying online unless you have tried them in the past and know exactly what you are ordering.
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