Beautiful Heart Medical ID Charm designed by MedicAlert "Anticoagulants" i.e. Coumadin, Warfarin Heart-Shaped Charm Bracelet with free year MedicAlert Essential included Made of premium quality designed by the original MedicAlert Foundation Your medical ID charm bracelet is personally engraved to communicate your use of Anticoagulants such as Coumadin or Warfarin Only MedicAlert medical IDs are connected to a live 24/7 emergency response MedicAlert medical IDs are recognized by emergency professionals and physicians around the world