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This & That Enhanced Everest Chew Peanut Butter Bulk Box contains 20 medium chews wrapped for individual sale. Made with no chemicals, preservatives or fillers, these 100% natural chews are made with simple ingredients and are virtually lactose free which may be suitable for lactose-intolerant dogs. They're good to the last bit - which can be microwaved for a delicious and crunchy Everest cheese puff!