Sterling Silver Caduceus in Heart Necklace Pendant with 18" Box Chain Symbol of the Medical Profession Satisfaction Guaranteed Great for Everyday Wear 16"-18" Adjustable Box Chain Included From Honolulu Jewelry Company, Honolulu, Hawaii 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!