Four way medal in sterling silver with gold overlay made in the USA. The cross shaped medal is designed with St. Christopher, St. Joseph, the Sacred Heart of Jesus, and the Miraculous Medal. The reverse side of the medal portrays the back of the Miraculous and Scapular medals. Made in the USA by skilled New England Silversmiths who hand polish each medal with a fine satin finish and hand engraved highlights. Supplied with an 18" genuine gold plated chain in a deluxe gift box. Dimensions: 7/8" x 11/16"