You will receive 10 - Small Gold RN Caduceus Symbol Medical Charms. These charms are a quality Pewter for all your jewelry and crafting projects! - (10) Caduceus Medical Pendant - 19x10x2mm (25.4mm = 1 inch) - Quality Pewter - Item # SP2019 Anyone in the healthcare business would enjoy this charm. A great gift for a nurse, medical student, doctor, etc. Can be worn as a charm on a bracelet or chain. Can be used as giveaway incentives at healthcare conventions. All Items will come as shown in a poly bag! We are located in Texas. This means you receive items quickly if in the US! We also ship internationally!!! All items are shipped after the payment is received for your convenience!!! We order each charm in such large quantities that we can offer amazing prices!!! If you would like more quantity or a special request feel free to send us a message and we will get back ASAP!