This Pair of Crutches Charm comes with a silver dangle bead as pictured. Fits on all major brand European style bracelets. A list of compatible chains is available here: https://etsy.me/2BY7DAW { DETAILS } ★ Material: Pewter ★ Finish Color: Silver ★ Dimensions: Double-sided ★ Charm Size: 1/2" x 1" ★ Bead Hole Diameter: 5mm Photo is not to scale and may appear larger to show detail. Refer to exact measurements above. Bead has a diameter that will allow it to fit almost any chain, cord, snake chain or bracelet that accepts beads and has one end that screws off. Not affiliated with Pandora or any other trademarked jewelry. { SIMILAR ITEMS } More medical themed items available from my shop: https://www.etsy.com/shop/treasuredcharms/search?search_query=medical { GIFT OPTIONS} Gift boxes are available at no additional cost and can be added from the drop-down menu during checkout. You can mark it as a gift, add a gift message, and send it directly to a recipient by entering their address in the 'shipping address' during checkout. Receipts with price information are not included with orders that are gifts. { SHIPPING OPTIONS } Shipping costs are combined when more than one item is ordered. All orders ship from Pennsylvania via USPS First Class Mail, USPS Priority Mail or Express Mail. USPS First Class is the default shipping method but you can upgrade your shipping during checkout. All international orders shipping outside of USA are shipped via USPS First Class International Mail. VISIT MY SHOP TO BROWSE MY OTHER CHARMS. I have over two-thousand charms available and add new items weekly! http://treasuredcharms.etsy.com Questions? Feel free to contact me or visit my FAQ section https://etsy.me/2IGIVL3 *************************************************