American Health & Medical Research Association
Practical guide

A supplement brand can outsource the making, not the responsibility

Before you trust a supplement company, spend 15 minutes checking its FDA record, who makes its products, what paperwork it will share and how it answers questions.

Sources15, listed below Reading time14 minutes

Where the evidence stands

  • Strong evidence "Weight-loss, sexual-enhancement and bodybuilding products carry extra risk."
  • Not enough evidence "A brand that makes its own pills beats one that outsources.""A detailed certificate of analysis signals a careful company."
  • Evidence says no, or unsafe "A big retailer sells it, so someone vetted it.""A clean FDA record proves a company is careful."

Each use is rated separately, from the scorecard in this guide. Safety cautions are spelled out in the guide itself. How we grade

On this page
  1. Nobody approves a supplement before you buy it
  2. The name on the bottle may not be the company that made it
  3. What the manufacturing rules require, and what inspectors keep finding
  4. Five free records to search before you buy
  5. The 15-minute brand scorecard
  6. Three questions to ask the company, and what good answers sound like
  7. What the common shortcuts are worth
  8. How to report a problem
  9. Questions readers ask
  10. The bottom line

Key takeaways

  • The FDA does not approve dietary supplements before they go on sale, so the company behind the label is the first and main safety check1.
  • A brand that hires another firm to make its products is still legally responsible for them, as the FDA told one such company in a 2017 warning letter5.
  • You can search FDA warning letters and a health-fraud database for free, but a clean search proves less than most people assume910.
  • Every supplement label must list a U.S. address or phone number for reporting serious reactions, and companies must pass serious reports to the FDA within 15 business days1213.
  • The scorecard below rates a brand on its record, manufacturing, paperwork and customer service before you spend a dollar.

In October 2022, the FDA sent warning letters to Amazon and Walmart. The products at issue were arthritis and joint-pain remedies sold under names like Artri and Ortiga2.

FDA lab tests had found drugs in them that the labels never listed: the steroid dexamethasone, the anti-inflammatory diclofenac and the muscle relaxant methocarbamol2. By July 2023, the FDA had learned of more than 30 more people with serious health effects, including stomach bleeding, adrenal problems and liver damage. The agency warned that some of these problems can be life-threatening or fatal2.

The lesson is not that big stores are dangerous. It’s that a store is a shelf, not a screen. Nobody checked those bottles for the buyers before they were sold.

That job falls first to the company whose name is on the label, and then to you. The good news is that much of what you need to judge a supplement company is public, free and quick to find.

This guide shows you how to compare companies, not just bottles. If you already ask a farmer how the apples were grown, you have the right instinct. Here is how to point it at a supplement brand.

Nobody approves a supplement before you buy it

Under the 1994 law that governs supplements, the FDA has no authority to approve them before they reach the market1. Companies must make sure their products are safe, truthfully labeled and made under federal manufacturing rules1.

The FDA’s oversight mostly starts after a product is for sale. The agency inspects facilities, monitors the market, reviews complaints and adverse event reports, and acts when it finds a problem1. It does not routinely test what’s inside supplements, and it doesn’t keep a complete list of the products sold in the U.S.1.

The inspection math is sobering. In 2023, Cara Welch, then head of the FDA’s dietary supplement office, said the agency inspects roughly 500 to 600 supplement facilities a year, about 5% of the facilities it knows about, according to a trade-press report3. FDA records obtained by that publication showed 600 inspections in fiscal 2024: 510 in the U.S. and 90 abroad3.

At that pace, many facilities go years between visits. A brand’s name on a shelf tells you it is for sale. It does not tell you that anyone outside the company has looked inside the bottle.

The name on the bottle may not be the company that made it

Read the small print near the address. Federal labeling rules require the label to name the manufacturer, packer or distributor6. If the named company didn’t make the product, its name must come with a phrase such as “Manufactured for” or “Distributed by”6.

That arrangement is legal, and it is not a red flag by itself. A brand can design a formula and hire a contract manufacturer to make the capsules.

What matters is whether the brand still takes charge of quality. The FDA has been blunt about this. In a November 2017 warning letter to Ultra Perform, a company that had other firms make its products, the agency said a company can hire out the work but “cannot … contract out its ultimate responsibility” for making sure its products are not adulterated5.

That company had no written quality-control procedures for its contract-made products and no quality agreements with its manufacturers5. In other words, it was selling products it had no system to check.

So the useful question is not “Do you make it yourself?” It is “How do you check what your manufacturer sends you?”

What the manufacturing rules require, and what inspectors keep finding

The federal manufacturing rules for supplements are called current good manufacturing practices, or cGMPs. They sit in Part 111 of Title 21 of the Code of Federal Regulations7. Five requirements matter most to you as a buyer:

  • Identity testing. Before using any dietary ingredient, a maker must run at least one suitable test to confirm the ingredient is what it claims to be, unless the FDA grants an exemption7.
  • Supplier paperwork, with limits. For other components, a maker may rely on a supplier’s certificate of analysis, a lab report listing tests and results, only after confirming the supplier’s results are reliable. It must re-check them periodically7.
  • Finished-product limits. Each product needs written specifications for identity, purity, strength and composition, plus limits on contaminants7.
  • Complaint handling. A qualified person must review every product complaint, and quality-control staff must approve the decision on whether to investigate7.
  • Records. Records must be kept for one year past the shelf-life date, or two years after the last batch ships, and be available to FDA inspectors7.

Inspections often find gaps. FDA data obtained by the same trade publication show 278 supplement inspections in fiscal 2021. Of those, 143, about half, ended with a Form 483, the written list of problems an inspector hands a company at the end of a visit4.

A January 2026 warning letter shows what those problems look like. Inspectors who visited CC Pollen Company, an Arizona maker of bee pollen and royal jelly products, found no specifications for its finished products and bee pollen used without identity testing8. The firm also lacked a written master manufacturing record for a formula and used a lot of silica that had failed its own identity test8.

The letter doesn’t say anyone was harmed. It says the system meant to catch a problem wasn’t fully in place. That is exactly what you want to know about a brand before you buy from it.

Five free records to search before you buy

Search the brand name. If the label says “Manufactured for,” also search the manufacturer’s name if the company will tell you what it is.

  1. FDA warning letters. The FDA posts its warning letters in a searchable online list that shows the company, the subject and whether a response or close-out letter is attached9. Look for subjects that mention CGMP, adulteration or misbranding. The agency notes that a company’s status may have changed after a letter went out, so look for that follow-up paperwork9.
  2. The health fraud product database. This FDA list collects products tied to health-fraud actions, many of them sold as supplements with hidden drug ingredients10. Entries include weight-loss pills with undeclared sibutramine, “improvement” honeys and coffees with sildenafil or tadalafil, and pre-workout powders with DMAA10. FDA says the list holds only a small fraction of risky products, so a clean search means little10.
  3. The FTC’s 2023 notice list. In April 2023, the Federal Trade Commission sent notices to about 670 companies that sell supplements, functional foods, homeopathic and over-the-counter products11. The notices warned that unsupported health claims could bring penalties of up to $50,120 per violation. The FTC posted the list and stressed that being on it does not mean a company broke the law11.
  4. The NIH dietary supplement label database. The NIH Office of Dietary Supplements launched it in 2013, and it now holds more than 200,000 labels, including products no longer sold14. Because it keeps older labels, you can sometimes see how a product’s formula or claims changed.
  5. FDA’s recall list. Search the brand on the agency’s recalls page too. A recall handled quickly and openly is very different from a pattern of them.

Two habits make these searches more useful. Read the actual letter, not just the headline. And search the parent company if the brand belongs to a larger firm, since letters go to the legal entity, not the logo.

The 15-minute brand scorecard

Give one point for each “yes.” Score a company once, not every bottle, and redo it every year or two.

# Check Where to look What a “yes” looks like
1 Label lists a full U.S. address or a phone number with area code The bottle A street or P.O. box address, or a working phone line, not just a website
2 You can learn who made the product Label, email “Manufactured by,” or a named manufacturer on request
3 No CGMP or adulteration warning letter in five years, or a posted close-out for an older one FDA warning letters Clean search or documented fix
4 No products in the Health Fraud Product Database FDA database Clean search
5 No disease claims on labels, website or social posts Website, social media Words like “supports,” never “cures,” “treats” or “prevents” a disease
6 Explains how it tests finished products Website, email Names identity, strength and contaminant tests, and who runs them
7 Shares a certificate of analysis for your lot Email Test methods, limits and actual results, matched to your lot number
8 Uses an independent verification program for at least some products Label, then the certifier’s own website The product appears on the certifier’s public list
9 Has a clear process for complaints and reactions Website, phone A named way to report problems that a person follows up on
10 Customer service answers a safety question within a few business days Email or phone Specific answers, not a sales script

How to read your score

  • 8 to 10: The company is acting like it has nothing to hide.
  • 5 to 7: Ask follow-up questions about the gaps before you buy.
  • 0 to 4: Keep looking. Plenty of companies will score higher.

Three findings end the review on their own: a product in the Health Fraud database, a claim to cure or treat a disease, or no U.S. contact on the label. A supplement marketed to treat or cure a disease is legally a drug1, and a label without the required contact is misbranded12.

Three questions to ask the company, and what good answers sound like

Send these by email so you have the answers in writing.

“Who makes this product, and how do you check what they send you?”
A good answer names the manufacturer or describes the brand’s own testing and supplier audits. A weak answer is “It’s made in an FDA-registered facility.” Every facility that makes, packs or holds supplements for U.S. sale must register before it starts work1. Registration is a listing, not an inspection or an approval.

“Can you send the certificate of analysis for lot number ___?”
Federal rules describe what a usable one includes: the test methods, the limits and the actual results7. Be wary of a generic sheet with no lot number, or one that says only “pass.” The rules require companies to keep records for FDA inspectors7, not to hand them to you. A brand that shares anyway is showing its work.

“If I have a bad reaction, what happens to my report?”
The law gives you leverage here. A company must send any serious adverse event report it receives to the FDA within 15 business days and keep records of every adverse event report for six years13. “Serious” includes death, hospitalization, a life-threatening event and lasting disability13.

Filing a report is not an admission that the product caused the problem13. So a company has no legal reason to dodge the question. One that does is telling you how it treats complaints.

Check the label while you’re at it. For these reports, it must show a domestic street or post office box address, or a domestic phone number with an area code12. A website or email address can be added but doesn’t replace them12.

What the common shortcuts are worth

Most people judge supplement companies by habit. Here is how those habits hold up, using our four-level evidence scale.

Shortcut What the record shows Rating
“A big retailer sells it, so someone vetted it.” The FDA sent warning letters to Amazon and Walmart over joint products with hidden drugs2. Evidence says no
“A clean FDA record proves a company is careful.” The FDA inspects about 5% of known facilities a year and says its fraud list holds only a small fraction of risky products, so a clean search can’t prove much310. Evidence says no
“A brand that makes its own pills beats one that outsources.” The law holds the brand responsible either way5. We found no study comparing the two. Not enough evidence
“Weight-loss, sexual-improvement and bodybuilding products carry extra risk.” FDA’s health-fraud database lists many such products with hidden prescription drugs10. Strong evidence, from repeated FDA findings
“A detailed certificate of analysis signals a careful company.” The rules spell out what a real one shows7, but no study links sharing one with better products. Not enough evidence

The pattern is clear. Public records are good at flagging bad actors. They are poor at proving a company is good. That is why the scorecard mixes records with direct questions.

How to report a problem

If you think a supplement made you sick, stop taking it and get medical care if you need it. Then report it to the FDA through its online Safety Reporting Portal at safetyreporting.hhs.gov15. The FDA’s general phone line is 1-888-INFO-FDA (1-888-463-6332)15.

Also report it to the company, using the address or phone number on the label. That contact exists so serious reports reach the FDA1213.

For misleading ads or sales tactics, file a report with the FTC at ReportFraud.ftc.gov. Your state attorney general’s consumer protection office also takes complaints.

If someone has swallowed too much of a product or seems to be poisoned, call Poison Control at 1-800-222-1222. Call 911 for trouble breathing, chest pain or collapse.

Questions readers ask

Are big, well-known brands safer than small ones?

We found no public data that answers this either way. Selling on major retail sites didn’t keep the Artri products away from buyers2, and a small maker can run a careful operation. Judge each company by its record and its answers, not its advertising budget.

What does “made in an FDA-registered facility” mean?

It means the facility told the FDA it exists, which every supplement facility selling to the U.S. must do before it begins work1. It is not an inspection result or an approval, so treat it as the bare minimum.

A brand I like got a warning letter years ago. Should I quit it?

Not automatically. Read the letter to see what went wrong, then check whether a response or close-out letter is posted, since FDA says a company’s status can change after a letter9. A company that fixed a paperwork gap is different from one that sold a product with a hidden drug.

Do I need to do this for every bottle?

No. Score the company once and refresh it every year or two. For individual products, compare doses, forms and testing, which our guide to look-alike supplements covers.

The bottom line

The FDA doesn’t screen supplements before they’re sold, and it inspects only a small share of facilities each year. That leaves the brand as the main quality check, whether it makes the product or hires someone else to.

Fifteen minutes with free FDA and FTC records, a careful look at the label and three emailed questions will tell you a lot about who you’re buying from. You won’t learn whether a product works that way. You will learn whether the company behaves like it has something to protect besides its sales.

About this article

This guide was researched using federal regulations, FDA and FTC records, NIH resources and trade-press reports of FDA inspection data, all listed below. It was reviewed in October 2026. It is general education, not medical, legal or financial advice.

Sources

  1. U.S. Food and Drug Administration. “Questions and Answers on Dietary Supplements.” FDA, 2026. fda.gov
  2. U.S. Food and Drug Administration. “FDA Warns Consumers Not to Purchase or Use Artri and Ortiga Products, Which May Contain Hidden Drug Ingredients.” FDA, updated 2023. fda.gov
  3. Long, Josh. “FDA Increases Annual Domestic, Foreign Dietary Supplement Inspections.” SupplySide Supplement Journal, December 13, 2024. supplysidesj.com
  4. Long, Josh. “FDA Inspections of Dietary Supplement Facilities Fall—Again.” SupplySide Supplement Journal, December 13, 2021. supplysidesj.com
  5. U.S. Food and Drug Administration. Warning Letter to Ultra Perform, Inc. FDA, November 22, 2017. fda.gov
  6. Electronic Code of Federal Regulations. “21 CFR 101.5: Food; Name and Place of Business of Manufacturer, Packer, or Distributor.” National Archives, 2026. ecfr.gov
  7. Electronic Code of Federal Regulations. “21 CFR Part 111, Subparts E, O and P: Production Controls, Product Complaints and Records.” National Archives, 2026. ecfr.gov (also subpart-O and subpart-P)
  8. U.S. Food and Drug Administration. Warning Letter to CC Pollen Company. FDA, January 9, 2026. fda.gov
  9. U.S. Food and Drug Administration. “Warning Letters.” FDA, 2026. fda.gov
  10. U.S. Food and Drug Administration. “Health Fraud Product Database.” FDA, 2026. fda.gov
  11. Federal Trade Commission. “FTC Warns Almost 700 Marketing Companies That They Could Face Civil Penalties if They Can’t Back Up Their Product Claims.” FTC, April 13, 2023. ftc.gov
  12. U.S. Food and Drug Administration. “Guidance for Industry: Questions and Answers Regarding the Labeling of Dietary Supplements as Required by the Dietary Supplement and Nonprescription Drug Consumer Protection Act.” FDA, September 2009. fda.gov
  13. Legal Information Institute, Cornell Law School. “21 U.S. Code 379aa-1: Serious Adverse Event Reporting for Dietary Supplements.” law.cornell.edu
  14. NIH Office of Dietary Supplements. “Dietary Supplement Label Database (DSLD).” National Institutes of Health. ods.od.nih.gov
  15. U.S. Food and Drug Administration. “How to Report a Problem with Dietary Supplements.” FDA, 2025. fda.gov