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I can't say this is for certain, as it is reminiscent to me of several kinds of storage containers, used to store spare ink nibs, candle wicks, phonograph needles, lighter flints. etc...
I haven't included photos of each as there are just so many to choose between.
Some examples of nib holders:
I suggest a few more google image searches with these storage options.
Thanks. I never thought it might be nib holder.
Search shows case is same size as you suggest, for pills, loved one's (or pet's) ashes, also lipstick, and key chain.
Any small holes in it for a necklace type chain or key ring? Can't see any in pics.
Another possible search term for use.
A small ornamental case for holding needles, cosmetics, and other articles