Item is same as sold here: https://medcline.com/products/shoulder-relief-pillow
It's great for a variety of medical conditions, including helping prevent problems related to acid reflux. Buying it new is about $250 right now; this one is gently used and has been stored in a clean, dry place in a mold-free household. Each part has a removable cover that is machine washable. The pillow has not been used in several years and the covers have been very recently washed. Asking $20 or best offer.