The War on Drugs has been waged in urban, rural, and cyber battlefronts. In swamps, forests, mountains, beaches, deserts, oceans, rivers, streets, and alleys. In the sky, above and below water, and from office desks. It has even touched outer space where an arsenal of navigation, imaging, and communication systems dominate. It spans 55 years (and counting), 5 continents, at least 60 countries, more than 1,000 operations, and all branches of the United States Armed Forces.

The obverse bas-relief depicts Marines maneuvering through a poppy field. It was inspired by the Helmand Province Campaign, where 90% of the world’s heroin is derived. The War on Drugs is overlooked as a low-intensity conflict, but more than 2,000 American veterans were killed and injured fighting in Helmand. Moreover, heroin alone has killed more American civilians then the civilian casualties of the War on Terror, World War I, World War II, Cold War, Civil War, Indian War, and Revolutionary War combined — and counting.
The reverse bas-relief features the American Bald Eagle encircled by 50 mullet stars.
The ribbon represents the fight between good and evil divided by the sacrifice of those lost.