SHE LIKED IT WAS SILVER AND CUBIC ZIRCONIA AND NOT CHEAP STONES THAT WOULD FALL OUT.It is very pretty but it also is marketed as “bracelet” size for Pandora type bracelets. It is much larger than typical bracelet charms and may be good as a necklaceDopeI loved this item when it arrived but not even a month after having it on my Pandora bracelet it has already broke beyond repair. Highly highly disappointed.Perfect charm to wear and show off how sweet my Poodle is!Added this to my pandora bracelet as a nod to my career. I was a bit shocked when I got it that the square ‘RX’ was so big. It looked very awkward dangling from my bracelet next to the other smaller charms but more importantly it caught on EVERYTHING and broke off multiple times. It’s easy enough to put back on so I kept doing that until I got nervous that it was gonna catch on something good & just break my bracelet. The last time it came off I just left it. Good concept but poor execution, I wouldn’t recommend putting on a bracelet you care about. I ending up putting mine on a cheap chain for a necklace to wear to work but of course... it tarnish pretty badly although I’d only had it a few weeks at that point so I rarely wear it on the necklace to work, looks too cheap (photo included).That was a good gift for the priceNiceThis is a lovely charm a bit bigger than expected and the link that attaches them together is either missing or broken off I have plenty in the jewelry box so I can mend myself. It suited the purpose I need it for.Exactly as pictured. I wanted something a bit different for my friend