The hip-hop track was produced by DJ Dahi and features a guest appearance from American rapper Jay-Z.

In an interview with Genius, Pusha T recalled showing the initial version of Drug Dealers Anonymous to frequent collaborator Kanye West, and stated how he wanted "Hov on this."

[3] In a review for Vibe.com, Shenequa Golding said the song had "a slow sinister feel and provides a warm bed for both lyricist to discuss their former lives.

"[4] Peter Helman of Stereogum said the song featured "the two stars trading verses over chilly, hard-edged sonics from producer DJ Dahi.

[7] |- The song has "slow sinister feel," [8] and that Jay-Z and Pusha T were "trading verses over chilly, hard-edged sonics from producer DJ Dahi.