Carnation Breakfast EssentialsPowder Drink Mix, Classic French Vanilla, 10 Count Box of 1.26 Ounce Packets (Pack of 6)

Q: Is this "60" pacs total? Am I reading it wrong?

Yes exactly. Each case contains a box of ten envelopes, same as the box of ten sold in grocery stores. A total of 60 individual envelopes. The price per box at my local grocer is 5.99. By making an amazon order that has free shipping, the case price averaged to 3.99 a box. This is a great deal.

Q: Do they come already sweetened or do you have to add sugar?

It's already sweetened. I add mine to my coffee and I don't have to do add sugar or cream

Q: can u tell me if the strawberry flavor tastes very different from strawberry nesquik? I want these for my underweight toddler and she likes nesquik.

If it's for a underweight toddler, it would be fine for extra calories. Ask Pcp if you're worried about it, and yes, the powder tastes just like the strawberry nesquick... you can use almond milk, or whole milk for more calories for your baby. But it'll be fine!