PicturesOnGold.com Sterling Silver Oval Medical Pendant W/Red Enamel - 1 Inch X 1-1/4 Inch Available In 3 Sizes 17mm - size of a US dime, 19mm - size of a US nickel, 25mm - size of a US quarter Made in the USA All Medals are Solid 14k or .925 Sterling Silver Free Jewelry Gift Box. Chain NOT Included. Ships in one day 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!