2 Taking Xarelto Medical ID Alert Italian Charms You will receive 2 Italian charms as shown. This can be attached to your own starter bracelet or can be attached to our starter bracelet. Links or charms can be taken out, more added, moved around. You will receive instructions on how to take out or add links or charms. Italian charms are always interchangeable if you decide to take out or add other charms in an Italian charm bracelet.