A silver color metal and enamel device 1 1/8 inches (2.86 cm) in height overall consisting of a maroon Greek cross charged at its center with a sprig of cotton plant consisting of green leaves with white cotton boll beneath and supporting two convergent blue fleams, the blade ends resting at opposite corners of the horizontal arms of the cross and convergent and reversed blue fleams at its base all surmounting a crimson saltire and encircled in base by a silver scroll, the ends terminating to the corners of the upper fleams inscribed "SAVE FIGHTING STRENGTH" in crimson letters.
Maroon and white are the colors used for the Army Medical Department and allude to the unit's original designation as a Medical Group. The fleams, ancient instruments used by the medical profession, together with the cross, a symbol for aid and assistance, refer to the former basic mission of the organization. The crimson saltire, taken from the Alabama state flag, and the sprig of cotton plant suggest the home area of the Battalion.
The distinctive unit insignia was originally approved for the 127th Medical Group on 3 May 1971. It was redesignated for the 1200th Quartermaster Battalion on 22 October 1996. The insignia was redesignated effective 1 September 2008, for the 1200th Support Battalion with the symbolism revised.