NASA space-flown Gemini and Apollo medallions were mission-specific commemorative medallions, often astronaut-designed, which were approved by NASA and carried aboard the mission spacecraft into orbit. Beginning with the first crewed Gemini mission in 1965, commemorative medallions were prepared for the astronauts at their request. These were produced by a company only known as Fliteline and were struck either in a pewter-colored base metal, sometimes painted a gold color, or sterling silver, and were flown on all 10 crewed Gemini missions. A Fliteline medallion was designed and produced for Apollo 1, but was never officially flown after a disastrous cabin fire during a launch rehearsal killed the flight crew.
The Robbins Company of Attleboro, Massachusetts, was contracted in 1968 to produce commemorative medallions beginning with Apollo 7, the first crewed Apollo flight since the Apollo 1 disaster. These were purchased by astronauts and support crew personnel at NASA Astronaut Flight Office, and a total of over 3,000 sterling silver Robbins medallions were flown into space across the 12 crewed flights of the Apollo program. Some of these were later sold in public auction for up to $60,000. The basic elements of the medallion design are consistent throughout the 12 medallions in the series, with the main design element and the mission name on the obverse, mission dates on the reverse, primary flight crew names on either the obverse or reverse, and a serial number either on the lower reverse or on the rim. A very small number of Apollo Robbins medallions were also struck in 14k gold, generally ordered by the mission crew as a personal memento. Sterling silver Robbins medallions have continued to be struck for every crewed NASA spaceflight, including Skylab and Space Shuttle missions.

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