Very pretty, triple beaded strand interchangeable medical ID bracelet. 3 bracelets in one! Beads are stranded on a stretchable strand, and has stainless steel clasps on both ends. 2 strands feature smaller navy beads with pewter larger accent beads. 1 strand features silver and pewter beads. Please note Image may appear lighter than actual bracelet, as navy beads are darker than image.This is available in 6 sizes: Youth/Small Adult Strand measures 4.5 inches and an approximate total of 5.75-6.5 inches when ID tag is attached. ****Youth/Small Adult Strand measures 5 inches and an approximate total of 6.25-7 inches when ID tag is attached. (other tag lengths may vary overall length) *** Small Adult: Strand measures 5.5 inches and an approximate total of 6.25-7 inches when ID tag is attached. (other tag lengths may vary overall length)***Standard Adult: Strand measures 6 inches and an approximate total of 7.25-7.75 inches when ID tag is attached. (other tag lengths may vary overall length) ***Large Adult: Strand measures 6.5 inches and an approximate total of 7.75-8.25 inches when ID tag is attached. (other tag lengths may vary overall length)***Larger Adult: Strand measures 7 inches and an approximate total of 8.25-8.75 inches when ID tag is attached. (other tag lengths may vary overall length)