Of the 353 prenatal multivitamins on the US market, 63.7% list iodine on the label, and 58.1% list at least the 150 mcg a day that the American Thyroid Association recommends. In October 2026, our research team analyzed the label of every prenatal multivitamin marked as on the market in the NIH Office of Dietary Supplements' Dietary Supplement Label Database. We reviewed 449 label versions covering those 353 products from 184 brands, recorded the iodine each one lists per day and the form it comes in, and compared the results with published counts from 2009 and 2016 to 2017.
Iodine is essential for thyroid hormone production and for fetal development, so a woman's need for it rises in pregnancy. The Recommended Dietary Allowance goes from 150 mcg a day for adults to 220 mcg during pregnancy and 290 mcg while breastfeeding. The American Thyroid Association advises women who are planning a pregnancy, pregnant, or breastfeeding to take a supplement with 150 mcg a day as potassium iodide, and the American Academy of Pediatrics gives the same advice alongside iodized salt.
A prenatal vitamin is where most people would expect to find that dose, but a 2009 count found that about half of US prenatal vitamins contained no iodine, and a 2018 study of best sellers found iodine missing from 42.4% of them. Because the label is what a shopper reads before buying, our study measured what current labels promise: whether iodine is listed, how much, and from which source, across prescription and over-the-counter products, product forms, label years, and brands.
In the sections below, we break down iodine in prenatal vitamins by brand, by daily amount against the recommended dose, by prescription status, by product form, by the year each label entered the database, and by iodine source, then compare our count with the earlier studies.
Summary of Findings
- 63.7% of the 353 prenatal multivitamins on the US market list iodine on the label, up from 51% of prenatal vitamins counted in 2009.
- 58.1% of prenatal multivitamins list at least 150 mcg of iodine a day, the amount the American Thyroid Association recommends.
- Only 43.2% of prescription prenatal vitamins list iodine, compared with 73.1% of over-the-counter prenatals.
- 82.2% of prenatal labels entered into the database from 2023 to 2025 list iodine, the highest share of any period.
- Potassium iodide or iodate is the source on 72.9% of labels that list iodine, while kelp's share has fallen to 13.8% from 23.5% in 2016 to 2017.
Prenatal Vitamin Brands and Iodine
In the table below, we list the 12 brands with the most prenatal multivitamins on the market and show how many of each brand's products list iodine.
| Brand | Products | List Any Iodine | List 150 mcg or More | Sold As |
|---|---|---|---|---|
| Trigen Laboratories | 11 | 3 | 2 | Mostly prescription |
| GNC Women's | 10 | 10 | 10 | Over the counter |
| Mission Pharmacal CitraNatal | 10 | 10 | 10 | Prescription |
| Virtus Pharmaceuticals | 10 | 4 | 4 | Prescription |
| Avion Pharmaceuticals | 8 | 6 | 6 | Prescription |
| Exeltis USA | 8 | 5 | 5 | Mostly prescription |
| Vertical Pharmaceuticals | 8 | 1 | 1 | Mostly prescription |
| Bayer One A Day | 7 | 7 | 7 | Over the counter |
| Nature Made | 7 | 6 | 6 | Over the counter |
| Everett Laboratories | 6 | 2 | 2 | Prescription |
| Nature's Way | 6 | 6 | 5 | Over the counter |
| Seeking Health | 5 | 5 | 5 | Over the counter |
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Number of brands, out of 184.
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Our team took three findings from the brand data:
- We found that 108 of the 184 brands list iodine on every prenatal they sell, while 47 list it on none.
- Our data showed that the brands with the lowest iodine rates are prescription makers: Vertical Pharmaceuticals lists iodine on 1 of 8 products and Trigen Laboratories on 3 of 11.
- We found that large over-the-counter brands such as GNC Women's and Bayer One A Day list iodine on every prenatal in their range.
Daily Iodine Amount Compared With the Recommended Dose
In the table below, we group every prenatal multivitamin by the daily iodine it lists and split each group into prescription and over-the-counter products. The 150 mcg and 220 mcg marks match the American Thyroid Association's supplement advice and the pregnancy allowance.
| Daily Iodine Listed | Products | Share of Products | Prescription | Over the Counter |
|---|---|---|---|---|
| None listed | 128 | 36.3% | 63 | 65 |
| 1 to 74 mcg | 6 | 1.7% | 0 | 6 |
| 75 to 149 mcg | 13 | 3.7% | 1 | 12 |
| 150 mcg | 137 | 38.8% | 40 | 97 |
| 151 to 219 mcg | 12 | 3.4% | 2 | 10 |
| 220 to 290 mcg | 45 | 12.7% | 2 | 43 |
| Over 290 mcg | 11 | 3.1% | 2 | 9 |
| Amount unclear | 1 | 0.3% | 1 | 0 |
| Total | 353 | 100% | 111 | 242 |
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
- None listed36.3%
- 1 to 74 mcg1.7%
- 75 to 149 mcg3.7%
- 150 mcg38.8%
- 151 to 219 mcg3.4%
- 220 to 290 mcg12.7%
- Over 290 mcg3.1%
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Our researchers drew three conclusions from the dose data:
- We found that 45 products list between 220 and 290 mcg, enough to cover the full pregnancy allowance from the supplement alone, and 43 of them are sold over the counter.
- Our data showed that 19 products list some iodine but less than 150 mcg, so a label that mentions iodine can still fall short of the recommended dose.
- We found that prescription prenatals cluster at two points: 63 list no iodine and 40 list exactly 150 mcg, with only 8 anywhere else.
Iodine in Prescription vs Over-the-Counter Prenatal Vitamins
In the table below, we compare prescription prenatals, which reach patients through a clinician, with prenatals sold over the counter. The kelp column shows the share of iodine-listing products in each group that use kelp as the source.
| Group | Products | List Any Iodine | List 150 mcg or More | List 220 mcg or More | Kelp as the Source |
|---|---|---|---|---|---|
| Prescription | 111 | 43.2% | 41.4% | 3.6% | 0.0% |
| Over the counter | 242 | 73.1% | 65.7% | 21.5% | 17.5% |
| Total | 353 | 63.7% | 58.1% | 15.9% | 13.8% |
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
- Over the counter73.1%
- Prescription43.2%
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Our team took three findings from the prescription data:
- We found that prescription prenatals are 29.9 percentage points less likely than over-the-counter prenatals to list iodine.
- Our data showed that only 3.6% of prescription prenatals list 220 mcg or more, against 21.5% of over-the-counter products.
- We found that no prescription prenatal relies on kelp, and 97.9% of those that list iodine use potassium iodide or iodate, the form the American Thyroid Association specifies.
Iodine in Prenatal Vitamins by Product Form
In the table below, we break down iodine by the form each prenatal comes in, using the physical form recorded in the NIH database. The median column shows the typical daily amount among products in each form that list iodine.
| Form | Products | List Any Iodine | List 150 mcg or More | List 220 mcg or More | Median Daily Amount Listed |
|---|---|---|---|---|---|
| Tablet | 170 | 58.8% | 53.5% | 11.8% | 150 mcg |
| Softgel | 71 | 67.6% | 63.4% | 9.9% | 150 mcg |
| Capsule | 49 | 77.6% | 65.3% | 24.5% | 150 mcg |
| Gummy | 30 | 70.0% | 63.3% | 26.7% | 160 mcg |
| Other forms, mostly caplets and multi-part packs | 33 | 54.5% | 54.5% | 27.3% | 198 mcg |
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
- Capsule77.6%
- Gummy70.0%
- Softgel67.6%
- Tablet58.8%
- Other forms54.5%
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Our researchers drew three conclusions from the form data:
- We found that capsules are the form most likely to list iodine, while tablets, the most common form with 170 products, list it least often among single-pill forms.
- Our data showed that gummies list iodine 70.0% of the time and have the highest median dose of any single-pill form, 160 mcg.
- We found that kelp appears mostly in tablets, where it is the iodine source on 22.0% of iodine-listing products, compared with 2.1% of softgels.
Iodine in Prenatal Vitamins by Year Added to the Database
In the table below, we group products by the year their most recent label version entered the database, which shows how the formulas on file have shifted over time. The last column shows the share of iodine-listing products in each period that use potassium iodide or iodate.
| Period Entered | Products | List Any Iodine | List 150 mcg or More | List 220 mcg or More | Potassium Iodide or Iodate |
|---|---|---|---|---|---|
| 2012 to 2015 | 62 | 53.2% | 46.8% | 4.8% | 60.6% |
| 2016 to 2019 | 61 | 70.5% | 67.2% | 18.0% | 72.1% |
| 2020 to 2022 | 140 | 53.6% | 47.9% | 10.7% | 78.7% |
| 2023 to 2025 | 90 | 82.2% | 75.6% | 30.0% | 73.0% |
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Our team took three findings from the timeline data:
- We found that labels entered from 2023 to 2025 list iodine 28.6 percentage points more often than labels entered from 2020 to 2022.
- Our data showed that 30.0% of the newest labels list 220 mcg or more, more than six times the 4.8% among labels from 2012 to 2015.
- We found that the 2020 to 2022 period, the largest group at 140 products, lists iodine at nearly the same rate as 2012 to 2015, 53.6% against 53.2%.
Iodine Sources in Prenatal Vitamins
In the table below, we break down the iodine source listed in the supplement facts of every product that lists iodine, show how often each source reaches 150 mcg, and compare the mix with the best-selling prenatals of 2016 to 2017.
| Iodine Source | Products, 2026 | Share, 2026 | Reach 150 mcg or More | Share of Best Sellers, 2016 to 2017 |
|---|---|---|---|---|
| Potassium iodide or iodate | 164 | 72.9% | 93.3% | 73.5% |
| Kelp | 31 | 13.8% | 80.6% | 23.5% |
| Other or not stated | 30 | 13.3% | 90.0% | 2.9%, inactivated yeast |
| Total | 225 | 100% | 91.1% | 34 products |
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026; Patel and colleagues, Thyroid, 2019
- 2026, 225 products72.9%13.8%13.3%
- 2016 to 2017 best sellers, 34 products73.5%23.5%
- Potassium iodide or iodate
- Kelp
- Other or not stated
Source: Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026; Patel and colleagues, Thyroid, 2019
Our researchers drew three conclusions from the source data:
- We found that potassium iodide's share has held near three quarters since 2016 to 2017, while kelp's share fell by about two-fifths.
- Our data showed that kelp-based prenatals are the least likely to reach 150 mcg, at 80.6%, compared with 93.3% of products using potassium iodide or iodate.
- We found that the source is a practical check for shoppers: the NIH notes the body absorbs almost all potassium iodide, 96.4%, and the 2019 study's authors flagged non-iodide sources as highly variable.
How Prenatal Vitamin Iodine Has Changed Since 2009
In the table below, we compare our count with the two earlier published counts of iodine in US prenatal vitamins. Each study used a different set of products, so we show the scope of every count alongside its result.
| Count | Products Checked | With Iodine | Scope |
|---|---|---|---|
| 2009, Leung and colleagues | 223 | 51% | Prenatal vitamins marketed in the US |
| 2016 to 2017, Patel and colleagues | 59 | 57.6% | Best-selling prenatal multivitamins by dollar sales |
| 2016 to 2017, weighted by doses sold | 466,927,559 doses | 76.8% | Doses of the same best sellers sold over one year |
| 2026, this analysis | 353 | 63.7% | On-market prenatal multivitamins in the NIH label database |
Source: Leung, Pearce, and Braverman, New England Journal of Medicine, 2009; Renner, Environmental Health Perspectives, 2010; Patel and colleagues, Thyroid, 2019; Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Source: Leung, Pearce, and Braverman, New England Journal of Medicine, 2009; Patel and colleagues, Thyroid, 2019; Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
Our researchers drew three conclusions from the comparison:
- We found that the share of prenatals with iodine on the label rose 12.7 percentage points from 2009 to 2026.
- Our data showed that best-selling prenatals were already ahead in 2016 to 2017, when 76.8% of doses sold contained iodine, which means the biggest sellers were more likely to include it.
- We found that the 2009 study also measured the iodine in each pill and found it varied by plus or minus 50% from the label, so label counts like ours show what is promised, not what is delivered.
What the Iodine Counts Mean for Prenatal Shoppers
For anyone planning a pregnancy, the practical result is that the word prenatal does not settle the iodine question. Over-the-counter products and newer labels carry iodine more often, prescription products less often, and the source and dose vary from brand to brand, so the supplement facts panel is the only reliable check.
Across 17 years of published counts, the share of prenatals with iodine has moved up, and the sources have shifted toward potassium iodide. The gap that remains is concentrated in prescription products and older labels.
So if you are comparing prenatals, look for 150 mcg of iodine as potassium iodide on the supplement facts panel before you buy.
Sources (5)
- 1.Fertility Supplement Index analysis of the NIH Dietary Supplement Label Database, October 2026
- 2.NIH Office of Dietary Supplements, Iodine Fact Sheet for Health Professionals, updated November 5, 2024
- 3.Patel and colleagues, Thyroid, 2019
- 4.Leung, Pearce, and Braverman, New England Journal of Medicine, 2009
- 5.Renner, Environmental Health Perspectives, 2010
Methodology
We used the NIH Office of Dietary Supplements Dietary Supplement Label Database API, version 9, on October 29, 2026. The search term prenatal returned 1,454 labels, and 808 were marked as on the market.
A label counted as a prenatal multivitamin when it listed folate and at least eight vitamins and minerals, and identified itself as prenatal in its name, through prescription status, or in its own identity, type, general, or directions statements. Three products did not meet that last test: a B-complex, a probiotic multivitamin, and a women's multivitamin.
Label versions with the same brand and product name were combined into one product, using the most recent version. Period entered refers to that version's entry date in the database, which is not the product's launch date.
Daily iodine is the labeled amount per serving multiplied by the maximum daily servings. Amounts in mg were converted to mcg. One label listed 150 mg of iodine, far above the 1,100 mcg adult upper limit, which points to a unit error on the label or in the entry. It counts as listing iodine and appears as amount unclear in the dose table.
Prescription status comes from label statements such as Rx only or prescription dietary supplement. Brands sold as mostly prescription have at least seven prescription products for every over-the-counter one. Forms follow the database's physical state codes. Other forms are mostly caplets and multi-part packs, plus 4 powders.
The 2009 share is derived from the reported 49% of products with no iodine, and the 2018 study's 42.4% without iodine from its 57.6% with iodine. The 2016 to 2017 source counts are derived from the published percentages of 34 products. We calculated products, differences, and ratios from the published values. Label amounts are what manufacturers declare. We did not test products.