Naval Long Service and Good Conduct Medal (1848) of the medal. Generally speaking, the two early Queen Victoria versions with a wide suspender had a slightly different reverse with a larger flag at the masthead of the ship, while the later narrow suspender and subsequent versions had a more triangular flag. Clasp<br> The clasp bears a laurel leaf design. When the ribbon bar alone is worn, a silver rosette on the ribbon denotes the award of a clasp. Ribbon<br> The original 1848 ribbon, worn with the original wide suspender version of the medal, is 38 millimetres wide and Navy blue, with 7 millimetres wide white edges. Along with
Tiffany Cross Medal of Honor returned to using only the original 1862 inverted 5-point star design, and ceased issuing the award for non-combat action. During the "Tiffany Cross's" active status, the next lower naval award was the Navy Distinguished Service Medal, followed by the Navy Cross. By congressional action on 7 August 1942, in the same act that terminated the "Tiffany Cross", the Distinguished Service Medal and the Navy Cross swapped places, with the Navy Cross also becoming solely a combat award. The US Naval History & Heritage Command asserts that 28 sailors and Marines received the "Tiffany Cross", but does not provide a list.