The semi-precious tourmaline beads (from the word "Thuramali" which applied to different gemstones found in Sri Lanka) really set this sterling silver necklace apart from all others. The .75" Miraculous Medal is an antique-reproduction piece, adding even more to the allure of this hand-designed and -crafted jewelry. Produced here in the USA. (Ships separately from other items in your order.) From the CRA Collection.