ARCTIVA Rosacea Cream is packaged in an airless pump and contains 1.35 ounces or 40 ml of cream. We have seen it take 10-20 pumps before cream dispenses. If the pump doesn't prime and begin dispensing cream, it may be because the disc may have locked in shipping.  A little trick is to take something small and point, such as a toothpick or paperclip and insert it into one of the small holes on the bottom of pump.  With some slight pressure, it will release the disc and you can continue priming your airless pump.