HealthLegal test

“Doctor recommended”

Berkeley Robinson, Managing Attorney at Robinson Law Firm PLLC

Author

Berkeley Robinson, Esq.

Managing Attorney, Robinson Law Firm PLLC

Berkeley has served as the go-to counsel for many scaling businesses in a transactional and litigation management capacity. Before becoming an attorney, Berkeley grew sales teams, ran online marketing campaigns, and did everything else an entrepreneur does—and still does today as the founder of two online businesses.

Definition

A “doctor recommended” claim is an express or implied statement that many doctors recommend the product for the particular use and audience the advertising shows or implies. Source: In the Matter of Abbott Laboratories, Complaint (FTC)

Key legal rules

A “doctor recommended” claim is a claim like any other, so it has to be truthful and substantiated. Two rules put that to work:

  1. An advertiser making a “doctor recommended” claim must possess and rely upon a reasonable basis that substantiates the claim when it is made—including, where survey evidence is used, a survey designed to elicit whether many doctors actually recommend the product for the audience shown in the ad. Source: In the Matter of Abbott Laboratories, Complaint (FTC)
  2. A “doctor recommended” representation—express or implied—must be non-misleading, and any claim about efficacy, performance, or health benefits must be backed, when made, by competent and reliable scientific evidence that is sufficient in quality and quantity, based on standards generally accepted in the relevant scientific fields. Source: Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC, § III

For the sake of space, this page lists only the primary rules related to this term that most businesses should follow. More may apply to your situation, and your unique facts affect how they apply.

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Why these rules exist

A buyer has no way to check what doctors actually say about a product, so a “doctor recommended” claim asks the buyer to accept the advertiser's word on a medical judgment. The duty to have a reasonable basis before making the claim exists so that the evidence comes first, and the allegations against Abbott Laboratories show the failure it prevents: according to the complaint, a survey that merely asked doctors to assume they would recommend a supplement for adults who were not ill, and then to pick a brand, was the support behind an advertised claim that many doctors recommend Ensure for healthy adults. Source: In the Matter of Abbott Laboratories, Complaint (FTC)

The statutory footing is general rather than specific to this phrase. Section 5(a) reaches deceptive acts or practices, and Section 12(a) adds a separate prohibition on false advertisements for foods, drugs, devices, services, or cosmetics. Source: Complaint for Permanent Injunction and Other Equitable Relief (DermaTend and Lipidryl), quoting 15 U.S.C. §§ 45(a), 52(a)

Enforcement examples

In re Abbott Laboratories (Ensure nutrition drink)

In re Abbott Laboratories, Complaint

In television advertisements for Ensure, a man says, "Ensure is even recommended number one by doctors as a source of complete balanced nutrition." Source: In the Matter of Abbott Laboratories, Complaint (FTC) A print advertisement carried the headline "The #1 Doctor Recommended Source of Nutrition." Source: In the Matter of Abbott Laboratories, Complaint (FTC) The complaint alleged that these ads represented, expressly or by implication, that many doctors recommend Ensure as a meal supplement and as a meal replacement for healthy adults, including those in their thirties and forties. Source: In the Matter of Abbott Laboratories, Complaint (FTC)

Outcome. According to the complaint, the claim lacked a reasonable basis because the survey of doctors the company relied on was not designed to elicit whether many doctors recommend Ensure for healthy adults, as opposed to adults who are ill or elderly. The survey, it added, merely asked doctors to assume they would recommend a supplement for adults who were not ill and then to select the brand they would most recommend. Source: In the Matter of Abbott Laboratories, Complaint (FTC) The complaint charged this conduct as unfair or deceptive acts or practices and false advertisements in violation of Sections 5(a) and 12 of the Federal Trade Commission Act. Source: In the Matter of Abbott Laboratories, Complaint (FTC)

FTC complaint concerning the Quell wearable pain-relief device

Complaint for Permanent Injunction and Other Equitable Relief (Quell)

In a Quell television ad, the on-screen video showed a woman in a medical coat discussing Quell with another woman. Source: Complaint for Permanent Injunction and Other Equitable Relief (Quell), ¶ 14.D Over that scene the announcer said, "Quell is 100 percent drug free, FDA-cleared, and doctor-recommended." Source: Complaint for Permanent Injunction and Other Equitable Relief (Quell), ¶ 14.D An Indiegogo crowd-funding page went further, telling backers that Quell is "the only FDA cleared, doctor recommended, 100% drug free device clinically proven to relieve chronic pain at the touch of a button." Source: Complaint for Permanent Injunction and Other Equitable Relief (Quell), ¶¶ 14.L, 23, 27–29

Outcome. Count I of the complaint charged that the defendants represented that Quell provides widespread relief from chronic or severe pain, and alleged that those representations were false or misleading or were not substantiated at the time they were made. Source: Complaint for Permanent Injunction and Other Equitable Relief (Quell), ¶¶ 14.L, 23, 27–29 Making those representations, the complaint alleged, violated Sections 5(a) and 12 of the FTC Act. Source: Complaint for Permanent Injunction and Other Equitable Relief (Quell), ¶¶ 14.L, 23, 27–29 The complaint also points to the defendants having continued over more than four years despite knowledge of complaints that the advertising claims were not substantiated. Source: Complaint for Permanent Injunction and Other Equitable Relief (Quell), ¶¶ 14.L, 23, 27–29

Exposure

A stipulated order with Kirtan Patel and KP Commerce, LLC permanently restrains them from making, or assisting others in making, representations expressly or by implication, including through the use of a product name, endorsement, depiction, or illustration. Source: Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC, § III The covered representations include that a product or service is scientifically proven, clinically proven, or doctor recommended. Source: Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC, § III The same order also bars those defendants from advertising, marketing, promoting, offering for sale, or selling any good or service using the prohibited claims. Source: Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC, § II Beyond that, it bars them from operating any business that markets or sells through telemarketing or online advertising and makes health, wellness, or performance claims. Source: Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC, § II

Money is also at stake in federal court. In the Nobetes complaint, the FTC asked the court to award relief necessary to redress consumer injury, including rescission or reformation of contracts, restitution, the refund of monies paid, and the disgorgement of ill-gotten monies. Source: Nobetes Complaint for Permanent Injunction and Other Equitable Relief, Prayer for Relief That is a request in a complaint, not a result.

Orders can also impose recordkeeping that reaches survey evidence. One FTC order required the respondent to keep records for five years after the last dissemination of a covered representation. Source: In re Conopco, Inc., Decision and Order, 123 F.T.C. Those records had to include all tests, reports, studies, surveys, demonstrations or other evidence in its possession or control that contradict, qualify, or call into question the representation or the basis relied upon for it, including complaints from consumers. Source: In re Conopco, Inc., Decision and Order, 123 F.T.C.

FAQs

  1. 1.Volume 123, January 1, 1997 - June 30, 1997. In the Matter of Abbott Laboratories, Complaint (FTC)
  2. 2.Volume 123, January 1, 1997 - June 30, 1997. In the Matter of Abbott Laboratories, Complaint (FTC)See also Volume 123, January 1, 1997 - June 30, 1997. In the Matter of Abbott Laboratories, Complaint (FTC)
  3. 3.Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC. Stipulated Order for Permanent Injunction, Monetary Judgment, and Other Relief as to Kirtan Patel and KP Commerce, LLC, § III

This resource is educational and is not legal advice. Reading it does not create an attorney-client relationship. Laws and rules change, and the right answer depends on the facts of your unique situation.

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