A gold color metal and enamel device 1 1/8 inches (2.86cm) in height overall consisting of a red enamel cross bearing a vertical gold lightning flash, below supporting and conjoined with a white enamel heraldic water bouget, all above and enclosed by a wavy maroon enamel scroll touching the outer corners of the lateral and lower arms of the cross and terminating at the water bouget, bearing the inscription "NO LESS THAN THE BEST" in gold letters, with all open areas within the design of blue enamel.
Maroon and white are colors of the Army Medical Department. The water bouget alludes to the necessity of water in sustaining life, and also alludes to Molly Pitcher and her devotion in the Battle of Monmouth for which Fort Monmouth was named. The red cross represents the U.S. Army Medical Department Activity and is symbolic of aid and assistance. The flash refers to the Army Electronic Command at Fort Monmouth and symbolizes quick, efficient service. The water bouget also simulates an "M" and refers to both medical and Monmouth.
The distinctive unit insignia was originally approved for the Patterson Army Hospital on 16 Dec 1969. It was redesignated for the U.S. Army Medical Activity, Fort Monmouth on 13 Sep 1973.