(1) Manual Dispenser and (1) 1000 ml Refill. A combination formula that has added a high performance moisturizer to the effectiveness of PURELL. This formula was designed specifically for the health care worker who is faced with sanitizing their hands frequently throughout the day. Not only does their high-performance moisturizer prevent dry, cracked skin, but it is also clinically proven to improve skin conditions in 14 days. This formula is also CHG compatible which indicates that it can be used with latex, nitrile and vinyl gloves without causing any deterioration. These refills are easy to install into the manual dispenser. Buying the combo kit is a great way to save money for any school budget.