Sterling Silver 4-Way Four-way Combination Medal ~ Images are the Miraculous-Scapular-Saint Christopher-Saint Joseph. The 4 Way medal comes on a 24" Rhodium plated chain. Included with a deluxe velour gift box. Dimensions: 1.1" x 0.9" (27mm x 22mm). Made in the USA. Available in 16K Gold over Sterling Silver.