Kate Posh - Making the world a better place, one life at a time - Pen with Caduceus Emblem Measures: 5 1/2" Long Ballpoint, black ink. Compatible with Cross style refills Top-quality natural wood. Engraved (carved, not printed) Beautifully packaged in tissue paper and a gift box. Ready to give as gift Designed by Kate Posh - All pens are hand-crafted by artisans in our California facility