BioAd (TM) Tissue dispenser with 15 count Kleenex (R) brand tissues. Refillable. Case made and assembled in the USA. Contents globally sourced. BioAd (TM) products will biodegrade naturally over a period of one to five years in a standard landfill environment. The products will last a lifetime under normal use. All BioAd (TM) products are FDA approved.