What the Confidence Rating means
Every provider gets a 0–100 Confidence Rating: higher means more of the public record checked out. It falls into one of four bands.
Most of the public record checks out.
A solid, documented record. Not an endorsement.
A thin public record. Neither a green light nor a warning.
A confirmed concern on file: active enforcement, an exclusion, or a grey-market classification. A low score alone stays Limited.
Separately, each provider carries a Record Depth: how much of the public record we could find. A thin record pulls the rating toward the middle, it never pushes it down to Flagged. Read the methodology →
Providers people are checking
Browse all →What Vial checks
Six dimensions of a provider’s public record, weighted and time-decayed.
Physician oversight
NPI registration, licensure, a named medical director.
Pharmacy sourcing
503A/503B status, PCAB accreditation, FDA record.
Enforcement history
FDA, OIG, and DEA actions, weighted by recency.
Pricing clarity
Published pricing, membership terms, hidden fees.
Operational consistency
Entity age, address stability, corporate structure.
Clinical disclosure
Stated protocols, lab requirements, and follow-up.
We don’t sell placement. Ever.
The Confidence Rating reflects what is publicly disclosed and verifiable, not opinion and not advertising. A provider that pays the verification fee can still carry a low rating. It is not a recommendation or a guarantee of safety.