On a shield shaped embroidered item edged with a 1/8-inch white border, 3-1/2 inches in height by 2-27/32 inches in width blazoned as follows: Sanguine, a stylized Staff of Aesculapius Argent (Silver Gray), a chief pointed nowy to chief enlarged pily of five Argent and Gris bearing five mullets arched Celeste.

The colors of the shield are those of the Army Medical Service, maroon and white.  Silver denotes the tools and technology used within the medical field.  The staff is the symbol of Aesculapius, the God of Medicine.  The chief suggests a horizon emitting sunrays, a depiction of hope and a guiding light.  The blue stars allude to authority and leadership within the Command, and it further ties back to the MRC-Europe and USAREUR-AF.

The shoulder sleeve insignia was authorized for the 68th Medical Command by DCS G-1 approval effective 7 November 2023.

A Silver color metal and enamel device 1 1/4 inches (3.18 cm) in height overall consisting of a shield blazoned:  Per bend Argent and Sanguine (Maroon), the staff of Aesculapius counterchanged.  Attached below and to the sides of the shield a Silver scroll inscribed “CONSERVE POWER” in Maroon letters.

The colors of the shield are those of the Army Medical Service, sanguine (the nearest heraldic equivalent to the Medical maroon) and white.  The staff is the symbol of Aesculapius, the God of Medicine.

The distinctive unit insignia was originally approved for the 18th Medical Regiment on 20 May 1936.  It was redesignated for the 68th Medical Regiment on 16 August 1941.  The insignia was redesignated for the 68th Medical Group on 4 December 1967.  The DUI was redesignated for the 68th Medical Command 3 March 2023.