HotHands Toe Warmers ? 2pk (20 packs, 40 warmers total) 2 warmers per package. Adhesive keeps warmer in place. 4-year shelf life. All natural ingredients. Made in the USA. Packaging may vary. Use By date is Apr/May 2024 (note that these have an up to 4-year shelf life). Hothands warmers are single-use air-activated heat packs that provide everyday warmth and are ideal for keeping your body warm when the temperature gets cold. Available in several styles designed for hands, feet, and body. Hothands contain ingredients like iron, activated carbon and water. Once these ingredients come into contact with oxygen, they oxidize and produce heat. The combination of ingredients has been specially formulated to ensure a constant and comforting heat for a wide variety of uses.