This wonderful charm of a sterling silver case with a Red Cross logo on each side. This case opens to reveal all different medications. The "medicine" is painted on in rows of brown,yellow, pink and white. It is marked sterling under the cross on one side. The red paint shows wear. Measures 1/2 Inch across by 3/8 Inch High and that includes the handle. Opens and closes easily. The closure is very secure. So many different collectors should enjoy this darling charm.