Paramedic EMS EMT Blue Crystal Silver Chain Fashion Necklace Approximately 18 Inches in Diameter Silver Plated Chain Fashion Necklace Hypo-Allergenic, Lead Compliant in all 50 States, and Silver Plated Silver Plated Star Of Life Charm Adorned With Stunning Blue Crystals Great as a Gift or For Yourself, Matching Fashion Lobster Claw Bracelet and Fashion French Hook Earrings also available, Complete the full collection! Made in the United States of America