PicturesOnGold.com 14K Gold Round Medical Diabetic Charm - Available in 3 Sizes Available In 3 Sizes Select Item Height (if available) from the Length field given by Amazon (Size does not include loop) If you would like your Medical item Engraved for Free, enter the message in the Amazon Gift Message Box Free Jewelry Gift Box. Chain NOT Included. Made In The USA Available with and without red enamel. Enamel Is guaranteed to Last a lifetime. Made in Solid 14k, Or .925 Sterling Silver You can return this item for any reason and get a full refund: no shipping charges. The item must be returned in new and unused condition. Go to Your Orders to start the return Print the return shipping label Ship it!