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The Easy Wormer by Grooma is a reuseable de-worming bit that could save your horse's life; the package contains one drench bit, one 60ml syringe and one adjustable head piece strap constructed of durable, long lasting nylon material Fit EASY WORMER bit in the horse's mouth making sure that it is firmly in place; insert worming paste/medication through side bit opening; insert white plunger provided with EASY WORMER into bit to ensure all paste/medication is cleared from bit cavity into horse's mouth.