Gadow Jewelry Xarelto Blood Thinner Bracelet Medical Italian Charm Red More noticeable and easier to read. Since this charm is slightly raised the letters are more visible. We send a standard 7 inch bracelet. If you need another size contact us as soon as you place order We have other medical charms you can purchase and add in this bracelet if needed. Italian charms are always interchangeable if you decide to take out or add other Italian charms. You will also receive 3 extra links and instructions on how to add or take out charms and links.